Hormonal Interventions in Aging: The Impact of DHEA on Quality of Life

Aging is a normal process in life that results in physiological changes, some of which have a bearing on the quality of life. Of all the bioparameters affected by aging, hormonal levels have great changes that pose a lot of symptoms and associated conditions. Of all the hormones that have been studied in the context of aging, probably one of the most popular is dehydroepiandrosterone (DHEA). Used for the synthesis of estrogen and testosterone, DHEA is known to drop as we age. This decline has led to increased concern about taking DHEA supplements as an attempt to counter the outcomes of aging and increase well-being. This blog takes a look at the effects of DHEA concerning health, more so those in the senior human age, and further review the suitability of the supplement.

Functions of DHEA in the body

DHEA is one of the regular steroids found in circulation, and it is manufactured primarily in the adrenal glands. It acts as a prodrug for androgens and estrogens that are essential for many physiological processes. DHEA in plasma increases with age, reaches its highest concentration in individuals from 20 to 39 years old, and then begins to decrease gradually, by 70–80 times in people at the age of 60–80 years. Its decrease has been associated with effects that are attributable to aging, such as reduced ability to think and reason, loss of muscle tissue, and weakened immunity. As a result of increased oxidative stress and decreased antioxidant enzyme activity, DHEA supplementation has been suggested to be added to the list of measures in an attempt to delay the aging process.

DHEA and Cognitive Function

Another area of concern that has emerged with DHEA supplementation is its effect on people’s cognition. A well-documented phenomenon of aging is cognitive decline, in which such aspects as memory, attention, and other parameters of executive function are impaired. In some research, it has been ascertained that DHEA can contribute to the support of cognition, especially the mechanisms that govern aging.

A significant level of published research has investigated the influence of DHEA supplementation on cognitive performance in older subjects. For example, one study has revealed that using DHEA supplementation did not enhance cognition in many aspects; however, there has been reported some improvement in certain types of cognition, especially in women. Based on these studies, it could be inferred that although DHEA is not a magical bullet for reversing cognitive depreciation, it may be of help to a certain extent in maintaining cognitive fullness with a plus sign for the drug when administered for long periods.

Yearwise Publication Trend on hormonal interventions

Find publication trends on relevant topics

DHEA and Mood Disorders

The last, yet one of the most important components of quality of life in aging is mental health and, namely, the rate of mood disorders such as depression and anxiety disorders. There are established relationships between hormonal fluctuations and mood processes, and reduced content of DHEA has recently been correlated with higher rates of depressive disorders.

In the series of works where the link between DHEA concentrations and mood was explored, most of the sources focused on older females. In one case, a group’s levels of DHEA were much lower among those reporting higher levels of depressive symptoms, leading to the idea that DHEA may offer some protection against mood disorders. Besides, DHEA supplementation in patients with adrenal insufficiency who seem to have lower levels of this hormone will significantly help to improve mood and decrease symptoms of depression and anxiety. These results indicate the possibility of DHEA helping intervene in age-related disorders that affect mental health and hence improve the quality of life for the elderly.

Physical Health and DHEA

Physical health is the other factor of quality of life as people age, and this is an essential aspect that needs to be embraced. Muscle atrophy, reduced muscle bulk, and poor bone are also some of the causes of frailty and low mobility that are associated with the elderly. Owing to its anabolic properties, DHEA has been considered to possess favorable impacts on the physical well-being of elderly people, though literature data are scarce.

Research having been conducted on DHEA supplementation shows inconclusive benefits as far as, or effects on, the physical health of the users is concerned. However, some studies have indicated that DHEA might result in a slight gain in muscle mass and strength, most likely in women. Furthermore, DHEA has been reported to have an impact on bone mineral density, which will be very important in the prevention of osteoporosis and, in general, lowering the chances of fractures among the elderly. Nevertheless, other research has not revealed such positive outcomes, and this suggests that for physical health, DHEA treatment can indeed be benefited or harmed by assorted factors, including baseline hormone concentrations, age, and sex.

DHEA and Sexual Health

Although sexual health constitutes part of the general quality of life, it is a neglected area of health in older people. Age hampers secretion of sex hormones, and some sexual dysfunctions, such as low sex desire, dryness in women, and erectile dysfunction in men, occur. Before sex hormones, DHEA has been researched as a solution to those symptoms and to enhance sexual activity in the elderly.

Studies carried out in this area have had positive outcomes, especially with postmenopausal women. Scientific research has established that DHEA supplementation results in enhanced sexual desire, vaginal douching, and enhanced sexual satisfaction. Such effects might be attributed to the conversion of DHEA into estrogen and testosterone, which are hormones important in sexual activity. In the case of men, such findings are inconclusive; some of the research offers positive results that indicate that the risk of obesity is reduced with the use of medications that cause weight loss, but other studies have been negative. However, studies have indicated that DHEA has the potential to boost sexual health, and this is one of the areas that continues to draw the attention of researchers, especially those involved in the study of sexual-related problems in the elderly.

Recent Publications on hormonal interventions

Find publications on relevant topics

DHEA and Immune Function

The immune system also changes with age, for instance, growing sensitivity to diseases such as infections, autoimmune diseases, and cancers. There is evidence to indicate that DHEA might play a role in the regulation of the immune system and improve the action of various immune cells, including T-cells, as well as helping to minimize the negative effects of aging on the immunological heading of the body.

Studies on the immunomodulating properties of DHEA have evidenced that the compound probably improves some aspects of the immune response, including increased activity of natural killer cells, which are involved in combating infections and tumors. Also, DHEA decreases inflammation, and this is a major factor in most diseases of aging. Based on these observations, DHEA supplementation in elderly people may help keep immune strength and minimize risks of infections and other immune disorders.

Safety and Efficacy of DHEA Supplementation

However, the applicability of DHEA supplementation is another important and rather promising area concerning the safety and efficacy of such interventions. The long-term effects of DHEA further for supplementation are unpredictable and have been accompanied by questions on security, especially on the capacity of DHEA to prompt hormone-sensitive cancers, including breast and prostate malignancies.

Nonetheless, several researchers have noted that the ingestion of DHEA is non-threatening in the sense that there are very few side effects that are often documented. The side effects of the most frequent nature are related to androgen manifestation and include such signs as acne and hirsutism in women. Although DHEA has some positive outcomes and can be beneficial for many people, one must seek professional medical advice before taking such supplements since there are always equal and opposite effects, and it all depends on one’s health status.

Conclusion

DHEA supplementation can be viewed as another of the potential ways of improving the quality of life for elderly people. They could arise in multiple areas of health, such as renal health, cognitive health and function, mood regulation, physical health more generally, sexual health and function, and immune health. Of course, more research is needed and individual responses might be different; however, DHEA provides a possible way to prevent some of the negative effects of aging. The same applies to the use of DHEA; therefore, people who want to incorporate DHEA supplements in their diets should do so with a lot of caution as with any other supplement. Subsequent studies will be quite relevant in the course of establishing the usefulness of this hormone in the process of aging and enhancing the quality of life in elderly people.

References

  1. Grimley Evans, J., Malouf, R., Huppert, F.A., Van Niekerk, J.K. and Cochrane Dementia and Cognitive Improvement Group, 1996. Dehydroepiandrosterone (DHEA) supplementation for cognitive function in healthy elderly people. Cochrane database of systematic reviews2010(1).
  2. Parsons, T.D., Kratz, K.M., Thompson, E., Stanczyk, F.Z. and Buckwalter, J.G., 2006. DHEA supplementation and cognition in postmenopausal women. International journal of neuroscience116(2), pp.141-155.
  3. Hoffman, S.W., Virmani, S., Simkins, R.M. and Stein, D.G., 2003. The delayed administration of dehydroepiandrosterone sulfate improves recovery of function after traumatic brain injury in rats. Journal of neurotrauma20(9), pp.859-870.
  4. Barnhart, K.T., Freeman, E., Grisso, J.A., Rader, D.J., Sammel, M., Kapoor, S. and Nestler, J.E., 1999. The effect of deydroepiandrosterone supplementation to symptomatic perimenopausal women on serum endocrine profiles, lipid parameters, and health-related quality of life. The Journal of Clinical Endocrinology & Metabolism84(11), pp.3896-3902.
  5. Arlt, W., Callies, F. and Allolio, B., 2000. DHEA replacement in women with adrenal insufficiency—pharmacokinetics, bioconversion and clinical effects on well-being, sexuality and cognition. Endocrine research26(4), pp.505-511.
  6. Wolf, O.T., Neumann, O., HELLHAMMER, D.H., Geiben, A.C., Strasburger, C.J., Dressendörfer, R.A., Pirke, K.M. and Kirschbaum, C., 1997. Effects of a two-week physiological dehydroepiandrosterone substitution on cognitive performance and well-being in healthy elderly women and men. The Journal of Clinical Endocrinology & Metabolism82(7), pp.2363-2367.
  7. Berr, C., Lafont, S., Debuire, B., Dartigues, J.F. and Baulieu, E.E., 1996. Relationships of dehydroepiandrosterone sulfate in the elderly with functional, psychological, and mental status, and short-term mortality: a French community-based study. Proceedings of the National Academy of Sciences93(23), pp.13410-13415.

Top Experts on “hormonal interventions