甲状腺功能障碍的流行趋势及其与美国参与者死亡率的关联,1988-2012年
Xiaowen Zhang1,2, Yong Wang3, Hongwei Wang3
1Department of Endocrinology, Affiliated Drum Tower Hospital, Nanjing University School of Medicine, Nanjing 210008, China.
The Journal of clinical endocrinology and metabolism
|September 22, 2023
概括
甲状腺功能障碍的患病率在亚临床形式中保持稳定,但在三十年内,在公开形式中下降. 亚临床甲状腺功能低下症增加了老年人 (65岁以上) 的死亡风险.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 动态因素影响甲状腺功能障碍的流行和分布.
- 了解时间趋势和死亡率影响对于公共卫生战略至关重要.
研究的目的:
- 估计30年来美国成年人甲状腺功能障碍的全国患病率和时间趋势.
- 确定甲状腺功能障碍对美国成年人全因和心血管死亡率的影响.
主要方法:
- 国家健康和营养检查调查III (1988-2012) 数据的横截面分析.
- 包括33117名12岁以上的参与者.
- 死亡率分析的中位数随访时间为17.2年.
主要成果:
- 亚临床甲状腺功能障碍和甲状腺功能障碍的患病率保持稳定;明显的形式下降.
- 明显的甲状腺功能障碍的患病率从0.54%降至0.33%;明显的甲状腺功能障碍从0.8%降至0.2%.
- 亚临床甲状腺功能低下症与65岁以上成人总和心血管死亡率的增加有关.
结论:
- 亚临床甲状腺功能障碍的患病率稳定,而明显的甲状腺功能障碍的患病率下降.
- 在过去的30年里,美国成年人的甲状腺功能障碍明显下降.
- 亚临床甲状腺功能低下症对老年人 (65岁以上) 造成更高的死亡风险.
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