Age-associated
testosterone decline is closely associated with deep abdominal fat (visceral fat), a component
of the metabolic syndrome. Fat tissue is an extremely active hormonal
modulator, particularly for testosterone and estrogen. An enzyme in fat tissue
known as aromatase converts testosterone into estradiol, the major
estrogen in humans. Excess aromatase
activity decreases testosterone and increases estrogen levels, which
can result in a number of deleterious body changes for men. Low serum
testosterone concentrations are closely correlated with high body mass index
(BMI), along with elevated ratios of body fat to lean mass.
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