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WORCESTER, MASSACHUSETTS. Both total and bioavailable testosterone levels decline as men age and the decrease is often accompanied by a decline in sexual function, loss of bone density and muscle mass, and an increase in cholesterol level. The decline in bioavailable testosterone is partially due to an age-related increase in sex hormone-binding globulin (SHBG) which removes the free testosterone from circulation. Researchers at the University of Massachusetts Medical School have just completed a major study aimed at determining the relationship between diet and the level of SHBG in middle-aged men. The study was carried out in 1987-1989 as part of the Massachusetts Male Aging Study and involved 1522 men aged 40 to 70 years. All study participants were interviewed in person, had blood samples drawn and were evaluated for height, weight, and waist and hip circumferences. They also completed the Willett semiquantitative 1-year food frequency questionnaire.

Multiple regression analysis of the collected data showed that a high intake of protein corresponded to a lower level of SHBG and thus by inference, a higher level of free testosterone. A high fiber intake, on the other hand, was clearly correlated with a high SHBG level. Other research has shown that vegetarians tend to have higher SHBG levels than do non-vegetarians. The data analysis also found that advanced age and a high serum testosterone level were associated with higher SHBG levels whereas a greater body mass index and waist/hip ratio both correlated with a lower SHBG level. No correlation was found with total calorie intake or intakes of fats and carbohydrates. The researchers conclude that elderly men can increase their bioavailable testosterone levels by increasing their protein intake.
Longcope, C., et al. Diet and sex hormone-binding globulin. Journal of Clinical Endocrinology and Metabolism, Vol. 85, January 2000, pp. 293-96

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