儿童和青少年受营养不良和营养过度饮食障碍影响的甲状腺功能障碍
Valeria Calcaterra1,2, Vittoria Carlotta Magenes2, Francesca Siccardo2
1Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.
Frontiers in nutrition
|October 16, 2023
概括
儿童和青少年患有饮食障碍 (ED) 和肥胖症时,甲状腺功能发生变化,影响代谢健康和情绪. 持续监测甲状腺平衡对于早期干预和预防并发症至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 儿科内分泌学 儿科内分泌学
- 营养精神病学 营养精神病学
背景情况:
- 饮食障碍 (ED) 和肥胖是青少年普遍存在的慢性疾病,经常同时发生并分享不良的健康结果.
- 这些情况可能代表一个连续性,对心理社会,代谢和营养健康有影响.
- 下垂体-垂体-甲状腺 (HPT) 轴在能量消耗和代谢调节中发挥着至关重要的作用.
研究的目的:
- 审查HPT轴在儿科患者ED的影响,包括肥胖症.
- 探索体重状况,甲状腺功能和整体健康之间的关系.
- 在这个人群中考虑治疗和预防策略来管理甲状腺功能障碍.
主要方法:
- 现有文献的叙述性审查.
- 分析研究的分析研究HPT轴在体重不足,超重和肥胖的儿科患者与ED.
- 综合关于甲状腺变化的数据及其与疾病严重程度和持续时间的相关性.
主要成果:
- 甲状腺变化在儿科患者中很常见,无论体重状况如何 (体重不足或超重/肥胖).
- 这些甲状腺变化代表了一系列适应,取决于ED的严重程度和慢性.
- 甲状腺激素显著影响能量消耗,新陈代谢控制,心血管风险和情绪调节.
结论:
- 甲状腺平衡在儿童饮食障碍和肥胖症中经常受到干扰.
- 持续监测甲状腺功能对于早期检测和治疗并发症至关重要.
- 针对ED和甲状腺健康的综合治疗策略是改善患者结果的必要条件.
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