J. Sulcova et al., AGE AND SEX-RELATED DIFFERENCES IN SERUM LEVELS OF UNCONJUGATED DEHYDROEPIANDROSTERONE AND ITS SULFATE IN NORMAL SUBJECTS, Journal of Endocrinology, 154(1), 1997, pp. 57-62
Dehydroepiandrosterone sulphate (DHEAS) and unconjugated dehydroepiand
rosterone (DHEA) have been determined in the blood serum of normal sub
jects of both sexes from 1 month to 100 years of age. In total, 92 gir
ls, 49 boys, 211 women and 110 men were investigated. The effects of a
ge and sex on the levels of the hormones were measured. DHEAS levels d
eclined rapidly during the first year of life and were maintained at a
minimum level for 5 years. They increased significantly from 6 to 7 y
ears of age and reached maximum levels in women at about 24 years and
in men at about 30 years of age. They then declined rapidly in both se
xes but the fall which occurred after 50 and 60 years of age respectiv
ely was only moderate. Age-related unconjugated DHEA levels were diffe
rent. After the first month of life DHEA levels were relatively high a
nd declined more slowly. The minimum level was observed in girls betwe
en 5 and 7 years and in boys between 5 and 9 years of age. A significa
nt rise then began and levels reached a maximum in women as well as in
men at about 20 years of age. In men levels then declined up to the a
ge of 80. In women the DHEA levels declined during the next 15 years a
nd from approximately 36 years of age they again rose significantly up
to a second peak. A mild but significant decline then resumed. There
was a difference in the levels of DHEA and DHEAS depending on sex. Unl
ike DHEAS, unconjugated DHEA was higher in women than in men. However,
this difference was significant only in some age groups: during puber
ty (between 11 and 15 years of age), in the premenopausal period (betw
een 36 and 45 years oi age) and in the older group (after 60 years of
age). Age- and sex-related dependencies were different between DHEAS a
nd DHEA. They indicate the possible variable secretion and dynamics of
their (inter)conversion. We have concluded that DHEA measurements can
not be a substitute for DHEAS and vice versa.