Testosterone And Vitamin D Concentrations In Military Personnel Following Traumatic Brain Injury

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Kelsey C. Tillotson (Creator)
Institution
Appalachian State University (ASU )
Web Site: https://library.appstate.edu/
Advisor
Laurel Wentz

Abstract: Purpose: To investigate testosterone and vitamin D status in service members, with and without a history of traumatic brain injury (TBI). Methods: This retrospective de-identified medical review analyzed hormone assessments ordered for 4,285 active duty and veteran military personnel at Womack Army Medical Center, Fort Bragg, NC from 2016-2018. Results: Overall, 343 (8%) of service members had a medically diagnosed TBI. In all men, 19% were deficient in testosterone (<270 ng/dl), and 10% had a testosterone prescription. Active duty men with a history of TBI had lower testosterone compared to active duty men with no documented head injury, but there was no significant difference in veteran men. More than one-third (38%) of all service members were insufficient in vitamin D (<30 ng/ml). Overall there was a weak positive correlation between testosterone and vitamin D concentrations in men but not in women. Conclusions: Our research does not support evidence for high rates of hypogonadism, testosterone prescription, or vitamin D deficiency after TBI compared to military personnel without prior injury. However, our overall dataset shows a high prevalence of vitamin D insufficiency in service members independent of TBI, further supporting that vitamin D status should be assessed regularly in service members.

Additional Information

Publication
Thesis
Tillotson, K. (2020). Testosterone And Vitamin D Concentrations In Military Personnel Following Traumatic Brain Injury. Unpublished Master’s Thesis. Appalachian State University, Boone, NC.
Language: English
Date: 2020
Keywords
traumatic brain injury, vitamin D, testosterone testosterone replacement therapy, military personnel

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