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Published on: October 6, 2023
Association between thyroid hormones and body fat in euthyroid subjects
Ruizhen Ren1, Xiuyun Jiang, Xu Zhang
1Department of Endocrinology, Provincial Hospital Affiliated to Shandong University, Jinan, China; Department of Endocrinology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai, China.
In euthyroid individuals, higher levels of thyroid hormone FT3 correlate with increased body fat and insulin resistance, even if thyroid hormone levels appear normal. This suggests FT3 influences body composition in those without diagnosed thyroid disease.
Area of Science:
- Endocrinology
- Metabolic Health
- Body Composition Analysis
Background:
- Thyroid hormone disorders significantly alter body composition.
- The specific relationship between thyroid hormones and body fat in euthyroid individuals remains unclear.
- Understanding this link is crucial for metabolic health assessment.
Purpose of the Study:
- To investigate the association between thyroid hormones and body fat parameters in a euthyroid population.
- To explore correlations between FT3, FT4, and various body composition metrics.
- To identify factors contributing to FT3 levels in healthy individuals.
Main Methods:
- Recruited 865 euthyroid individuals, excluding those with thyroid disease, diabetes, or relevant medications.
- Measured serum FT3, FT4, lipid profiles, fasting insulin (FINS), and blood glucose.
- Assessed anthropometric measurements, body fat percentage (PBF), and calculated homeostasis model assessment for insulin resistance (HOMA-IR).
Main Results:
- Serum FT3 was slightly, though not clinically significantly, higher in individuals with BMI ≥25 kg/m² compared to those with BMI <25 kg/m².
- Linear increases in body weight, BMI, waist circumference, hip circumference, waist-to-hip ratio (WHR), PBF, FINS, and HOMA-IR were observed with rising FT3 levels.
- Multivariate regression identified fat mass, PBF, HOMA-IR, and FT4 as significant contributors to FT3 levels.
Conclusions:
- Overweight and obese euthyroid subjects exhibit similar thyroid hormone levels to normal-weight individuals.
- Body composition parameters, including body fat, increase with elevated FT3 levels.
- FT3 is significantly associated with body fat parameters in the euthyroid population.
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