physical exercise for men with andropause

Conditions: Androgen Deficiency; Depressive Symptoms; Stress, Psychological; Abdominal Obesity; Testosterone Deficiency; Erectile Dysfunction

Summary: the aim of this study is to analyze the impact of physical exercise through a protocol of concurrent training in the psychological, physical, hormonal and sexual aspects in middle aged men with androgen deficiency in the aging male (adam). the study design with randomized clinical trial, comprising men in middle age (40 to 59 years) with adam, should be divided into two groups: 1) control group (cg); 2) experimental group (eg). information related to sociodemographic and clinical profile will be collected; psychological aspects (depressive and anxiety symptoms - hospital anxiety and depression scale ; stress - perceived stress scale); physical acpects (imc; percentage of body fat; abdominal obesity - waist circumference in cm; muscle strength - biodex system 4 pro isokinetic dynamometer; cardiorespiratory fitness - cycle-ergometer - case ecg stress testing system, general electric medical systems, milwaukee, wi); hormonal aspects (total and free testosterone - blood collection); sexual aspect (sexual satisfaction- international index of erectile function); daem (scale of symptoms of aging). apply a physical exercise protocol using the functional training method over a six-month period. all information will be collected before and after the intervention period. for statistical analysis, use the spss statistical package, version 20.0. (kolmogorov-smirnov or shapiro-wilk test) for the selection of statistical tests.

in this protocol the participants will perform aerobic and resistance training according to published evidence for middle-aged men; characterized as concurrent training. the protocol will last six months and will be divided into two quarters. in the first trimester, initial 30 minutes will be assigned to resistance training, followed by 30 minutes of aerobic training; already in the second trimester will be 20 initial minutes for the aerobic training and later 40 minutes for the resistance training; aiming to obtain benefits in the levels of muscular strength, aerobic capacity, body composition, besides positive results in relation to the hormonal adaptations of testosterone, as well as in the psychological well being of the participants. classes will occur at a frequency of three times weekly, lasting 60 minutes a session. for the elaboration of this protocol will be followed the guidelines of the american college of sports medicine of resistance training for healthy adults the aerobic training of this protocol will follow the american college of sports medicine's prescription prescription guidelines for the health of healthy adult subjects,

Eligibility criteria:
inclusion criteria: * men presenting adam according to their responses on the aging male symptoms scale and testosterone levels \<220 pmol/l exclusion criteria: * history of neurological or musculoskeletal diseases or who have prostate cancer will be excluded, as also those who have been submitted toresistance and/or aerobic in the three months prior to data collection

Keywords: andropause depressive symptoms stress abdominal obesity testosterone erectile dysfunction