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Why modern men are losing their testosterone
Research has shown that men today have less testosterone than they used to. What's happening?
- Several studies have confirmed that testosterone counts in men are lower than what they used to be just a few decades ago.
- While most men still have perfectly healthy testosterone levels, its reduction puts men at risk for many negative health outcomes.
- The cause of this drop in testosterone isn't entirely clear, but evidence suggests that it is a multifaceted result of modern, industrialized life.
Remember Frank Sinatra's swagger, John Wayne's quiet confidence, and Burt Reynold's impressive mustache? They were icons of masculinity for a lot of people, and many folks today point to those icons when bemoaning a perceived loss of masculinity in our society.
Well, Frank Sinatra had a violent temper, John Wayne was a racist, Burt Reynolds was a womanizer, and they all drank way too much. Our values have changed more than the storied qualities of "manliness." Despite this, there is something to the argument that men used to be more manly back in the day.
A study on a large sample of American men found that the average testosterone level has been dropping by as much as 1 percent per year. Testosterone levels lower naturally with age, but this study found that a 65-year-old man in 1987 had about 17 percent more testosterone than a 65- year-old man in 2004. This wasn't just limited to Americans either; a Danish study found similar results. Anecdotally, sex counselor Ian Kerner told CNN that he's noticed "an increasing number of young guys are complaining of sexual concerns, such as diminished libido and erectile problems, more commonly seen in older men."
How bad is this?
It's not a disaster. Most men today still have perfectly healthy levels of testosterone even if it is dropping year to year. But if testosterone levels get too low, then we start to see a slew of bad effects.
Testosterone promotes attention, memory, spatial reasoning, and energy — essentially, it makes you sharper — and, of course, it increases libido and muscle mass. When Testosterone counts get too low, men can begin to feel fatigued, lose sexual interest, gain weight, and lose muscle mass. In addition, there is a link between low testosterone levels and depression.
There's also a wide association between low testosterone levels and disease. One study, published in the spring, found that people with a testosterone deficiency (defined as less than 300 nanograms of testosterone per deciliter) were at greater risk for obesity, cardiovascular disease, hypertension, diabetes, and other diseases. It's important to note that this is correlational data; it's very difficult to definitively prove that low testosterone causes these negative outcomes. But the odds are that doing the activities that keep your testosterone levels up will also help prevent these very undesirable conditions.
As testosterone levels decrease with age or in response to medical conditions, some people choose to receive testosterone therapy and inject what their body fails to produce.
Flickr user Linden Tea
What's the cause?
Unfortunately, the reason why testosterone counts keep dropping over the years isn't clear, but there are some likely candidates. One surprising possibility is that people smoke fewer cigarettes now. Even though everything else it does is terrible for you, smoking actually raises testosterone levels. And back in Frank Sinatra's day, smoking was the norm, not the exception. But please, don't light up to make yourself manlier. It's a bad idea.
Our rising rates of obesity, too, are probably contributing. Between 1999 and 2016, obesity in American adults increased by nearly 10 percent. Obesity and testosterone create something of a vicious cycle: obese men tend to have lower testosterone , and men with lower testosterone tend to become obese. This happens because fat cells metabolize testosterone and convert it into estrogen. In addition, obese people have lower levels of SHBG (sex hormone binding globulin), which transports sex hormones like testosterone through the blood.
However, the most likely candidate is pollution. Research has shown that chemicals that are commonly found in medicine and pesticides inhibit testosterone. These chemicals are seeping into our water, contributing to fertility problems in fish. The researchers also speculate that this same mechanism is occurring in humans as well.
In addition, research on Native American tribes found that higher levels of polychlorinated biphenyls (PCBs; a component in industrial coolants, as a plasticizer, and in many other applications) in the males' systems was associated with lower testosterone counts. We've known that PCBs are toxic for years, but the chemical lasts for a very long time. Other chemicals, like bisphenol A (BPA; a plastic) and triclosan (an antibacterial agent) have been shown to disrupt the human hormone system, either by mimicking estrogen or blocking the activity of testosterone. Once chemicals such as these get into the environment and enter the food chain, they are very difficult to remove.
Industrial pollutants have a myriad of negative effects on our health, one of which can is the blocking of testosterone in the body.
(Photo by ROMEO GACAD/AFP/Getty Images)
What can be done?
Good news: The things that are lowering men's testosterone levels may be complicated, but combating this issue is simple and probably what you would have guessed anyways. Eat a healthy diet, exercise more, and get a good night's sleep. If you really want to go the extra mile, avoid eating or drinking from plastic containers. Finally, get political: When environmental regulation goes out the window, so too does your health. Contrary to the stereotype, becoming a treehugger might be the best way to save your masculinity.
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The COVID-19 pandemic is making health disparities in the United States crystal clear. It is a clarion call for health care systems to double their efforts in vulnerable communities.
- The COVID-19 pandemic has exacerbated America's health disparities, widening the divide between the haves and have nots.
- Studies show disparities in wealth, race, and online access have disproportionately harmed underserved U.S. communities during the pandemic.
- To begin curing this social aliment, health systems like Northwell Health are establishing relationships of trust in these communities so that the post-COVID world looks different than the pre-COVID one.
COVID-19 deepens U.S. health disparities<p>Communities on the pernicious side of America's health disparities have their unique histories, environments, and social structures. They are spread across the United States, but they all have one thing in common.</p><p>"There is one common divide in American communities, and that is poverty," said <a href="https://www.northwell.edu/about/leadership/debbie-salas-lopez" target="_blank">Debbie Salas-Lopez, MD, MPH</a>, senior vice president of community and population health at Northwell Health. "That is the undercurrent that manifests poor health, poor health outcomes, or poor health prognoses for future wellbeing."</p><p>Social determinants have far-reaching effects on health, and poor communities have unfavorable social determinants. To pick one of many examples, <a href="https://www.npr.org/2020/09/27/913612554/a-crisis-within-a-crisis-food-insecurity-and-covid-19" target="_blank" rel="noopener noreferrer">food insecurity</a> reduces access to quality food, leading to poor health and communal endemics of chronic medical conditions. The U.S. Centers for Disease Control and Prevention has identified some of these conditions, such as obesity and Type 2 diabetes, as increasing the risk of developing a severe case of coronavirus.</p><p>The pandemic didn't create poverty or food insecurity, but it exacerbated both, and the results have been catastrophic. A study published this summer in the <em><a href="https://link.springer.com/article/10.1007/s11606-020-05971-3" target="_blank">Journal of General Internal Medicine</a></em> suggested that "social factors such as income inequality may explain why some parts of the USA are hit harder by the COVID-19 pandemic than others."</p><p>That's not to say better-off families in the U.S. weren't harmed. A <a href="https://voxeu.org/article/poverty-inequality-and-covid-19-us" target="_blank" rel="noopener noreferrer">paper from the Centre for Economic Policy Research</a> noted that families in counties with a higher median income experienced adjustment costs associated with the pandemic—for example, lowering income-earning interactions to align with social distancing policies. However, the paper found that the costs of social distancing were much greater for poorer families, who cannot easily alter their living circumstances, which often include more individuals living in one home and a reliance on mass transit to reach work and grocery stores. They are also disproportionately represented in essential jobs, such as retail, transportation, and health care, where maintaining physical distance can be all but impossible.</p><p>The paper also cited a positive correlation between higher income inequality and higher rates of coronavirus infection. "Our interpretation is that poorer people are less able to protect themselves, which leads them to different choices—they face a steeper trade-off between their health and their economic welfare in the context of the threats posed by COVID-19," the authors wrote.</p><p>"There are so many pandemics that this pandemic has exacerbated," Dr. Salas-Lopez noted.</p><p>One example is the health-wealth gap. The mental stressors of maintaining a low socioeconomic status, especially in the face of extreme affluence, can have a physically degrading impact on health. <a href="https://www.scientificamerican.com/index.cfm/_api/render/file/?method=inline&fileID=123ECD96-EF81-46F6-983D2AE9A45FA354" target="_blank" rel="noopener noreferrer">Writing on this gap</a>, Robert Sapolsky, professor of biology and neurology at Stanford University, notes that socioeconomic stressors can increase blood pressure, reduce insulin response, increase chronic inflammation, and impair the prefrontal cortex and other brain functions through anxiety, depression, and cognitive load. </p><p>"Thus, from the macro level of entire body systems to the micro level of individual chromosomes, poverty finds a way to produce wear and tear," Sapolsky writes. "It is outrageous that if children are born into the wrong family, they will be predisposed toward poor health by the time they start to learn the alphabet."</p>Research on the economic and mental health fallout of COVID-19 is showing two things: That unemployment is hitting <a href="https://www.pewsocialtrends.org/2020/09/24/economic-fallout-from-covid-19-continues-to-hit-lower-income-americans-the-hardest/" target="_blank" rel="noopener noreferrer">low-income and young Americans</a> most during the pandemic, potentially widening the health-wealth gap further; and that the pandemic not only exacerbates mental health stressors, but is doing so at clinically relevant levels. As <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413844/" target="_blank" rel="noopener noreferrer">the authors of one review</a> wrote, the pandemic's effects on mental health is itself an international public health priority.
Working to close the health gap<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDc5MDk1MS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYxNTYyMzQzMn0.KSFpXH7yHYrfVPtfgcxZqAHHYzCnC2bFxwSrJqBbH4I/img.jpg?width=980" id="b40e2" class="rm-shortcode" data-rm-shortcode-id="1b9035370ab7b02a0dc00758e494412b" data-rm-shortcode-name="rebelmouse-image" />
Northwell Health coronavirus testing center at Greater Springfield Community Church.
Credit: Northwell Health<p>Novel coronavirus may spread and infect indiscriminately, but pre-existing conditions, environmental stressors, and a lack of access to care and resources increase the risk of infection. These social determinants make the pandemic more dangerous, and erode communities' and families' abilities to heal from health crises that pre-date the pandemic.</p><p>How do we eliminate these divides? Dr. Salas-Lopez says the first step is recognition. "We have to open our eyes to see the suffering around us," she said. "Northwell has not shied away from that."</p><p>"We are steadfast in improving health outcomes for our vulnerable and underrepresented communities that have suffered because of the prevalence of chronic disease, a problem that led to the disproportionately higher death rate among African-Americans and Latinos during the COVID-19 pandemic," said Michael Dowling, Northwell's president and CEO. "We are committed to using every tool at our disposal—as a provider of health care, employer, purchaser and investor—to combat disparities and ensure the <a href="https://www.northwell.edu/education-and-resources/community-engagement/center-for-equity-of-care" target="_blank" rel="noopener noreferrer">equity of care</a> that everyone deserves." </p><p>With the need recognized, Dr. Salas-Lopez calls for health care systems to travel upstream and be proactive in those hard-hit communities. This requires health care systems to play a strong role, but not a unilateral one. They must build <a href="https://www.northwell.edu/news/insights/faith-based-leaders-are-the-key-to-improving-community-health" target="_blank" rel="noopener noreferrer">partnerships with leaders in those communities</a> and utilize those to ensure relationships last beyond the current crisis. </p><p>"We must meet with community leaders and talk to them to get their perspective on what they believe the community needs are and should be for the future. Together, we can co-create a plan to measurably improve [community] health and also to be ready for whatever comes next," she said.</p><p>Northwell has built relationships with local faith-based and community organizations in underserved communities of color. Those partnerships enabled Northwell to test more than 65,000 people across the metro New York region. The health system also offered education on coronavirus and precautions to curb its spread.</p><p>These initiatives began the process of building trust—trust that Northwell has counted on to return to these communities to administer flu vaccines to prepare for what experts fear may be a difficult flu season.</p><p>While Northwell has begun building bridges across the divides of the New York area, much will still need to be done to cure U.S. health care overall. There is hope that the COVID pandemic will awaken us to the deep disparities in the US.</p><p>"COVID has changed our world. We have to seize this opportunity, this pandemic, this crisis to do better," Dr. Salas-Lopez said. "Provide better care. Provide better health. Be better partners. Be better community citizens. And treat each other with respect and dignity.</p><p>"We need to find ways to unify this country because we're all human beings. We're all created equal, and we believe that health is one of those important rights."</p>
A recent study tested how well the fungi species Cladosporium sphaerospermum blocked cosmic radiation aboard the International Space Station.
- Radiation is one of the biggest threats to astronauts' safety during long-term missions.
- C. sphaerospermum is known to thrive in high-radiation environments through a process called radiosynthesis.
- The results of the study suggest that a thin layer of the fungus could serve as an effective shield against cosmic radiation for astronauts.
Shunk et al.<p>Additionally, the fungus is self-replicating, meaning astronauts would potentially be able to "grow" new radiation shielding on deep-space missions, instead of having to rely on a costly and complicated interplanetary supply chain.</p><p>Still, the researchers weren't sure whether <em>C. sphaerospermum</em> would survive on the space station. Nils J.H. Averesch, a co-author of the <a href="https://www.biorxiv.org/content/10.1101/2020.07.16.205534v1.full.pdf" target="_blank">study published on the preprint server bioRxiv</a>, told <a href="https://www.syfy.com/syfywire/fungus-that-eats-radiation-could-be-cosmic-ray-shield" target="_blank">SYFY WIRE</a>:</p><p style="margin-left: 20px;">"While on Earth, most sources of radiation are gamma- and/or X-rays; radiation in space and on Mars (also known as GCR or galactic cosmic radiation) is of a completely different kind and involves highly energetic particles, mostly protons. This radiation is even more destructive than X- and gamma-rays, so not even survival of the fungus on the ISS was a given."</p>
International Space Station
NASA<p>To be sure, the researchers said more research is needed, and that <em>C. sphaerospermum</em> would likely be used in combination with other radiation-shielding technology aboard spacecraft. But the findings highlight how relatively simple biotechnologies may offer outsized benefits on upcoming space missions.</p><p style="margin-left: 20px;">"Often nature has already developed blindly obvious yet surprisingly effective solutions to engineering and design problems faced as humankind evolves – C. sphaerospermum and melanin could thus prove to be invaluable in providing adequate protection of explorers on future missions to the Moon, Mars and beyond," the researchers wrote.</p>
Shannon Lee shares lessons from her father in her new book, "Be Water, My Friend: The Teachings of Bruce Lee."
- Bruce Lee would have turned 80 years old on November 27, 2020. The legendary actor and martial artist's daughter, Shannon Lee, shares some of his wisdom and his philosophy on self help in a new book titled "Be Water, My Friend: The Teachings of Bruce Lee."
- In this video, Shannon shares a story of the fight that led to her father beginning a deeper philosophical journey, and how that informed his unique expression of martial arts called Jeet Kune Do.
- One lesson passed down from Bruce Lee was his use and placement of physical symbols as a way to help "cement for yourself this new way of being, or this new lesson you've learned." By working on ourselves (with the right tools), we can develop the skills necessary to rise and conquer new challenges.
How to deal with "epistemic exhaustion."