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甲状腺激素的变化预测,在接受代谢手术的肥胖患者中,体重会恢复
Yi Tang1, Wei Liu1, Wuhao Wang1
1Department of Hypertension and Endocrinology, Daping Hospital, Army Medical University of PLA, Center for Hypertension and Metabolic Diseases, Chongqing Institute of Hypertension, Chongqing, China.
Diabetes, obesity & metabolism
|June 26, 2024
概括
甲状腺激素水平,包括甲状腺刺激激素 (TSH) 和自由三甲状腺素 (FT3),在代谢手术后发生变化. 这些甲状腺功能变化可以预测肥胖患者的体重恢复.
科学领域:
- 内分泌学 在内分泌学.
- 腹部外科 腹部外科
- 代谢健康 代谢健康
背景情况:
- 肥胖是一种复杂的代谢障碍,与各种健康并发症有关.
- 代谢手术是一种有效的治疗肥胖症,导致显著的体重减轻和改善代谢参数.
- 甲状腺功能的作用在腹部外科手术后的结果,特别是重量恢复,需要进一步调查.
研究的目的:
- 探索甲状腺激素水平和肥胖患者在代谢手术后体重变化之间的关联.
- 为了确定甲状腺功能的变化是否预测减肥手术后的体重恢复.
主要方法:
- 对162名接受代谢手术的患者进行了回顾性分析.
- 甲状腺激素水平 (TSH,FT3) 与体重,腰围 (WC) 和中国内脏脂肪指数 (CVAI) 变化的相关性分析.
- 二元物流回归和ROC曲线分析,以确定减肥和恢复体重的预测因素.
主要成果:
- 手术后一年,TSH和FT3水平显著下降,体重,BMI和CVAI均有所降低.
- 降低的TSH和FT3水平与体重,BMI和CVAI的变化相关.
- 鉴于TSH水平的变化,TSH水平的变化被确定为成功减肥和随后重量恢复的预测因素.
结论:
- 甲状腺激素动态 (TSH,FT3) 与代谢手术后的体重控制和内脏脂肪度有关.
- 甲状腺激素的变化作为肥胖个体在代谢手术后恢复体重的预测标记.
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