Serum and saliva sex hormone levels in !Kung San men

Serum concentrations of testosterone (Tser), 5 alpha-dihydrotestosterone (DHT), estradiol 17 beta (E2), and free testosterone in saliva (Tsal) were determined by means of the radioimmunoassay method in 114 !Kung San men living in the Bushmanland district of Namibia. The healthy men (mean age 26.4 years) were asked about their dietary habits over the last two months and their acute alcohol intake during the 24 hours preceding the blood and saliva sampling. Although the sex hormone status of the !Kung lies within the range of normal men reported for Caucasoid samples, both Tser and Tsal exhibit relatively low concentrations in comparison to the great majority of published mean values. On the other hand, comparatively high DHT levels point to an elevated 5 alpha-reduction of testosterone to DHT in our sample. Estradiol concentrations show no deviation from normal values reported elsewhere for healthy young men. Different dietary habits of the !Kung lead to significant differences in their sex hormone status: both levels of Tsal and the androgen ratio Tsal/Tser decrease with increasing supplement of the traditional hunter-gatherer diet with domestic and Western food products. The amount of alcohol consumed during the day before the blood and saliva sampling shows a significant effect on the DHT metabolism, and the shorter the time after drinking, the greater decrease of DHT and DHT/E2 can be observed.     

Sex hormone levels and body hair growth in !Kung San and Kavango men from Namibia

The relation between hair growth and levels of sex hormones in serum and saliva was investigated in 256 !Kung San and Kavango men (ages 18 to 39 years) from Namibia/Southern Africa. Serum concentrations of total testosterone (Tser), 5α-dihydrotestosterone (DHT), and estradiol (E2) as well as the level of bioavailable non-SHBG-bound testosterone in the saliva (Tsal) were determined by radioimmunoassay. The distribution and density of scalp and facial hair as well as the development of terminal hair on the chest, abdomen, pubic area, arms, fingers, and legs were categorized using objective criteria. Covariance analyses revealed marked differences in the distribution of body hair in the San and the Negro sample. This is partly explained by a significant influence of androgen and estrogen levels on the growth of terminal hair. DHT and the ratio DHT/Tser are significantly positively related to midphalangeal hair growth and negatively to pubic hair development. Tsal, the bioavailable fraction of total testosterone, exerts a weak positive influence on the degree of arm and leg hair growth; the most significant positive effect on the growth of abdominal, arm, and leg hair in our samples is caused by E2. The ratio Tser/E2 correlates significantly negatively with the arm and leg hair development and the ratio DHT/E2 with the degree of abdominal, pubic, arm, and leg hair, whereas lower DHT concentrations occur in men with stronger hair development. © 1993 Wiley-Liss, Inc.     

Differential reproductive success and body size in !Kung San people from northern Namibia

The associations patterns between reproductive success, measured by the total number of offspring, number of living offspring and number of dead offspring, and parental body size, estimated by stature, body weight and Body mass index, were tested in 65 female and 103 male members of a !Kung San population ageing between 25 and 40 years (x = 30.2 yr.) from northern Namibia. In both sexes a significant interaction between fertility patterns and body dimensions was found. Nevertheless, the association patterns differed markedly between the two sexes. While in males tallness and an improved weight status was associated significantly with a higher number of surviving offspring, smaller and lighter females had significantly more surviving children. In males a directional selection towards increased stature and better weight status is in accordance with the well known secular trend of acceleration. In females first of all the postpartum changes in body composition and body weight, resulting from exhausting infant feeding practices seem to support the maternal depletion hypothesis.     

Hunter-gatherer energetics and fertility: A reassessment of the !Kung San

This paper examines the question of why the total fertility rate of the !Kung San hunter-gatherers of the Northern Kalahari desert is as low as 4.69 births. When the intermediate variables involved are examined through the employment of a reproductive equation, it becomes clear that low fecundity is a major issue. Arguments offered previously to explain the low fertility of !Kung women, depending on factors such as nutrition, health status, and lactational practices are insufficient. Drawing upon recent data from sports medicine and endocrinology, I suggest that the pattern of San female energetics in their gathering and subsistence routine has a direct effect upon their fecundity. Such a correlation between activity patterns, endocrine function, and reproductive capacity may also be important for understanding the fertility of other mobile hunter-gatherer groups.     

Globin gene-associated restriction-fragment-length polymorphisms in southern African peoples.

The combination of polymorphic restriction-enzyme sites in the 3' region of the beta-globin gene cluster shows very little variation in southern-African Bantu-speaking black and Kalahari !Kung San populations. The sites of the 5' region, on the other hand, show marked variation, and two common haplotypes are present--the "Negro" type (- - - - +) and the "San" type (- + - - +)--in frequencies of .404 and .106, respectively, in the Bantu-speakers and .262 and .405, respectively, in the San. Twenty of 23 beta s-associated haplotypes in southern-African Bantu-speaking black subjects were the same as that found commonly in the Central African Republic (CAR)--i.e., the "Bantu" type--a finding providing the first convincing biological evidence for the common ancestry of geographically widely separated speakers of languages belonging to the Bantu family. The (-alpha) haplotype has a frequency of .21 in the Venda, .07 in both the Sotho-Tswana and the Nguni, and .06 among the !Kung San. These data are interpreted in the light of Plasmodium falciparum malaria selection and population movements in the African subcontinent.     

The Anthropology of Simple Societies: The Kalahari !Kung

Demography of the Dobe !Kung . Nancy Howell
The Bushmen A. P. Wannenburgh, Peter Johnson, and Anthony Bannister.
The !Kung San: Men, Women, and Work in a Foraging Society Richard B. Lee     

Who Responds to Crying?

!Kung San (Bushman) hunter-gatherers have unusually high levels of mother-infant contact and represent one of the environments of human evolutionary adaptedness (EEAs). Studies among the !Kung show that levels of crying—the most basic sign of mammalian infant distress—are low, and response to crying is high, and some suggest that responses are overwhelmingly maternal. We show that although !Kung mothers respond to crying most often, one-third of crying bouts are managed solely by someone else. Mothers responded to all bouts lasting ≥30 s, but in half of these responses they were joined by one or more others. Mothers are the most consistent responders, but multiple caregiving is common. The mother is rarely alone when her baby cries; others often substitute or join her in interventions. This social support may facilitate the high levels of maternal responsiveness characteristic of the !Kung, and of hunter-gatherers generally, but it is also consistent with recent theory emphasizing nonmaternal care (allocare) and cooperative breeding.     

Socioecological aspects of human reproduction in Sub-Saharan Africa

The purpose of this study was to compare fertility outcome of two populations of northern Namibia, following different ways of subsistence. The total number of offspring, but also the number of dead and surviving offspring was compared between 236 !Kung San (91 females, 145 males) hunter gatherers and 248 Kavango (87 females, 161 males) horticultural pastoralists and a small number of Kavango people living in the urban center of Rundu. While no typical differences in fertility outcome between the study populations could be observed in males, marked differences were found for the female sample. As to be expected traditional Kavango women had given birth to a higher number of children and these children had a higher chance to survive in comparison to those of !Kung San women. On the other hand Kavango females living in urban centers reported a significantly lower number of offspring. It can be concluded that even in recent populations fertility differences according to subsistence patterns are observable.     

Public Health and Genetic Constitution of the San (“Bushmen”): Carbohydrate Metabolism and Acetylator Status of the! Kung of Tsumkwe in the North-western Kalahari

Intolerance to lactose owing to deficiency of lactase is particularly prevalent among non-Caucasian peoples. Special caution is therefore needed in offering them milk supplements. Lactose tolerance has been investigated among the!Kung in the north-western Kalahari. The opportunity was taken also to examine their acetylator status, as this affects their ability to detoxicate drugs given for the treatment of tuberculosis and other diseases.The preliminary studies reported here suggest that not more than 10% of the!Kung are tolerant to lactose, but only one person out of 30 was a slow acetylator.     

An adaptive model for predicting !Kung reproductive performance: A stochastic dynamic programming approach

A stochastic dynamic programming model is presented that supports and extends work on the reproductive performance of the !Kung Bushmen (Lee 1972; Blurton Jones and Sibly 1978; Blurton Jones 1986), proposing that !Kung women and their reproductive systems may be maximizing reproductive success. The stochastic dynamic programming approach allows the construction of a whole-life model where the physical/environmental constraints along with the uncertainty about future events !Kung women face when making reproductive choices can be explicitly built in. The model makes quantitative predictions for the optimal reproductive strategy assuming !Kung women are maximizing expected lifetime reproduction (ELR) given the physical parameters of !Kung life.The model relies on data gathered from the works cited above and some considerations from simple probability theory. The model predictions for optimal birth spacing match the !Kung reproductive data very well and support earlier findings (Blurton Jones and Sibly; Blurton Jones 1986). The utility of the dynamic modeling approach is illustrated when the effects of varying certain model parameters are investigated.By including the effect of the mother's mortality, which was not included in the Blurton Jones and Sibly (1978) analysis, the model allows for further exploration of the application of an adaptive approach to human reproductive performance. By adding some considerations about the risks of childbirth for the mother the model not only predicts optimal birth spacing, which is site specific, but also predicts the optimal time for a woman to begin and cease having children. These predictions coincide with menarche and menopause and shed light on their possible adaptive value.     

Did food increase fertility? Evaluation of !Kung and Herero history.

Low fertility among nomadic !Kung foragers of the northern Kalahari Desert of Botswana has been hypothesized to be an adaptation to scarcity of food. However, a comparison of !Kung fertility before and after a transition to a more sedentary lifestyle indicates that more food did not increase fertility. An examination of the fertility of neighboring sedentary Bantu-speaking Herero pastoralists during the same period also indicates that low female reproductive rates in this region are not unique to the !Kung. Herero fertility has increased dramatically in recent decades, probably in response to the control of sexually transmitted diseases in northwestern Botswana. More food appears to have substantially increased !Kung reproductive success by reducing infant and child mortality rates to levels observed among the Herero. These findings suggest that low !Kung fertility and mortality reflect contact with the Herero, who began expanding in large numbers into !Kung territory in the 1950s. This study emphasizes the need for a more rigorous comparative perspective in anthropology to understand better the significance of findings from restricted populations, and I suggest that evolutionary ecology would benefit from shifting some of its current focus on fertility to mortality.     

Serum Leptin in Elderly People: Associations with Sex Hormones,Insulin, and Adipose Tissue Volumes

BAUMGARTNER, RICHARD N., ROBERT R. ROSS, DEBRA L. WATERS, WILLIAM M. BROOKS, JOHN E. MORLEY, GEORGE D. MONTOYA, AND PHILIP J. GARRY. Serum leptin in elderly people: associations with sex hormones, insulin, and adipose tissue volumes. Obes Res. Objective There are few data for associations of serum leptin with body fat, fat distribution, sex hormones, or fasting insulin in elderly adults. We hypothesized that the sex difference in serum leptin concentrations would disappear after adjustment for subcutaneous, but not visceral body fat. Serum leptin would not be associated with sex hormone concentrations or serum fasting insulin after adjusting for body fat and fat distribution. Research Methods and Procedures Subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) volumes were measured using magnetic resonance imaging in a cross-sectional sample of 56 nondiabetic, elderly men and women aged 64 years to 94 years. Serum leptin, sex hormones (testosterone and estrone), sex hormone-binding globulin, and fasting insulin were also measured. Nine women were taking hormone replacement, and five men were clinically hypogonadal. Results Leptin was significantly associated with both SAT and VAT in each sex. Adjustment for SAT reduced the sex difference in leptin by 56%, but adjustment for VAT increased the difference by 25%. Leptin was not associated with serum estrone or hormone replacement therapy in the women, but had a significant, negative association with testosterone in the men that was independent of SAT, but not VAT. Leptin was significantly associated with fasting insulin in both sexes independent of age, sex hormones, sex hormone-binding globulin, VAT and SAT. Discussion Sex difference in serum leptin is partly explained by different amounts of SAT. Studies including both men and women should adjust for SAT rather than total body fat that includes VAT. The sex difference in serum leptin is not due to estrogen, but may be partly explained by testosterone. Testosterone is negatively associated with leptin in men, but the association is confounded with VAT. Leptin is associated with fasting insulin in non-diabetic elderly men and women independent of body fat, fat distribution. or sex hormones.     

Effects of Estrogen and Testosterone on Resting Energy Expenditure in Older Men

The mechanisms by which sex hormones cause changes in body composition are unclear. Sex steroid deficiency might directly reduce energy expenditure/fat oxidation and thereby predispose to increased body fat. Alternatively, sex steroid deficiency could result in lean tissue loss and thus reduced energy expenditure. Our objective was to examine the independent and combined effects of acute testosterone and estrogen withdrawal on respiratory exchange ratio (RER) and resting energy expenditure (REE) in men. The objective of the study was to examine the independent and combined effects of acute estrogen and testosterone withdrawal on RER and REE in men. A total of 54 men aged 50–80 years, BMI range of 17–35 kg/m² underwent a 3‐week eugonadal run‐in hormone‐treatment period involving suppression of endogenous sex steroids using letrozole and leuprolide acetate (Lupron) while sex steroid concentrations were maintained with transdermal testosterone (T) and estradiol (E). A second Lupron injection was then given and participants were randomized to one of the following four 3‐week treatment groups: group A (?T, ?E), group B (?T, +E), group C (+T, ?E), and group D (+T, +E). REE and RER were measured via indirect calorimetry before and after the 3‐week treatment period. Three‐week suppression and/or repletion of estrogen or testosterone did not produce changes in RER or REE within or between groups. We conclude that abrupt changes in sex steroids does not change resting substrate oxidation, indicating that changes that can be observed after more prolonged periods of deficiency are most likely due to direct effects of sex steroids on body composition.     

Are optimal levels of testosterone associated with better cognitive function in healthy older women and men?

Background

Sex steroids can positively affect the brain and from this it would follow that high levels of sex steroids could be associated with better cognitive function in older men and women.

Methods

This Healthy Ageing Study sample comprised of 521 older participants (51% women) without dementia at baseline, with an age range from 64 to 94 years. Testosterone and sex hormone binding globulin were measured using the automated Immulite 2000 and analyzed in association with baseline memory, global cognitive function and decline (assessed using the Mini-Mental Status Examination or MMSE) and controlling for potential confounds such as age, education, vascular disease, smoking, diabetes, thyroid function, and body mass index.

Results

In healthy older men and women, optimal levels of testosterone were associated with better MMSE scores at baseline. Follow-up analyses indicated that in men, low testosterone levels (OR = .94, 95% CI = .88 to 1.00) were a risk factor for a sharp cognitive decline after 2 years, perhaps indicative of dementia. Associations were independent of covariates and baseline MMSE. Conversely, women at risk for a sharp drop in cognitive function showed some evidence for higher calculated free testosterone levels at baseline.

Conclusions

Results replicate earlier cross-sectional findings that high levels of sex steroids are not associated with better cognitive function in older people. In men, age accelerated endocrinological change could be associated with dementia pathology.

General significance

These data do not support increasing testosterone levels to prevent cognitive decline in men and women over 65 years of age.     

Fitness and fertility among Kalahari !Kung

In this paper we develop a model that examines fertility and childhood mortality patterns and their relationship to environmental variables. Interactions among environmental variables can account for different fertility patterns and different mixes of these variables can produce similar patterns of fertility. Our model attempts to quantify the idea that there is a trade-off between producing a few children likely to survive to reproductive age and producing a greater number of children with lower chances for survival. The optimum mix of these strategies depends on environmental characteristics. We use the model to make predictions about fertility and mortality patterns among two Bushmen populations of southern Africa--the Ghanzi and Ngamiland !Kung--using data collected by Harpending in 1967-1968. The results do not support explanations of the low fertilities observed among !Kung Bushmen women, in whom it is thought that fitness is maximized by limiting fertility, and show no relationship between mortality and family size in either !Kung population. Instead, the number of offspring reaching reproductive age in both populations increases as their completed family size increases. We examine the effects of sex, birth order, and paternal investment on mortality. No sex ratio differences and no differences in mortality by sex or birth order are present. Infant mortality among women who married more than once is significantly higher than among women who married once, suggesting that paternal care has a significant effect.     

Reduced calcitonin reserve in young hypogonadic osteoporotic men

Calcitonin is a potent inhibitor of bone resorption and in both sexes, plasma levels progressively decrease with age: therefore, a relative deficiency of calcitonin may be involved in the pathogenesis of osteoporosis in the elderly. Calcitonin plasma levels of young hypogonadic men with osteoporosis are significantly lower than controls: the hypothesis that the decreased calcitonin plasma levels in the elderly are due to a reduced secretory capacity of the "C" cells of the thyroid gland, related to age, does not explain the low calcitonin plasma levels found in young hypogonadic osteoporotic men. Our hypothesis is that gonadal steroid deficiency may participate in the mechanisms regulating calcitonin secretion. Therefore, we studied ten males affected by hypogonadotropic hypogonadism and ten normal men, of comparable age, as controls: we measured plasma levels of testosterone, 17 beta estradiol, androstenedione and calcitonin, and the response of calcitonin to an i.v. bolus of pentagastrin, a well known "C" cells stimulatory drug. Testosterone and calcitonin plasma levels and the response of calcitonin to pentagastrin were also evaluated after 6 months of replacement therapy with testosterone. Basal levels of testosterone, 17 beta estradiol, androstenedione and calcitonin, and the response of calcitonin to pentagastrin, are significantly lower in our patients than in controls, demonstrating that hypogonadotropic hypogonadic subjects have a lower secretory reserve of calcitonin. After testosterone therapy the basal calcitonin plasma levels and its response to pentagastrin stimulus did not differ from controls, suggesting that gonadal steroids influence the calcitonin secretion and reserve. Our data cannot clarify whether osteoporosis of hypogonadotropic hypogonadic patients is related to androgen or estrogen deficiency; however, they suggest that the mechanisms by which gonadal steroid influence bone metabolism may involve calcitonin secretion.     

Endogenous estradiol and testosterone levels are associated with cognitive performance in older women and men

Relatively few studies have investigated the relationship between endogenous sex steroid levels and cognition in older people and the reported results have been inconsistent. A number of experimental hormone replacement studies have suggested that estrogen replacement in older women enhances cognition, especially verbal memory. In contrast, little research has been done focusing on men. In the current study the association between endogenous sex steroids (estradiol and testosterone) and cognition was investigated in 38 healthy older women (mean age 68 years) and 30 healthy older men (mean age 69 years). Five cognitive tests measuring verbal memory, spatial memory, verbal fluency, mental rotation, and susceptibility to interference were administered. Results revealed that in women higher estradiol levels as well as testosterone levels were associated with better verbal memory (paired associates and estradiol; r =.38, P < 0.05; paired associates and testosterone; r =.33, P < 0.05;). Moreover estradiol, but not testosterone was associated with less susceptibility to interference (Stroop color word test; r = -0.34, P < 0.05). In men the only significant association was a negative correlation between testosterone and verbal fluency (r = -0.38, P < 0.05). The associations observed in this small study support the notion that estradiol is protecting verbal memory and possibly also frontal lobe mediated functions in older women. In contrast to the positive findings in women endogenous sex steroids do not appear to be closely linked to better cognition in older men.     

Exposure to perceived male rivals raises men's testosterone on fertile relative to nonfertile days of their partner's ovulatory cycle

The challenge hypothesis posits that male testosterone levels increase in the presence of fertile females to facilitate mating and increase further in the presence of male rivals to facilitate male–male competition. This hypothesis has been supported in a number of nonhuman animal species. We conducted an experiment to test the challenge hypothesis in men. Thirty-four men were randomly assigned to view high-competitive or low-competitive male rivals at high and low fertility within their partner's ovulatory cycle (confirmed by luteinizing hormone tests). Testosterone was measured upon arrival to the lab and before and after the manipulation. Based on the challenge hypothesis, we predicted that a) men's baseline testosterone would be higher at high relative to low fertility within their partner's cycle, and b) men's testosterone would be higher in response to high-competitive rivals, but not in response to low-competitive rivals, at high relative to low fertility within their partner's cycle. Contrary to the first prediction, men's baseline testosterone levels did not differ across high and low fertility. However, consistent with the second prediction, men exposed to high-competitive rivals showed significantly higher post-test testosterone levels at high relative to low fertility, controlling for pre-test testosterone levels. Men exposed to low-competitive rivals showed no such pattern (though the fertility by competition condition interaction fell short of statistical significance). This preliminary support for the challenge hypothesis in men builds on a growing empirical literature suggesting that men possess mating adaptations sensitive to fertility cues emitted by their female partners.     

Estimating parity of parents: application to the history of infertility among the !Kung of Southern Africa

We derive a method for interpreting information about the reproductive performance of mothers of a sample of informants and apply it to the history of low fertility among the !Kung of the Kalahari desert of southern Africa. The method formalizes the commonsense procedure of weighting mothers with 1 birth by 1, with 2 births by 1/2, with 3 births by 1/3, etc. An expression for the confidence interval of the estimate of mean completed fertility of fertile women in the mothers' cohort is given. Several independent studies show that !Kung women have low fertility, with a population average completed family size of slightly over 4. Our method, applied to the cohort of old informants, shows that fertility is comparable among !Kung women, mothers of old informants, who were born in the late nineteenth and early twentieth centuries. If the cause is an endemic infectious disease of long standing in this region, there are important implications for the history of southern and central Africa.