> Obesity was also not controlled for, which is known to be strongly correlated with low testosterone.
In the past decade, research suggests that testosterone levels have actually gone up[1].
[1]https://www.cremieux.xyz/p/why-are-testosterone-levels-risin...
Really makes the study completely pointless when the last 50 years has also seen the rise of the global obesity epidemic.
Testosterone is directly causally inverse to bodyfat in men (once above some very low baseline)
Fat directly converts testosterone to Estrogen via a process called aromatization.
Personally my Testosterone close to doubled when going from 25% bodyfat to 13%. I get blood tests regularly and can see the levels fluctuate pretty closely with fat levels