Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu

Preliminary data depicts a much greater prevalence and high case-fatality rate in advanced age males as compared to age-matched women with severe acute respiratory syndrome-coronavirus-2 infections with high morbidity, mortality, high referral, and admission to intensive care unit with severe sequel...

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Main Authors: Apurva Tandon, Vishal R Tandon, Sudhaa Sharma, Annil Mahajan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Mid-Life Health
Subjects:
Online Access:http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2022;volume=13;issue=2;spage=96;epage=99;aulast=Tandon
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author Apurva Tandon
Vishal R Tandon
Sudhaa Sharma
Annil Mahajan
author_facet Apurva Tandon
Vishal R Tandon
Sudhaa Sharma
Annil Mahajan
author_sort Apurva Tandon
collection DOAJ
description Preliminary data depicts a much greater prevalence and high case-fatality rate in advanced age males as compared to age-matched women with severe acute respiratory syndrome-coronavirus-2 infections with high morbidity, mortality, high referral, and admission to intensive care unit with severe sequelae. However, the literature search revealed both for and against studies in this context. Thus, at present, in light of the mixed studies, it cannot be established whether low testosterone levels in aging hypogonadal males create a permissive environment for severe response to coronavirus disease 2019 (COVID-19) infection and can it increase the morbidity or mortality, or on the contrary if the virus inhibits androgen formation. Hence, it is highly warranted to establish the said hypothesis by conducting large statistically powered clinical studies in future. Further, it is highly indicated that impact of sex hormones and gender on the incidence and case fatality of the disease and hormones as a treatment according to sex and gender for COVID requires further scientific research by the research community before it is actually recommended to mitigate the COVID-19 disease course among elderly men and women at large.
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spelling doaj.art-e1252b89fb7346f887b80d81c0d295d92022-12-22T04:30:19ZengWolters Kluwer Medknow PublicationsJournal of Mid-Life Health0976-78000976-78192022-01-01132969910.4103/jmh.jmh_37_22Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieuApurva TandonVishal R TandonSudhaa SharmaAnnil MahajanPreliminary data depicts a much greater prevalence and high case-fatality rate in advanced age males as compared to age-matched women with severe acute respiratory syndrome-coronavirus-2 infections with high morbidity, mortality, high referral, and admission to intensive care unit with severe sequelae. However, the literature search revealed both for and against studies in this context. Thus, at present, in light of the mixed studies, it cannot be established whether low testosterone levels in aging hypogonadal males create a permissive environment for severe response to coronavirus disease 2019 (COVID-19) infection and can it increase the morbidity or mortality, or on the contrary if the virus inhibits androgen formation. Hence, it is highly warranted to establish the said hypothesis by conducting large statistically powered clinical studies in future. Further, it is highly indicated that impact of sex hormones and gender on the incidence and case fatality of the disease and hormones as a treatment according to sex and gender for COVID requires further scientific research by the research community before it is actually recommended to mitigate the COVID-19 disease course among elderly men and women at large.http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2022;volume=13;issue=2;spage=96;epage=99;aulast=Tandonandropausecoronavirus disease 2019menopausesevere acute respiratory syndrome-coronavirus-2testosterone
spellingShingle Apurva Tandon
Vishal R Tandon
Sudhaa Sharma
Annil Mahajan
Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu
Journal of Mid-Life Health
andropause
coronavirus disease 2019
menopause
severe acute respiratory syndrome-coronavirus-2
testosterone
title Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu
title_full Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu
title_fullStr Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu
title_full_unstemmed Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu
title_short Does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu
title_sort does coronavirus disease 2019 kill more elderly men than women due to different hormonal milieu
topic andropause
coronavirus disease 2019
menopause
severe acute respiratory syndrome-coronavirus-2
testosterone
url http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2022;volume=13;issue=2;spage=96;epage=99;aulast=Tandon
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