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Alcohol and Alcoholism Advance Access originally published online on October 17, 2006
Alcohol and Alcoholism 2007 42(1):19-23; doi:10.1093/alcalc/agl089
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© The Author 2006. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved

CONTROLLED STUDY ON THE COMBINED EFFECT OF ALCOHOL AND TOBACCO SMOKING ON TESTOSTERONE IN ALCOHOL-DEPENDENT MEN

MARC WALTER1,*, URS GERHARD1, MANFRED GERLACH2, HEINZ-GERD WEIJERS3, JOBST BOENING4 and GERHARD A. WIESBECK1

1 Division of Substance Use Disorders, Psychiatric University Clinics University of Basel, Switzerland
2 Department of Child and Adolescent Psychiatry, University of Würzburg Germany
3 University of Applied Police Sciences Aschersleben Germany
4 Clinical Addiction Medicine, Psychiatric University Hospital Würzburg Germany

*Author to whom correspondence should be addressed at: Psychiatric University Clinics, Wilhelm Klein-Strasse 27, 4025 Basel, Switzerland; Tel.: +41 61 325 53 65; Fax:+41 61 325 53 64; E-mail: marc.walter{at}upkbs.ch

Received 7 July 2006; in revised form 17 August 2006; accepted 12 September 2006


  Abstract

Aims: The present study examined the association between pre-treatment drinking and smoking parameters and plasma testosterone levels before and after alcohol withdrawal. Methods: A total of 51 alcohol-dependent men and 43 age-matched healthy men were investigated. In alcoholics, free testosterone in plasma was measured on the day of admission, after detoxification and after 6 weeks of sobriety. Results: While the testosterone level of alcoholic men did not differ from healthy controls at the onset of withdrawal, it was significantly higher for the alcoholics after 6 weeks of sobriety than for the healthy controls. Higher alcohol consumption and higher tobacco use before detoxification led to higher levels of testosterone concentration before and after withdrawal. Conclusions: The effect of alcohol and tobacco is cumulative, with higher levels of alcohol and tobacco consumption being associated with higher levels of testosterone before and after alcohol withdrawal.


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