The association between TU (P: reference) and ∆AMSS (dependent variable) with the models adjusted for baseline AMSS values

Univariate/multivariate regression analyses outcome: ∆AMSSCoefficient (95% CI)p
Total cohortModel 1 (n = 170)TU vs P (reference)–3.12 (–5.65, –0.61)p = 0.015
Model 2 (n = 170)Baseline AMSS–0.24 (–0.35, –0.13)p < 0.001
Model 3 (n = 170)TU vs P (reference)–2.66 (–5.07, –0.25)p = 0.031
Baseline AMSS–0.23 (–0.34, –0.12)p < 0.001
HADS-D ≥ 8Model 4 (n = 79)TU vs P (reference)–4.25 (–8.40, –0.11)p = 0.044
Baseline AMSS–0.30 (–0.50, –0.10)p = 0.003
HADS-D < 8Model 5 (n = 91)TU vs P (reference)–1.15 (–3.94, 1.65)p = 0.42
Baseline AMSS–0.22 (–0.41, –0.43)p = 0.016
HADS-A ≥ 8Model 6 (n = 71)TU vs P (reference)–2.21 (–7.10, 2.67)p = 0.37
Baseline AMSS–0.20 (–0.42, 0.014)p = 0.067
HADS-A < 8Model 7 (n = 99)TU vs P (reference)–3.21 (–5.48, –0.94)p = 0.006
Baseline AMSS–0.35 (–0.47, –0.22)p < 0.001
HADS-D: 8–10Model 8 (n = 41)TU vs P (reference)–5.37 (–10.52, –0.22)p = 0.041
Baseline AMSS–0.43 (–0.70, –0.16)p = 0.003
HADS-D: 11–21Model 9 (n = 38)TU vs P (reference)1.05 (–4.39, 6.50)p = 0.70
Baseline AMSS–0.088 (–0.31, 0.13)p = 0.43

The results from models 4 and 5 are at odds with that previously reported by Hackett et al. [13] using this database stratifying the cohort with a HADS-D value of 11 or greater; thus men with no-depression (HADS-D: < 8) and mild depression (HADS-D: 8–10) were grouped together, whilst we used to a HADS-D cut-off of 8 to have as close to even numbers of men in both subgroups. Further analysis shows that TU was significantly associated with ∆AMSS in the men with mild depression (HADS-D: 8–10) with no such association observed in men with HADS-D: 11–21 (moderate and severe depression), this group was not further stratified as there were only 7 men with severe depression (HADS-D: 15–21). p < 0.05 is considered significant. ∆AMSS: changes in ageing male symptom scale; CI: confidence intervals; HADS-A: Hospital Anxiety and Depression Scale-anxiety; HADS-D: Hospital Anxiety and Depression Scale-depression; P: placebo; TU: testosterone undecanoate