Endocrinology Of Age Flashcards
Sarcopaenia?
Loss of skeletal muscle
Lean body mass decline
6-8% from mid 30s
Metabolic syndrome includes?
Visceral obesity
Dyslipidaemia
Hyperglycaemia
Hypertension
Post menopausal oestrogen levels?
E2 is low, high LH and FSH
HRT Risks?
Other risk factors Venous thromboembolism, breast cancer (especially over 5 years use), endometrial cancer (unopposed oestrogen)
Age.. more than 60
More than 10 years post mp
Type of HRT and route
Most erectile dysfunction is due to?
Atherosclerotic
Potential risks of testosterone treatment?
Prostrate hypertrophy/cancer, erthyropoesis so increase risk of thrombosis and increased MI and strokes
Bone treatment?
Biphosphonates
Growth hormone treatment risk?
Increasing Cancer risk in increasing IGF1 levels, T2Dm
Side effects: oedema, arthralgias and carpal tunnel syndrome
Increased cortisol possibly causes?
Cognitive decline
Low DHEA: cortisol conditions?
Inflammatory disease, cancer, T2D
Thyroid function in age?
Low T3, same t4 and slightly high TSH
Leptin is produced by?
White adipose tissue
Low leptin levels?
Increased food intake and decreased energy expenditure, low fertility
What symptoms do menopausal women experience?
Hot flushes and night sweats
Testosterone levels at 75years is…?
2/3 of that at 25 years of age
Clinical hypogonadism signs in men?
Decreased sexual function
Increased osteoporosis
And decreased muscle strength
Effects of T4 treatment?
Increasing risk of osteoporosis, atrial fibrillation and risk in elderly with atherosclerotic corona roes