Adding Testosterone Levels Does Not Improve Prediction of Heart Disease CVD

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The standard predictor of cardiovascular disease (CVD) risk is the Framingham Risk Score. The Framingham Score predicts the 10 year risk of heart disease and is based on age, smoking, total cholesterol, HDL cholesterol, and blood pressure. This study added testosterone levels to the Framingham Score and found that it did not improve the prediction of heart disease. More on testosterone risks.

The abstract says:
Among 816 men, 30-70 years/old, without prevalent CVD, from a community-based cohort (Tehran Lipid and Glucose Study), we assessed the predictive value of testosterone with incident CVD, using three multivariate Cox proportional-hazards models. Model I: FRS variables; model II: Model I plus total testosterone; model III: Model II plus Systolic blood pressure (SBP) * total testosterone (the best fit interaction-term between testosterone and FRS variables). During 12 years of follow-up, 121 CVD events occurred. In all models, age, treated SBP, smoking, and diabetes were associated with increased CVD (p values <.05). Neither testosterone (models II and III), nor SBP * testosterone (model III) were associated with CVD.
 
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