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Obesity01:24

Obesity

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
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The Correlation Between Metabolic Disorders And Tpoab/Tgab: A Cross-Sectional Population-Based Study.

Ying Wu1, Xiaoguang Shi1, Xulei Tang2

  • 1From the Department of Endocrinology and Metabolism and the institute of Endocrinology, The First Hospital of China Medical University, Shenyang, Liaoning, P.R. China; These authors contributed equally to this work.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
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Summary

Metabolic disorders like obesity and high LDL-C are linked to higher thyroid autoantibodies in euthyroid individuals. These associations differ between males and females, highlighting a gender-dependent relationship.

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Area of Science:

  • Endocrinology and Immunology
  • Metabolic Syndrome Research
  • Thyroid Disease Etiology

Background:

  • Metabolic abnormalities significantly impact immune system function.
  • Increasing prevalence of metabolic and autoimmune thyroid diseases necessitates exploring their correlation.
  • Previous research indicates a link between metabolic dysfunction and immune responses.

Purpose of the Study:

  • To investigate the relationship between metabolic disorders and thyroid autoantibodies (TPOAbs and TgAbs) in euthyroid subjects.
  • To explore potential gender-specific associations between metabolic parameters and thyroid autoimmunity.
  • To identify specific metabolic derangements associated with positive thyroid autoantibodies.

Main Methods:

  • Cross-sectional survey of 55,891 subjects from China.
  • Evaluation of body mass index (BMI), waist circumference (WC), blood pressure, thyroid autoantibodies (TPOAbs, TgAbs), TSH, glucose, lipids, and uric acid.
  • Multivariate analysis to determine odds ratios for associations between metabolic factors and thyroid autoantibodies.

Main Results:

  • In males, higher BMI, WC, blood pressure, and glucose levels were observed in the TPOAb-/TgAb-positive group.
  • In females, elevated BMI, WC, blood pressure, total cholesterol, and LDL-C were found in the TPOAb-/TgAb-positive group.
  • Multivariate analysis revealed significant associations: abdominal obesity with TgAbs in males (OR 1.175), hyperuricemia with TPOAbs in males (OR 1.195), and high LDL-C with TgAbs in females (OR 1.19).

Conclusions:

  • Obesity, high LDL-C, and hyperuricemia are positively correlated with thyroid autoantibodies in euthyroid subjects.
  • The association between metabolic disorders and positive thyroid autoantibodies is gender-dependent.
  • Metabolic health status is an important factor to consider in the context of thyroid autoimmunity.