THE STEP-HI STUDY: IMPACT OF TESTOSTERONE AND RESISTANCE EXERCISE ON SPPB, LEG STRENGTH, AND APPENDICULAR LEAN MASS
2024

The STEP-HI Study: Testosterone and Exercise Effects on Recovery from Hip Fracture

Sample size: 122 publication Evidence: moderate

Author Information

Author(s): Volpi Elena, Kiel Douglas, Paluch Rocco, Dore Peter, Fortinsky Richard, Kuchel George, Orwig Denise, Binder Ellen

Primary Institution: University of Texas Health San Antonio

Hypothesis

Does testosterone replacement therapy combined with resistance exercise improve recovery from hip fracture in older women compared to resistance exercise alone or standard care?

Conclusion

Testosterone replacement therapy combined with exercise improves physical performance in older women recovering from hip fractures.

Supporting Evidence

  • Testosterone replacement therapy improved SPPB scores compared to placebo.
  • Maximal leg press strength increased in all groups without differences.
  • Appendicular lean mass increased in testosterone and placebo groups but decreased in the usual care group.

Takeaway

This study looked at whether giving older women testosterone along with exercise helps them recover better from hip fractures than just exercise or regular care.

Methodology

The study involved intention to treat analyses comparing three groups: testosterone plus exercise, exercise plus placebo, and enhanced usual care.

Participant Demographics

Older women recovering from hip fractures.

Statistical Information

P-Value

p<0.009

Statistical Significance

p<0.009

Digital Object Identifier (DOI)

10.1093/geroni/igae098.0272

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