Androgen Deficiency in Aging Males 설문지와 Aging Males’ Symptoms Scale 간의 상관관계 및 혈청 테스토스테론과의 관련성
Correlation between Androgen Deficiency on the Aging Males Questionnaire and the Aging Males’ Symptoms Scale and Their Relationship with Serum Testosterone
박동수, 김수웅, 백재승, 구자현, 김태범,
소속 상세정보
박동수 ( Park Dong-Soo )
서울대학교 의과대학 비뇨기과학교실
김수웅 ( Kim Soo-Woong )
서울대학교 의과대학 비뇨기과학교실
백재승 ( Paick Jae-Seung )
서울대학교 의과대학 비뇨기과학교실
구자현 ( Ku Ja-Hyeon )
서울대학교 의과대학 비뇨기과학교실
김태범 ( Kim Tae-Beom )
가천의과학대학교 길병원 비뇨기과
KMID : 0358320080490111035
Abstract
Purpose: The aim of this study is to analyze the correlation between the Androgen Deficiency in Aging Males(ADAM) questionnaire and the Aging Males’ Symptoms(AMS) scale and to determine their relationship with the serum testosterone level.
Materials and Methods: We retrospectively reviewed the medical records of the patients who took the self-administered ADAM questionnaire, the AMS scale and the International Index of Erectile Function(IIEF) questionnaire. We enrolled a total of 265 patients older than 40 years who presented a positive result for the ADAM questionnaire(defined as a ’yes’ answer to question 1 or 7, or a ’yes’ answer to at least three of the other questions). Blood tests were performed, including the total testosterone, prolactin, the lipid profiles and the fasting glucose level.
Results: The psychological subscale of the AMS scale was correlated with ADAM questions 2, 3, 5, 7, 8 and 10(p＜0.005) and the somato-vegetative subscale was correlated with questions 2, 3, 5, 6, 8 and 10(p＜0.05). The sexual subscale was correlated with questions 1, 2, 5, 6, 7, 8 and 10(p＜ 0.05). Statistically significant differences were found for the IIEF questionnaire scores between the patients with ’yes’ and ’no’ answer to ADAM question 1 and 7(p＜0.05). The IIEF questionnaire scores were significantly lower for the men with a sexual subscale score 11-25 on the AMS scale (p＜0.05). The total testosterone was not correlated with the ADAM, AMS and IIEF questionnaire but the total testosterone demonstrated a significantly negative correlation with weight, abdominal circumference, body mass index(BMI) and triglyceride(p＜0.05).
Conclusions: This analysis revealed that the ADAM questionnaire and the AMS scale have a significant relationship, and especially the sexual function domain of the two questionnaires showed correlation with the IIEF questionnaire. Serum testosterone was related with weight, abdominal circumference, BMI and triglyceride.
키워드
Hypogonadism;Questionnaires;Testosterone
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