Hormone Therapy

Testosterone in long-term sedentary aging males: Effect of antiaging strategies.

TL;DR

Antiaging strategies including exercise, caloric restriction, balanced diet, weight management, diabetes control, and smoking cessation can prevent and treat aging-related diseases by boosting testosterone production and improving health outcomes in long-term sedentary aging males.

Key Findings

Physical inactivity is the fourth leading cause of early death globally, with a substantial proportion of the world's population insufficiently active.

  • 31% of the world's population is not getting enough physical activity
  • Physical inactivity ranks as the fourth leading cause of early death globally
  • The WHO recommends adults perform 150-300 min of moderate-intensity activity per week, or 75-150 min of vigorous-intensity activity, or an equivalent combination

Testosterone levels in men decline progressively starting from 30 to 40 years of age and continue declining until death.

  • Low testosterone levels begin declining from 30 to 40 years of age
  • The decline in testosterone continues until death
  • Aging is defined by rapid decline in physical activity, loss of mobility, and premature morbidity

Exercise significantly boosts testosterone production in elderly men, with effects varying based on multiple exercise parameters.

  • Exercise increases muscle steroidogenesis, total testosterone, and free testosterone in the elderly
  • Testosterone levels vary based on type, frequency, volume, intensity, and duration of exercise
  • Regular exercise is identified as one of the key antiaging strategies that can prevent and treat aging-related diseases

Testosterone replacement therapy in elderly men improves multiple physiological and cognitive outcomes.

  • Testosterone replacement therapy improves physical function, strength, and protein synthesis
  • Additional benefits include improvements in cholesterol, bone density, sexual desire, and erectile function
  • Overall cognition is also improved with testosterone replacement therapy in elderly men

Dehydroepiandrosterone (DHEA) supplementation may provide health improvements without negative effects in aging males.

  • Some studies suggest DHEA supplementation may potentially reverse arterial aging
  • DHEA supplementation may reduce the risk of cardiovascular diseases
  • DHEA is presented as potentially providing health improvements without the negative effects associated with other therapies

Emerging antiaging therapeutic approaches include senolytic therapeutics targeting cellular senescence and stem cell transplantation.

  • Senolytic therapeutics focus on cellular senescence as a mechanism of antiaging intervention
  • Stem cell transplantation investigates the therapeutic potential of older stem cells
  • These approaches are identified alongside lifestyle-based antiaging strategies such as caloric restriction, balanced diet, and weight management

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Citation

Abdel-Sater K. (2025). Testosterone in long-term sedentary aging males: Effect of antiaging strategies.. Physiology international. https://doi.org/10.1556/2060.2024.00486