对甲状腺激素的敏感性受损与甲状腺细胞群中维生素D水平降低有关
Yuanmeng Li1,2, Juan Sun2,3, Yang Jiao2,4
1Department of Endocrinology, Key Laboratory of Endocrinology of National Health Commission, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
The Journal of clinical endocrinology and metabolism
|October 13, 2023
概括
甲状腺激素敏感性受损与乙甲状腺患者的维生素D水平降低有关. 这种关联因年龄,性别,种族和体重指数 (BMI) 而有很大差异.
科学领域:
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 维生素D与甲状腺功能之间的关系尚未得到充分证实,对维生素D对甲状腺激素敏感性的影响的研究有限.
- 现有研究表明,关于维生素D和甲状腺特征的结果是相互矛盾的,需要进一步调查.
研究的目的:
- 为了研究维生素D水平与甲状腺激素敏感性之间的相关性.
- 探索年龄,性别,种族和BMI等因素如何影响这种关系.
主要方法:
- 分析了从6452 euthyroid参与者在国家健康和营养检查调查 (2007-2012) 的数据.
- 使用基于量子的甲状腺反指数 (TFQI),TSH指数 (TSHI) 和甲状腺激素耐药性指数 (TT4RI) 测量甲状腺激素敏感性.
- 评估25-基维生素D [25(OH) D]水平,并为混变量进行调整.
主要成果:
- 甲状腺激素敏感性受损与25~OH) D水平降低有关 (P<0.05对于TFQI和TT4RI).
- 年龄特定的分析显示,年轻人 (20-60岁) 呈负相关性,老年人 (60-80岁) 呈正相关性.
- 观察到性别特异性差异,在不同种族和BMI类别中观察到复杂的非线性关系.
结论:
- 维生素D水平的降低与甲状腺激素敏感性受损的人相关.
- 维生素D与甲状腺激素敏感性之间的关联是由年龄,性别,种族和体重指数调节的.
- 需要进一步的研究来阐明这些复杂相互作用背后的机制.
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