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Androgens in the demography of male life course--a review. 雄激素在男性生命历程中的作用——综述。
Pub Date : 2006-02-01 DOI: 10.1080/19485565.2006.9989112
Walter Krause

While the basics of testosterone production, effects and metabolism have been known for decades, there has been a flow of novel insights in the genomics of testosterone action on a molecular and cellular level, as well as in the clinical effects from modern clinical trials, improving the understanding of the role of testosterone in male life course. Androgens are produced under the control of an endocrine cascade from GnRH via gonadotropins to the testicular Leydig cells. In some organs, testosterone is reduced to 5alpha-dihydrotestosterone prior to the receptor binding by the 5alpha reductase. The androgen receptor gene is located on the X chromosome in the q11-12 region, each mutation in the gene will induce phenotypic manisfestations. In the first stage of the male life course, testosterone moderates the male embryonic development under the control of a complex molecular genetic network. The next important phase of male maturation is the puberty, in which testosterone levels increase and induce the development of somatic and psychological characteristics of male sexuality. In the adult male, testosterone maintains sexual functions and fertility. In aging men, testosterone levels decrease slowly. Testosterone supplementation in the aging male is able to restore the function of androgen target organs only in part.

虽然睾酮的产生、作用和代谢的基本原理已经知道了几十年,但在分子和细胞水平上的睾酮作用的基因组学以及现代临床试验的临床效果方面,已经有了一系列新的见解,提高了对睾酮在男性生命过程中的作用的理解。雄激素是在GnRH通过促性腺激素到睾丸间质细胞的内分泌级联控制下产生的。在某些器官中,在受体被5 -还原酶结合之前,睾酮被还原为5 -二氢睾酮。雄激素受体基因位于X染色体q11-12区,该基因的每次突变都会诱发表型表现。在男性生命历程的第一阶段,睾酮在复杂的分子遗传网络控制下调节男性胚胎发育。男性成熟的下一个重要阶段是青春期,在这个阶段,睾丸激素水平上升,并导致男性性行为的躯体和心理特征的发展。在成年男性中,睾酮维持性功能和生育能力。在老年男性中,睾丸激素水平下降缓慢。老年男性补充睾酮只能部分恢复雄激素靶器官的功能。
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引用次数: 10
Age-related patterns of urinary gonadotropins (FSH and LH) and E-3-G as measures of reproductive function among Turkana males of northern Kenya. 年龄相关的尿促性腺激素(FSH和LH)和E-3-G作为衡量肯尼亚北部图尔卡纳男性生殖功能的指标。
Pub Date : 2006-02-01 DOI: 10.1080/19485565.2006.9989115
Benjamin Campbell, Paul Leslie, Kenneth Campbell

To determine age-related patterns of gonadotropins and their relationship to energetic status in a subsistence population we analyzed urinary FSH, LH, and estrone-3-glucuronide (E-3-G) along with anthropometric measures among Turkana males of northern Kenya. Subjects were 134 nomadic and 109 settled males ages 20 to 80+. FSH, LH and E-3-G were significantly higher among the settled, compared to nomadic, males. LH, but not FSH, showed a significant increase across 10 year age groups among all the men. E-3-G increased across age groups only among the settled males. Controlled for age, FSH was inversely related to measures of fat free and body mass among the settled men. These findings suggest an unusual age profile of gonadotropins and estrogen metabolites that may reflect the impact of fluctuating food availability. More research is needed to address the impact of energetic and social factors on the male reproductive axis among energetically stressed populations.

为了确定促性腺激素的年龄相关模式及其与生存人群能量状态的关系,我们分析了肯尼亚北部图尔卡纳男性的尿FSH、LH和雌酮-3-葡萄糖醛酸盐(E-3-G)以及人体测量值。研究对象为年龄在20至80岁以上的134名游牧男性和109名定居男性。定居男性的FSH、LH和E-3-G显著高于游牧男性。在所有男性的10岁年龄组中,LH,而不是FSH,显示出显著的增加。E-3-G仅在定居男性中增加。在年龄控制下,在定居的男性中,FSH与脂肪含量和体重呈负相关。这些发现表明,促性腺激素和雌激素代谢物的不同寻常的年龄分布可能反映了食物供应波动的影响。需要更多的研究来解决能量和社会因素对能量紧张人群中男性生殖轴的影响。
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引用次数: 2
Men with subnormal sperm counts live shorter lives. 精子数量低于正常水平的男性寿命较短。
Pub Date : 2006-02-01 DOI: 10.1080/19485565.2006.9989116
Sabine Groos, Walter Krause, Ulrich O Mueller

A lost less is known about the morbidity and mortality consequences of male infertility. It was the aim of our study to analyse the association between sperm concentration and individual lifetime mortality in men. The data sources included medical records of 601 men who attended the andrological service at the Marburg University Hospital between 1949 and 1985, and vital data gathered from public registration offices and a statutory health insurance. A Cox regression model estimated a two-fold higher mortality risk for oligozoospermic men as compared to the normozoospermic group for cohorts born between 1892 and 1931. Since a selection bias could not be found, we assume there to be a connection between poor fertility status and a shorter lifespan in men. Possible explanations for the variation in mortality risk are: (i) Lifestyle and health behaviour in adulthood, (ii) conditions in utero, and (iii) genetic dispositions.

关于男性不育症的发病率和死亡率所知甚少。我们研究的目的是分析精子浓度与男性个体寿命死亡率之间的关系。数据来源包括1949年至1985年间在马尔堡大学医院接受男科服务的601名男子的医疗记录,以及从公共登记处和法定健康保险收集的重要数据。Cox回归模型估计,在1892年至1931年出生的人群中,少精子男性的死亡风险比正常精子男性高两倍。由于没有发现选择偏差,我们假设在男性的低生育状况和较短寿命之间存在联系。对死亡风险差异的可能解释有:(一)成年后的生活方式和健康行为;(二)子宫内状况;(三)遗传倾向。
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引用次数: 24
Hunting, social status and biological fitness. 狩猎,社会地位和生理健康。
Pub Date : 2006-02-01 DOI: 10.1080/19485565.2006.9989118
Michael Gurven, Christopher von Rueden

Hunting performance may be one of the most important routes to high prestige or social status among men in hunter-gatherer societies. Higher social status based on hunting performance has been linked to higher biological fitness outcomes almost everywhere this relationship has been investigated. This paper explores the proximate pathways underlying the positive correlation between hunting success and fitness, and discusses these in light of recent debates concerning the role of men in hunter-gatherer societies. Meat obtained from hunting directly provisions families and is also distributed to other group members, who may directly or indirectly pay back good hunters with meat, other food, services or favors. The display of hunting abilities may also increase men's fitness through extra-marital reproductive gains. We discuss prior results and provide a novel additional example using data collected among Tsimane horticultural-foragers of Bolivia. Despite the impression that most of the benefits that accrue to good hunters are in the form of extra-marital mating opportunities, we argue instead that most benefits may be gained within rather than outside marital unions.

在狩猎采集社会中,狩猎表演可能是男性获得高声望或社会地位的最重要途径之一。基于狩猎表现的更高的社会地位与更高的生物适应性结果有关,这种关系几乎在任何地方都有研究。本文探讨了狩猎成功与健康之间正相关的近似途径,并根据最近关于男性在狩猎采集社会中的作用的辩论进行了讨论。从狩猎中获得的肉直接供应家庭,也分配给其他群体成员,他们可以直接或间接地用肉、其他食物、服务或恩惠回报优秀的猎人。狩猎能力的展示也可能通过婚外繁殖增加男性的健康。我们讨论了先前的结果,并提供了一个新的额外的例子,使用收集的数据在玻利维亚的提斯曼园艺采集者。尽管有一种印象是,优秀的猎人获得的大多数好处都是以婚外交配机会的形式出现的,但我们认为,大多数好处可能是在婚姻结合中获得的,而不是在婚姻结合之外。
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引用次数: 134
Disparities in Disability Life Expectancy in US Birth Cohorts: The Influence of Sex and Race. 美国出生队列中残疾预期寿命的差异:性别和种族的影响
Pub Date : 2006-01-01 DOI: 10.1080/19485565.2006.9989124
Samir Soneji

Racial and sex disparities in chronic diseases and mortality are sources of health inequality and have been observed from infancy to adulthood. Disparities in health and mortality contribute to corresponding disparities in healthy life. I address two previously unanswered questions in the aging literature. First, does the racial and sex gap in healthy life narrow, persist, or expand over age and time, particularly considering severity of ill health, among the oldest old? Second, do some race-sex groups of birth cohorts live not just longer lives, but longer healthier lives, while others spend additional years in illness? To estimate the quantities, I employ a refined definition of physical disability and apply a new extension of Sullivan's method to true birth cohorts. The results suggest among the oldest old, few racial or sex disparities exist over age and time in mild disability. Yet, racial and sex disparities persist over age and time in severe disability.

慢性疾病和死亡率方面的种族和性别差异是健康不平等的根源,从婴儿期到成年期都存在这种差异。健康和死亡率方面的差异导致健康生活方面的相应差异。我在老化的文献中提出了两个先前未回答的问题。首先,健康生活中的种族和性别差距是随着年龄和时间的推移而缩小、持续还是扩大,特别是考虑到老年人健康状况不佳的严重程度?第二,是否有一些不同种族性别的出生群体不仅活得更长,而且活得更健康,而另一些人在疾病中度过的时间更长?为了估计数量,我采用了一个精确的身体残疾定义,并将沙利文方法的新扩展应用于真正的出生队列。结果表明,在老年人中,轻度残疾在年龄和时间上几乎没有种族或性别差异。然而,在严重残疾中,种族和性别差异随着年龄和时间的推移而持续存在。
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引用次数: 2
The influence of early conditions on health status among elderly Puerto Ricans. 早期条件对波多黎各老年人健康状况的影响。
Pub Date : 2005-09-01 DOI: 10.1080/19485565.2005.9989106
Alberto Palloni, Mary McEniry, Ana Luisa Dávila, Alberto García Gurucharri
Abstract The demographic origins of aging in Puerto Rican and other Latin American and Caribbean (LAC) countries may have important implications for the profile of health status and mortality of elderly people. For this article we tested a general conjecture about the relation between early childhood conditions and adult health status among Puerto Rican elderly using a rich data set recently collected through an island‐wide survey (N=4,293). We examined the association between markers of early nutritional status, self‐reports of health and on socioeconomic conditions during early childhood, and the prevalence of 3 conditions during adult ages: obesity, diabetes, and cardiovascular diseases. Although we found that obesity and diabetes are associated with markers of early malnutrition, that heart disease is associated with early deprivations and selected early childhood conditions, the evidence we were able to tease out from the data provides only fragile support for the conjecture.
波多黎各和其他拉丁美洲和加勒比国家老龄化的人口来源可能对老年人的健康状况和死亡率概况产生重要影响。在本文中,我们使用最近通过全岛调查收集的丰富数据集(N = 4,293)检验了关于波多黎各老年人早期儿童状况与成人健康状况之间关系的一般猜想。我们研究了早期营养状况、儿童早期健康状况和社会经济状况的自我报告与成年后3种疾病的患病率之间的关系:肥胖、糖尿病和心血管疾病。虽然我们发现肥胖和糖尿病与早期营养不良的标志有关,心脏病与早期剥夺和儿童早期条件有关,但我们能够从数据中梳理出的证据只能为这一猜想提供脆弱的支持。
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引用次数: 42
Life course pathways to adult-onset diabetes. 成人发病糖尿病的生命历程途径。
Pub Date : 2005-09-01
Latrica E Best, Mark D Hayward, Mira M Hidajat

Early life conditions, such as socioeconomic status (SES) and health, have the potential to set in motion multiple and reinforcing pathways that shape both the prevalence and onset of diabetes among older adults. Using data from the Health and Retirement Study (1998-2002) for persons age 51 years and older, we investigated the core mediating mechanisms linking early life conditions with diabetes prevalence in 1998 and onset over a 4-year follow-up period, focusing on adult achievement processes and obesity as key mechanisms. We found that father's education is negatively associated with diabetes prevalence for older men and women. However, no markers of early life SES are directly associated with older men's and women's onset of diabetes, and the negative effects of adult SES on diabetes onset pertain only to women. Early life health affects the onset of diabetes among women--but not the prevalence--and no evidence of this association was found for men. We found no evidence that obesity is an important mechanism connecting either early life or adult SES with diabetes development in men or women. We speculate that early life SES may accelerate the development of diabetes at younger ages, and that the pathways linking life course SES, early life health, and diabetes are partly gender-specific and biological in nature.

早期生活条件,如社会经济地位和健康状况,有可能启动多种强化途径,影响老年人糖尿病的发病率和发病。利用健康与退休研究(1998-2002)中51岁及以上人群的数据,我们调查了1998年早期生活状况与糖尿病患病率和4年随访期间发病之间的核心中介机制,重点关注成人成就过程和肥胖作为关键机制。我们发现父亲的教育程度与老年男性和女性的糖尿病患病率呈负相关。然而,没有早期生活SES的标记与老年男性和女性糖尿病发病直接相关,并且成年SES对糖尿病发病的负面影响仅适用于女性。生命早期的健康状况会影响女性糖尿病的发病,但不会影响患病率,而且没有证据表明这与男性有关联。我们没有发现任何证据表明肥胖是将男性或女性早期生活或成年SES与糖尿病发展联系起来的重要机制。我们推测,早期生活SES可能会加速年轻时糖尿病的发展,并且连接生命过程SES,早期生活健康和糖尿病的途径在本质上部分是性别特异性和生物学的。
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引用次数: 0
Childhood predictors of late-life diabetes: the case of Mexico. 儿童时期预测晚年糖尿病的因素:墨西哥的案例。
Pub Date : 2005-09-01
Iliana V Kohler, Beth J Soldo

We investigated the interplay between characteristics of early childhood circumstances and current socioeconomic conditions and health, focusing specifically on diabetes in mid and late life in Mexico. The analysis used data from the 2001 Mexican Health and Aging Study (MHAS), a large nationally representative study of Mexicans born before 1950. We analyzed the extent to which childhood conditions, such as exposure to infectious diseases, a poor socioeconomic environment, and parental education, affect the risk of diabetes in later life. Our results indicate that individuals age 50 and older who experienced serious health problems before age 10 have a higher risk of having late-life diabetes. There is a significant inverse relationship between maternal education and diabetes in late life of adult offspring. Individuals with better educated mothers have a lower risk of being diabetic after age 50. This relationship remains after controlling for other childhood and adult risk factors.

我们调查了早期儿童环境特征与当前社会经济条件和健康之间的相互作用,特别关注墨西哥中老年糖尿病患者。该分析使用了2001年墨西哥健康与老龄化研究(MHAS)的数据,这是一项针对1950年以前出生的墨西哥人的全国性代表性大型研究。我们分析了童年条件,如接触传染病、不良的社会经济环境和父母教育,在多大程度上影响了以后生活中患糖尿病的风险。我们的研究结果表明,在10岁之前经历过严重健康问题的50岁及以上的人患晚期糖尿病的风险更高。母亲受教育程度与成年子女晚年糖尿病呈显著负相关。母亲受教育程度较高的人在50岁以后患糖尿病的风险较低。在控制了其他儿童和成人的风险因素后,这种关系仍然存在。
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引用次数: 0
Childhood predictors of late‐life diabetes: The case of Mexico 儿童期晚期糖尿病的预测因素:墨西哥的案例
Pub Date : 2005-09-01 DOI: 10.1080/19485565.2005.9989105
I. Kohler, B. Soldo
Abstract We investigated the interplay between characteristics of early childhood circumstances and current socioeconomic conditions and health, focusing specifically on diabetes in mid and late life in Mexico. The analysis used data from the 2001 Mexican Health and Aging Study (MHAS), a large nationally representative study of Mexicans born before 1950. We analyzed the extent to which childhood conditions, such as exposure to infectious diseases, a poor socioeconomic environment, and parental education, affect the risk of diabetes in later life. Our results indicate that individuals age 50 and older who experienced serious health problems before age 10 have a higher risk of having late‐life diabetes. There is a significant inverse relationship between maternal education and diabetes in late life of adult offspring. Individuals with better educated mothers have a lower risk of being diabetic after age 50. This relationship remains after controlling for other childhood and adult risk factors.
我们调查了早期儿童环境特征与当前社会经济条件和健康之间的相互作用,特别关注墨西哥中老年糖尿病患者。该分析使用了2001年墨西哥健康与老龄化研究(MHAS)的数据,这是一项针对1950年以前出生的墨西哥人的全国性代表性大型研究。我们分析了童年条件,如接触传染病、不良的社会经济环境和父母教育,在多大程度上影响了以后生活中患糖尿病的风险。我们的研究结果表明,在10岁之前经历过严重健康问题的50岁及以上的个体患晚期糖尿病的风险更高。母亲受教育程度与成年子女晚年糖尿病呈显著负相关。母亲受教育程度较高的人在50岁以后患糖尿病的风险较低。在控制了其他儿童和成人的风险因素后,这种关系仍然存在。
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引用次数: 30
Using anthropometric indicators for Mexicans in the United States and Mexico to understand the selection of migrants and the "Hispanic paradox". 利用美国和墨西哥墨西哥人的人体测量指标来理解移民的选择和“西班牙裔悖论”。
Pub Date : 2005-09-01 DOI: 10.1080/19485565.2005.9989107
Eileen M Crimmins, Beth J Soldo, Jung Ki Kim, Dawn E Alley

Anthropometric measures including height provide an indication of childhood health that allows exploration of relationships between early life circumstances and adult health. Height can also be used to provide some indication of how early life health is related to selection of migrants and the Hispanic paradox in the United States. This article joins information on persons of Mexican nativity ages 50 and older in the United States collected in the National Health and Nutrition Examination Survey IV (NHANES IV 1999-2002) with a national sample of persons of the same age living in Mexico from the Mexican Health and Aging Survey (MHAS 2001) to examine relationships between height, education, migration, and late-life health. Mexican immigrants to the United States are selected for greater height and a high school, rather than higher or lower, education. Return migrants from the United States to Mexico are shorter than those who stay. Height is related to a number of indicators of adult health. Results support a role for selection in the Hispanic paradox and demonstrate the importance of education and childhood health as determinants of late-life health in both Mexico and the United States.

包括身高在内的人体测量测量提供了儿童健康的指标,从而可以探索早期生活环境与成人健康之间的关系。身高也可以用来说明早期生命健康与移民选择和美国的西班牙裔悖论之间的关系。本文结合了美国国家健康和营养调查IV (NHANES IV 1999-2002)收集的50岁及以上的墨西哥裔美国人的信息,以及墨西哥健康和老龄化调查(MHAS 2001)中居住在墨西哥的相同年龄的人的全国样本,以研究身高、教育、移民和晚年健康之间的关系。墨西哥移民到美国的标准是更高的身高和高中学历,而不是更高或更低的学历。从美国返回墨西哥的移民比留在墨西哥的移民要短。身高与成人健康的若干指标有关。结果支持选择在西班牙悖论中的作用,并证明教育和儿童健康作为墨西哥和美国晚年健康的决定因素的重要性。
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引用次数: 91
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