The relationship between sleep and hypogonadism continues to be elucidated.
1
Emerging research suggests that the severity of hypogonadal symptoms may be directly
impacted by poor sleep quality.
2
Normal sleep architecture can be disrupted in various ways including circadian rhythm
disorders, obstructive sleep apnea (OSA), or sleep restriction.
3
The present study builds upon prior work by Pastuszak et al to showcase that impaired
sleep as identified by shift work sleep disorder (SWSD), may predict the presence
of hypogonadal symptoms among male nonstandard shift workers.
Wittert G: The relationship between sleep disorders and testosterone in men. Asian J Androl16: 262-265. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24435056.
4
Our study showed that nonstandard shift workers with SWSD have even worse hypogonadal
symptoms and lower testosterone levels than those without SWSD. The reviewer is correct
in pointing out that we did not screen for OSA or account for it as a confounder.
However, the presence or absence of OSA in a given patient does not alter the diagnosis
of SWSD, which was the focus of this work.To read this article in full you will need to make a payment
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References
- The effect of shift work on urogenital disease: a systematic review.Curr Urol Rep. 2018; 19 (Available at:): 57
- Impaired sleep is associated with low testosterone in US adult males: results from the National Health and Nutrition Examination Survey.World J Urol. 2019; 37 (Available at:): 1449-1453
Wittert G: The relationship between sleep disorders and testosterone in men. Asian J Androl16: 262-265. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24435056.
- Poor sleep quality predicts hypogonadal Symptoms and sexual dysfunction in male nonstandard shift workers.Urology. 2017; 102 (Available at:): 121-125
- Impact of testosterone replacement therapy on thromboembolism, heart disease and obstructive sleep apnoea in men.BJU Int. 2018; 121 (Available at:): 811-818
Article info
Publication history
Accepted:
October 31,
2019
Received:
July 27,
2019
Identification
Copyright
© 2020 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
