Abstract
Objective
Contrary to the hypothesis that the racial/ethnic disparity in prostate cancer has a hormonal basis, we did not observe a difference in serum testosterone concentration between non-Hispanic black and white men in the Third National Health and Nutrition Examination Survey (NHANES III), although non-Hispanic black men had a higher estradiol level. Unexpectedly, Mexican–American men had the highest testosterone level. Next, we evaluated whether the same patterns are observed during adolescence, the time of prostate maturation.
Methods
We measured serum testosterone, estradiol, and sex hormone-binding globulin (SHBG) by immunoassay in 134 males aged 12–19 in NHANES III. Mean concentrations were compared by race/ethnicity adjusting for age, Tanner stage, percent body fat, waist, physical activity, tobacco smoke, and the other hormones.
Results
After multivariable adjustment, in the 12–15-year-old males, testosterone concentration was lower in non-Hispanic blacks than whites (p = 0.043), SHBG concentration did not significantly differ between the two groups. Mexican–Americans had the highest testosterone (versus non-Hispanic black: p = 0.002) and lowest SHBG (versus non-Hispanic white: p = 0.010; versus non-Hispanic black: p = 0.047) concentrations. Estradiol concentration was lower in non-Hispanic blacks (p = 0.11) and Mexican–Americans (p = 0.033) compared with non-Hispanic whites. After multivariable adjustment, in the 16–19-year-old males, testosterone, estradiol, and SHBG concentrations did not differ between non-Hispanic blacks and whites. Mexican–Americans had the highest testosterone concentration (versus non-Hispanic white: p = 0.08), but did not differ from the other groups on estradiol and SHBG concentrations. In both age groups, these patterns were generally present, but less pronounced after adjusting for age and Tanner stage only.
Conclusion
In adolescent males, non-Hispanic blacks did not have a higher testosterone concentration than non-Hispanic whites, and Mexican–Americans had the highest testosterone concentration, patterns similar to adult males.
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Acknowledgments
We thank Gary Bradwin in the laboratory of Dr. Nader Rifai at Children’s Hospital Boston. This is the 21st paper from the Hormone Demonstration Program funded by the Maryland Cigarette Restitution Fund at Johns Hopkins. D. Lopez and C. Joshu were supported by a National Research Service Award T32 CA009314 from the National Cancer Institute, NIH.
Conflict of interest
The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.
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Lopez, D.S., Peskoe, S.B., Joshu, C.E. et al. Racial/ethnic differences in serum sex steroid hormone concentrations in US adolescent males. Cancer Causes Control 24, 817–826 (2013). https://doi.org/10.1007/s10552-013-0154-8
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DOI: https://doi.org/10.1007/s10552-013-0154-8