Of note, the magnitude of increase in T/S ratio [possible longevity marker] associated with a 1 SD higher plasma E2 concentration was comparable with having a BMI 3.6 kg/m2 lower, and two thirds that associated with being 3.6 years younger. Therefore, these findings in an epidemiological study illuminate an association of sex hormones with biological age in older men (see Figure). However, the predictive value of E2, SHBG and LTL in any individual older man is unproven and likely to be limited in view of the moderate associations and large inter-individual variations observed in these parameters.