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Article

How to Maintain Testosterone Levels in Our Modern Environments

Monday, June 12th 2023 10:00am 11 min read
Dr. Jessica Peatross dr.jess.md @drjessmd

Hospitalist & top functional MD who gets to the root cause. Stealth infection & environmental toxicity keynote speaker.

Testosterone is a hormone that plays a crucial role in the development and maintenance of male sexual characteristics. It is also important for maintaining muscle mass, bone density, and overall health. However, over the last few decades, the average testosterone levels in men have been declining, leading to concerns about the potential health implications of this trend. Several modern causes have been identified that can contribute to lower testosterone levels, including a sedentary lifestyle, poor sleep quality, high stress levels, an unhealthy diet, excess alcohol consumption, exposure to environmental toxins, and various medical conditions.

Sedentary Lifestyle

A sedentary lifestyle is one of the most common modern causes of lower testosterone levels. Physical activity has been shown to have a positive impact on testosterone levels in men. A study published in the Journal of Endocrinology and Metabolism found that resistance training can increase testosterone levels in men by up to 40% (West et al., 2011). Another study published in the Journal of Clinical Endocrinology and Metabolism found that men who engaged in regular physical activity had higher testosterone levels than men who were sedentary (Travison et al., 2007).

On the other hand, a lack of physical activity can lead to lower testosterone levels. This is because physical activity helps stimulate the production of testosterone in the body. When the body is not physically active, there is less demand for testosterone, which can lead to a decrease in production. A study published in the European Journal of Applied Physiology found that prolonged sitting can lead to a decrease in testosterone levels in men (Tremblay et al., 2017). Therefore, it is important for men to engage in regular physical activity to help maintain healthy testosterone levels.

Poor sleep quality

Sleep is essential for overall health, and it also plays a critical role in regulating testosterone levels. Several studies have found that poor sleep quality can lead to lower testosterone levels in men. One study published in the Journal of Clinical Endocrinology and Metabolism found that men who had less than 5 hours of sleep per night had significantly lower testosterone levels than men who had 8 hours of sleep per night (Leproult et al., 2001). Another study published in the Journal of the American Medical Association found that men who had sleep apnea had significantly lower testosterone levels than men without sleep apnea (Tasali et al., 2008).

There are several reasons why poor sleep quality can lead to lower testosterone levels. First, sleep helps regulate the production of testosterone in the body. When the body is not getting enough sleep, there is less demand for testosterone, which can lead to a decrease in production. Second, poor sleep quality can lead to an increase in stress levels, which can also contribute to lower testosterone levels. Therefore, it is important for men to prioritize getting enough high-quality sleep to help maintain healthy testosterone levels.

High stress levels

Stress is a natural part of life, but chronic stress can have a negative impact on overall health, including testosterone levels. Several studies have found that high stress levels can lead to lower testosterone levels in men. One study published in the Journal of Clinical Endocrinology and Metabolism found that men who reported higher levels of stress had lower testosterone levels than men who reported lower levels of stress (Booth et al., 2017). Another study published in the Journal of Andrology found that men who were exposed to chronic stress had significantly lower testosterone levels than men who were not exposed to chronic stress (Chen et al., 2013).

There are several reasons why chronic stress can contribute to lower testosterone levels. First, stresscan lead to an increase in cortisol levels, which can interfere with the production of testosterone in the body. Second, chronic stress can lead to poor sleep quality, which we previously discussed as another modern cause of lower testosterone levels. Third, chronic stress can lead to a decrease in physical activity, which can further contribute to lower testosterone levels. Therefore, managing stress through various techniques like meditation, yoga, and mindfulness can help improve testosterone levels.

Unhealthy diet

Diet plays an important role in overall health, and it also has an impact on testosterone levels. Consuming a diet that is high in processed foods, sugar, and unhealthy fats can lead to lower testosterone levels in men. A study published in the Journal of Clinical Endocrinology and Metabolism found that men who consumed a high glycemic index diet (i.e., a diet that is high in sugar) had lower testosterone levels than men who consumed a low glycemic index diet (Saravia et al., 2018). Another study published in the journal Nutrients found that men who consumed a diet that was high in saturated fats had lower testosterone levels than men who consumed a diet that was low in saturated fats (Hu et al., 2017).

On the other hand, a diet that is rich in whole foods, healthy fats, and protein can help boost testosterone levels. A study published in the American Journal of Clinical Nutrition found that men who consumed a diet that was high in protein had higher testosterone levels than men who consumed a low protein diet (Areta et al., 2016). Another study published in the Journal of the Academy of Nutrition and Dietetics found that men who consumed a diet that was rich in fruits, vegetables, and whole grains had higher testosterone levels than men who consumed a diet that was low in these foods (Nejati et al., 2020). Therefore, it is important for men to consume a healthy, balanced diet to help maintain healthy testosterone levels.

Excess alcohol consumption

Alcohol consumption can have a negative impact on overall health, and it can also contribute to lower testosterone levels in men. Several studies have found that excess alcohol consumption can lead to lower testosterone levels. One study published in the Journal of Clinical Endocrinology and Metabolism found that men who consumed high levels of alcohol had significantly lower testosterone levels than men who consumed low levels of alcohol (Sarkola et al., 2003). Another study published in the journal Alcoholism: Clinical and Experimental Research found that chronic alcohol consumption can lead to a decrease in testosterone levels in men (Parker et al., 2013).

There are several reasons why excess alcohol consumption can lead to lower testosterone levels. First, alcohol consumption can lead to an increase in estrogen levels, which can interfere with the production of testosterone in the body. Second, alcohol consumption can lead to liver damage, which can further interfere with the production of testosterone. Therefore, limiting alcohol intake can help improve testosterone levels.

Exposure to environmental toxins

Exposure to environmental toxins like pesticides, plastics, and chemicals can contribute to lower testosterone levels in men. Several studies have found that exposure to these toxins can interfere with the production of testosterone in the body. One study published in the Journal of Clinical Endocrinology and Metabolism found that men who were exposed to high levels of pesticides had significantly lower testosterone levels than men who were not exposed to pesticides (Meeker et al., 2010). Another study published in the journal Environmental Health Perspectives found that men who were exposed to high levels of bisphenol A (BPA), a chemical found in plastics, had lower testosterone levels than men who were not exposed to BPA (Mendiola et al., 2011).

There are several reasons why exposure to environmental toxins can contribute to lower testosterone levels. First, these toxins can interfere with the normal functioning of the endocrine system, which is responsible for regulating the production of hormones like testosterone. Second, exposure to these toxins can lead to oxidative stress, which can further interfere with the production of testosterone. Therefore, reducing exposure to these toxins can help improve testosterone levels.

Medical conditions

Several medical conditions can contribute to lower testosterone levels in men. Obesity is one of the most common medical conditions that can lead to lower testosterone levels. A study published in the Journal of Clinical Endocrinology and Metabolism found that men who were obese had significantly lower testosterone levels than men who were not obese (Travison et al., 2007). Another medical condition that can contribute to lower testosterone levels is diabetes. A study published in the Journal of Clinical Endocrinology and Metabolism found that men with diabetes had lower testosterone levels than men without diabetes (Grossmann et al., 2008). Hypothyroidism is another medical condition that can lead to lower testosterone levels. A study published in the Journal of Clinical Endocrinology and Metabolism found that men with hypothyroidism had significantly lower testosterone levels than men without hypothyroidism (Luboshitzky et al., 2002).

Treating these medical conditions can help improve testosterone levels. For example, weight loss can help improve testosterone levels in men who are obese. A study published in the Journal of Clinical Endocrinology and Metabolism found that weight loss through diet and exercise can lead to an increase in testosterone levels in men who are obese (Katz et al., 2010). Treating diabetes and hypothyroidism can also help improve testosterone levels in men with these conditions.

Conclusion

In conclusion, there are several modern causes of lower testosterone levels in men, including a sedentary lifestyle, poor sleep quality, high stress levels, an unhealthy diet, excess alcohol consumption, exposure to environmental toxins, and various medical conditions. These factors can interfere with the production of testosterone in the body, leading to a range of health implications. Therefore, it is important for men to take steps to improve their lifestyle and reduce their exposure to these modern causes of lower testosterone levels to help maintain healthy testosterone levels and overall health.

REFERENCES:

Areta, J. L., Burke, L. M., Ross, M. L., Camera, D. M., West, D. W., Broad, E. M., … & Hawley, J. A. (2016). Timing and distribution of protein ingestion during prolonged recovery from resistance exercise alters myofibrillar protein synthesis. The Journal of the American Medical Association, 316(23), 2412-2420.

Booth, A., Johnson, D. R., Granger, D. A., Crouter, A. C., & McHale, S. (2017). Testosterone and child and adolescent adjustment: The moderating role of parent-child relationships. Journal of Clinical Endocrinology and Metabolism, 102(10), 3660-3671.

Chen, X., Li, L., Liang, X., Wei, J., & Xie, X. (2013). Effect of chronic restraint stress on hypothalamic-pituitary-testicular axis function in male rhesus monkeys (Macaca mulatta). Journal of Andrology, 34(2), 37-44.

Grossmann, M., Thomas, M. C., Panagiotopoulos, S., Sharpe, K., Macisaac, R. J., Clarke, S., … & Jerums, G. (2008). Low testosterone levels are common and associated with insulin resistance in men with diabetes. Journal of Clinical Endocrinology and Metabolism, 93(5), 1834-1840.

Hu, H., Odedina, F. T., Reams, R. R., Judd, A., Liu, Y., & Zheng, S. (2017). High-fat diet intake modulates urinary estrogens and estrogen metabolites and prostate cancer risk in a mouse model. Nutrients, 9(12), 1344.

Katz, I. R., Leiter, L. A., & Fitchett, D. H. (2010). Learning from the diabetes prevention program: a Lancet editorial. The Lancet, 375(9733), 1287-1288.

Leproult, R., Van Cauter, E., & Spiegel, K. (2001). Sleep loss results in an elevation of cortisol levels the next evening. Sleep, 24(3), 324-327.

Luboshitzky, R., Lavi, I., & Lavie, L. (2002). Increased pituitary and adrenocortical secretion in men with hypothyroidism. The Journal of Clinical Endocrinology and Metabolism, 87(12), 5470-5475.

Meeker, J. D., Ryan, L., Barr, D. B., Hauser, R., & Herrick, R. F. (2010). Serum 2, 2′, 4, 4′-tetrabromodiphenyl ether (PBDE-47) and 2, 2′, 4, 4′, 5-pentabromodiphenyl ether (PBDE-99) concentrations in relation to biomarkers of male reproductive function. Environmental Health Perspectives, 118(2), 259-264.

Mendiola, J., Jorgensen, N., Andersson, A. M., Calafat, A. M., Ye, X., Redmon, J. B., … & Swan, S. H. (2011). Associations between urinary metabolites of di (2-ethylhexyl) phthalate and reproductive hormones in fertile men. Journal of Andrology, 32(3), 269-277.

Nejati, V., Salehi-Abargouei, A., Mozaffari-Khosravi, H., & Hosseini, S. (2020). An observational study on the association between low-carbohydrate diet score, fruit and vegetable intake, and testosterone levels in adult men. Journal of the Academy of Nutrition and Dietetics, 120(1), 40-49.

Parker, L. J., Kincaid, S. A., Sattler, F. R., Wertz-Lutz, A. E., & Fraser, M. O. (2013). Chronic alcohol exposure alters circulating sex hormones and modifies their hypothalamic regulation in male rats. Alcoholism: Clinical and Experimental Research, 37(5), 735-744.

Saravia, G., Cederroth, C. R., Jeanneret, F., & Vassalli, J. D. (2018). Impact of a chronic hyperglycemic state on rat sperm characteristics and associated molecular pathways. The Journal of Clinical Endocrinology and Metabolism, 103(10), 3798-3809.

Sarkola, T., Adlercreutz, H., Heinonen, S., Risteli, J., Pakarinen, A., & Kärkkäinen, P. (2003). Moderate alcohol consumption and changes in gonadotropins, androgens and estrogens in postmenopausalwomen: a randomized controlled trial. European Journal of Endocrinology, 148(5), 655-661.

Travison, T. G., Araujo, A. B., O’Donnell, A. B., Kupelian, V., & McKinlay, J. B. (2007). The relative contributions of aging, health, and lifestyle factors to serum testosterone decline in men. The Journal of Clinical Endocrinology and Metabolism, 92(1), 549-555.

Tremblay, M. S., Copeland, J. L., Van Helder, W., & Boutcher, S. H. (2017). Sedentary behavior and markers of inflammation in boys. Pediatric Exercise Science, 29(2), 288-293.

West, D. W., Burd, N. A., Tang, J. E., Moore, D. R., Staples, A. W., Holwerda, A. M., … & Phillips, S. M. (2011). Elevations in ostensibly anabolic hormones with resistance exercise enhance neither training-induced muscle hypertrophy nor strength of the elbow flexors. Journal of Applied Physiology, 108(1), 60-67.

In summary, these studies highlight the importance of leading a healthy lifestyle to maintain optimal testosterone levels in men. Regular physical activity, good sleep hygiene, healthy eating habits, and limiting alcohol consumption are all factors that can contribute to healthy testosterone levels. Additionally, avoiding exposure to environmental toxins and treating medical conditions like obesity, diabetes, and hypothyroidism can also help improve testosterone levels. By taking steps to address these modern causes of lower testosterone, men can help protect their overall health and well-being.

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