Сибирский научный медицинский журнал (Aug 2021)

Sex hormones and adaptive potential of the circulatory system in men of the European and Asian North

  • I. N. Molodovskaya,
  • E. V. Tipisova,
  • V. A. Alikina,
  • A. E. Elfimova

DOI
https://doi.org/10.18699/SSMJ20210412
Journal volume & issue
Vol. 41, no. 4
pp. 86 – 94

Abstract

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The article presents the results that reveal the features of the state of the hypothalamic-pituitary-gonadal axis and the level of dopamine in apparently healthy men with different adaptive potential of the circulatory system, taking into account age and territory of residence. Material and methods. The study involved 155 men (90 residents of the European North (Arkhangelsk Oblast) and 65 residents of the Asian North (Yamalo-Nenets Autonomous Okrug)) aged 22–59 years. Serum hormone levels of the hypothalamic-pituitary- gonadal axis were determined by enzyme immunoassay and radioimmunoassay in vitro analysis. The adaptive potential was calculated according to R.M. Baevsky. Results and its discussion. The functional tension of the mechanisms of adaptation of the circulatory system in men of the European North and unsatisfactory adaptation in men of the Asian North were revealed. In the studied regions of the North, there are no people with good and satisfactory adaptation, and the group of people with a breakdown in adaptation was identified only in the Asian North in men aged 45–59 years, which allows us to classify these subjects as a risk group for developing cardiovascular diseases. In men of the European North, the unsatisfactory adaptation was combined with an increase in the levels of prolactin (at the age of 22–44 years) and follitropin (at the age of 45–59 years) and a decrease in the level of sex hormone-binding globulin (at the age of 22–44 years). A decrease in the levels of total and free testosterone can be attributed to the key markers of failure of adaptation in men of the Asian North aged of 45–59 years. When analyzing the data of the entire surveyed population of men aged 22–59 years, an increase in aromatase activity was noted against the background of a decrease in testosterone levels in men of the European North with the 4th degree of adaptive potential and in men of the Asian North with the 5th degree of adaptive potential, which can be considered as a compensatory reaction to preserve the function of the cardiovascular system.

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