甲状腺功能和甲状腺平衡参数与NHANES中60岁以上的无甲状腺患者的尿白蛋白分泌量增加有关
Xue Liu1,2, Yuchen Li1,2, Yuwei Chai1,2
1Department of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China.
Frontiers in endocrinology
|January 23, 2024
概括
像FT4和TFQIFT4这样的甲状腺激素是老年人白尿的危险因素. 低FT3/FT4比率也表明风险增加,这表明甲状腺参数在预测功能下降方面的潜力.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
背景情况:
- 甲状腺功能和功能是相关的,但老年人与白蛋白尿的关系尚不清楚.
- 白蛋白尿是损伤的早期标志物.
研究的目的:
- 为了研究甲状腺功能/恒常性参数和老年人的白蛋白尿之间的关联.
- 探索潜在的甲状腺相关的生物标志物,以预测白蛋白尿症.
主要方法:
- 专尿和非专尿组之间的基线特征分析.
- 多变量逻辑回归和受限立方线来评估关联和非线性关系.
- 糖尿病和高血压的亚组分析,以及ROC曲线分析以预测有效性.
主要成果:
- 升高的FT4和TFQIFT4,以及低的FT3/FT4比率与白尿有关.
- 在FT3/FT4,TSHI和白尿之间观察到非线性U形关系.
- 与其他甲状腺指数相比,FT3/FT4显示了与其他甲状腺指数相比,对白蛋白尿的优异预测性能.
结论:
- FT4,TFQIFT4,以及低FT3/FT4是60岁以上无甲状腺症患者白尿的危险因素.
- FT3/FT4显示出作为白蛋白尿症预测指标的前景,为评估和治疗提供了洞察力.
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