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Testosterone undecanoate administration prevents declines in fat-free mass but not physical performance during simulated multi-stressor military operations.
Varanoske, Alyssa N; Harris, Melissa N; Hebert, Callie; Howard, Emily E; Johannsen, Neil M; Heymsfield, Steven B; Greenway, Frank L; Margolis, Lee M; Lieberman, Harris R; Beyl, Robbie A; Church, David D; Ferrando, Arny A; Pasiakos, Stefan M; Rood, Jennifer C.
Afiliación
  • Varanoske AN; Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
  • Harris MN; Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.
  • Hebert C; Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana.
  • Howard EE; Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana.
  • Johannsen NM; Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
  • Heymsfield SB; Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.
  • Greenway FL; Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana.
  • Margolis LM; Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana.
  • Lieberman HR; Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana.
  • Beyl RA; Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
  • Church DD; Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
  • Ferrando AA; Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana.
  • Pasiakos SM; Department of Geriatrics, Donald W. Reynolds Institute on Aging, Center for Translational Research in Aging & Longevity, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
  • Rood JC; Department of Geriatrics, Donald W. Reynolds Institute on Aging, Center for Translational Research in Aging & Longevity, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
J Appl Physiol (1985) ; 133(2): 426-442, 2022 08 01.
Article en En | MEDLINE | ID: mdl-35796614
Male military personnel conducting strenuous operations experience reduced testosterone concentrations, muscle mass, and physical performance. Pharmacological restoration of normal testosterone concentrations may attenuate performance decrements by mitigating muscle mass loss. Previously, administering testosterone enanthate (200 mg/wk) during 28 days of energy deficit prompted supraphysiological testosterone concentrations and lean mass gain without preventing isokinetic/isometric deterioration. Whether administering a practical dose of testosterone protects muscle and performance during strenuous operations is undetermined. The objective of this study was to test the effects of a single dose of testosterone undecanoate on body composition and military-relevant physical performance during a simulated operation. After a 7-day baseline phase (P1), 32 males (means ± SD; 77.1 ± 12.3 kg, 26.5 ± 4.4 yr) received a single dose of either testosterone undecanoate (750 mg; TEST) or placebo (PLA) before a 20-day simulated military operation (P2), followed by a 23-day recovery (P3). Assessments included body composition and physical performance at the end of each phase and circulating endocrine biomarkers throughout the study. Total and free testosterone concentrations in TEST were greater than PLA throughout most of P2 (P < 0.05), but returned to P1 values during P3. Fat-free mass (FFM) was maintained from P1 to P2 in TEST (means ± SE; 0.41 ± 0.65 kg, P = 0.53), but decreased in PLA (-1.85 ± 0.69 kg, P = 0.01) and recovered in P3. Regardless of treatment, total body mass and fat mass decreased from P1 to P2 (P < 0.05), but did not fully recover by P3. Physical performance decreased during P2 (P < 0.05) and recovered by P3, regardless of treatment. In conclusion, administering testosterone undecanoate before a simulated military operation protected FFM but did not prevent decrements in physical performance.NEW & NOTEWORTHY This study demonstrated that a single intramuscular dose of testosterone undecanoate (750 mg) administered to physically active males before a 20-day simulated, multi-stressor military operation increased circulating total and free testosterone concentrations within normal physiological ranges and spared FFM. However, testosterone administration did not attenuate decrements in physical performance across multiple measures of power, strength, anaerobic or aerobic capacity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal Militar Tipo de estudio: Clinical_trials Límite: Humans / Male Idioma: En Revista: J Appl Physiol (1985) Asunto de la revista: FISIOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal Militar Tipo de estudio: Clinical_trials Límite: Humans / Male Idioma: En Revista: J Appl Physiol (1985) Asunto de la revista: FISIOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos