Skip to main content
Log in

The association between plant-based content in diet and testosterone levels in US adults

  • Original Article
  • Published:
World Journal of Urology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the association between the plant-based content of diet and serum testosterone levels in men from the national health and nutrition examination survey (NHANES) database.

Materials and methods

Data on demographics, diet, and testosterone levels was acquired from the NHANES database. Using the food frequency questionnaire, an overall plant-based diet index (PDI) and a healthful plant-based diet index (hPDI) was developed. A higher score on PDI and hPDI indicates higher consumption of plant foods.

Results

A total of 191 participants were included, average age was 45 (30–60) years and average total testosterone level was 546.7 ± 254.7 ng/dL. The mean PDI and hPDI were 50.4 ± 6 and 50.8 ± 7.2, respectively. On multiple linear regression analysis, BMI and age significantly contribute to testosterone levels (p < 0.05); however, neither of the diet indexes significantly predicted serum testosterone levels (PDI: p = 0.446; and hPDI: p = 0.056).

Conclusions

In a well characterized national database, the plant-based diet index is unable to predict testosterone levels. Plant-based food content in diet is not associated with serum testosterone levels.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Top Trends in Prepared Foods (2017) Exploring trends in meat, fish and seafood; pasta, noodles and rice; prepared meals; savory deli food; soup; and meat substitutes. ReportBuyer

  2. Yokoyama Y, Nishimura K, Barnard ND, Takegami M, Watanabe M, Sekikawa A, Okamura T, Miyamoto Y (2014) Vegetarian diets and blood pressure: a meta-analysis. JAMA Intern Med 174(4):577–587. https://doi.org/10.1001/jamainternmed.2013.14547

    Article  PubMed  Google Scholar 

  3. Dinu M, Abbate R, Gensini GF, Casini A, Sofi F (2017) Vegetarian, vegan diets and multiple health outcomes: a systematic review with meta-analysis of observational studies. Crit Rev Food Sci Nutr 57(17):3640–3649. https://doi.org/10.1080/10408398.2016.1138447

    Article  PubMed  Google Scholar 

  4. Kim H, Caulfield LE, Rebholz CM (2018) Healthy plant-based diets are associated with lower risk of all-cause mortality in US adults. J Nutr 148(4):624–631. https://doi.org/10.1093/jn/nxy019

    Article  PubMed  PubMed Central  Google Scholar 

  5. Aleksandrowicz L, Green R, Joy EJ, Smith P, Haines A (2016) The impacts of dietary change on greenhouse gas emissions, land use, water use, and health: a systematic review. PLoS ONE 11(11):e0165797. https://doi.org/10.1371/journal.pone.0165797

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Howie BJ, Shultz TD (1985) Dietary and hormonal interrelationships among vegetarian seventh-day adventists and nonvegetarian men. Am J Clin Nutr 42(1):127–134. https://doi.org/10.1093/ajcn/42.1.127

    Article  CAS  PubMed  Google Scholar 

  7. Allen NE, Appleby PN, Davey GK, Key TJ (2000) Hormones and diet: low insulin-like growth factor-I but normal bioavailable androgens in vegan men. Br J Cancer 83(1):95–97. https://doi.org/10.1054/bjoc.2000.1152

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Key TJ, Roe L, Thorogood M, Moore JW, Clark GM, Wang DY (1990) Testosterone, sex hormone-binding globulin, calculated free testosterone, and oestradiol in male vegans and omnivores. Br J Nutr 64(1):111–119. https://doi.org/10.1079/bjn19900014

    Article  CAS  PubMed  Google Scholar 

  9. Raben A, Kiens B, Richter EA, Rasmussen LB, Svenstrup B, Micic S, Bennett P (1992) Serum sex hormones and endurance performance after a lacto-ovo vegetarian and a mixed diet. Med Sci Sports Exerc 24(11):1290–1297

    CAS  PubMed  Google Scholar 

  10. Chen Z, Pestoni G, McGlynn KA, Platz EA, Rohrmann S (2020) Cross-sectional associations between healthy eating index and sex steroid hormones in men-national health and nutrition examination survey 1999–2002. Andrology 8(1):154–159. https://doi.org/10.1111/andr.12677

    Article  CAS  PubMed  Google Scholar 

  11. Williams KA, Patel H (2017) healthy plant-based diet: what does it really mean? J Am Coll Cardiol 70(4):423–425. https://doi.org/10.1016/j.jacc.2017.06.006

    Article  PubMed  Google Scholar 

  12. Huang C, Huang J, Tian Y, Yang X, Gu D (2014) Sugar sweetened beverages consumption and risk of coronary heart disease: a meta-analysis of prospective studies. Atherosclerosis 234(1):11–16. https://doi.org/10.1016/j.atherosclerosis.2014.01.037

    Article  CAS  PubMed  Google Scholar 

  13. Yang Q, Zhang Z, Gregg EW, Flanders WD, Merritt R, Hu FB (2014) Added sugar intake and cardiovascular diseases mortality among US adults. JAMA Intern Med 174(4):516–524. https://doi.org/10.1001/jamainternmed.2013.13563

    Article  CAS  PubMed  Google Scholar 

  14. Hu EA, Pan A, Malik V, Sun Q (2012) White rice consumption and risk of type 2 diabetes: meta-analysis and systematic review. BMJ 344:e1454. https://doi.org/10.1136/bmj.e1454

    Article  PubMed  PubMed Central  Google Scholar 

  15. Zipf G, Chiappa M, Porter KS, Ostchega Y, Lewis BG, Dostal J (2013) National health and nutrition examination survey: plan and operations, 1999–2010. Vital Health Stat 1(56):1–37

    Google Scholar 

  16. Food frequency questionnaire—raw questionnaire responses (2003–2004)

  17. Sex steroid hormone—men (surplus) (2003–2004)

  18. Mulhall JP, Trost LW, Brannigan RE, Kurtz EG, Redmon JB, Chiles KA, Lightner DJ, Miner MM, Murad MH, Nelson CJ, Platz EA, Ramanathan LV, Lewis RW (2018) Evaluation and management of testosterone deficiency: AUA guideline. J Urol 200(2):423–432. https://doi.org/10.1016/j.juro.2018.03.115

    Article  PubMed  Google Scholar 

  19. Kurniawan AL, Hsu CY, Rau HH, Lin LY, Chao JC (2019) Dietary patterns in relation to testosterone levels and severity of impaired kidney function among middle-aged and elderly men in Taiwan: a cross-sectional study. Nutr J 18(1):42. https://doi.org/10.1186/s12937-019-0467-x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Micha R, Peñalvo JL, Cudhea F, Imamura F, Rehm CD, Mozaffarian D (2017) Association between dietary factors and mortality from heart disease, stroke, and type 2 diabetes in the United States. JAMA 317(9):912–924. https://doi.org/10.1001/jama.2017.0947

    Article  PubMed  PubMed Central  Google Scholar 

  21. Rizzo NS, Jaceldo-Siegl K, Sabate J, Fraser GE (2013) Nutrient profiles of vegetarian and nonvegetarian dietary patterns. J Acad Nutr Diet 113(12):1610–1619. https://doi.org/10.1016/j.jand.2013.06.349

    Article  PubMed  PubMed Central  Google Scholar 

  22. Fraser GE (1612S) Vegetarian diets: what do we know of their effects on common chronic diseases? Am J Clin Nutr 89(5):1607S–1612S. https://doi.org/10.3945/ajcn.2009.26736K

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Tilman D, Clark M (2014) Global diets link environmental sustainability and human health. Nature 515(7528):518–522. https://doi.org/10.1038/nature13959

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

Not applicable.

Author information

Authors and Affiliations

Authors

Contributions

M Kuchakulla: protocol/project development, manuscript writing/editing. S Nackeeran: protocol/project development, data collection or management, data analysis, manuscript writing/editing. R Blachman-Braun, M.D.: data collection or management, data analysis, manuscript writing/editing. Ramasamy, M.D.: protocol/project development, manuscript writing/editing

Corresponding author

Correspondence to Ranjith Ramasamy.

Ethics declarations

Conflict of interest

Not applicable.

Animal or human participants

Research involving human participants: de-identified data obtained from NHANES, no IRB approval was required.

Informed consent

Not applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 17 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kuchakulla, M., Nackeeran, S., Blachman-Braun, R. et al. The association between plant-based content in diet and testosterone levels in US adults. World J Urol 39, 1307–1311 (2021). https://doi.org/10.1007/s00345-020-03276-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00345-020-03276-y

Keywords

Navigation