血清甲状腺激素水平与老年人代谢疾病之间的关系
Xiaodan Zhai1,2, Yongze Li1, Xiaochun Teng1
1Department of Endocrinology and Metabolism, Institute of Endocrinology, National Health Commission Key Laboratory of Diagnosis and Treatment of Thyroid Diseases, The First Hospital of China Medical University, Shenyang 110001, Liaoning, P. R. China.
甲状腺刺激激素 (TSH) 水平略高与老年人的代谢疾病无关. 这建议重新考虑65岁及以上的个人标准TSH参考范围.
科学领域:
- 内分泌学 在内分泌学.
- 老年病的医生 老年病的医生
- 代谢健康 代谢健康
背景情况:
- 亚临床甲状腺功能低下症与代谢疾病有关,但其在老年人中的重要性仍在争论中.
- 甲状腺激素 (TSH) 水平及其与代谢健康的关联需要进一步研究,特别是在老年人群中.
研究的目的:
- 检查甲状腺激素 (TSH) 水平与老年人代谢疾病的患病率之间的关系.
- 为了比较这些协会在老年人与年轻人.
主要方法:
- 一项涉及中国大陆6791名老年人 (≥65岁) 和55303名年轻人 (18-64岁) 的横截面研究.
- 参与者根据TSH水平分成组,使用标准和特定年龄的范围.
- 评估的人类测量测量,甲状腺功能和代谢参数.
主要成果:
- 在老年人中,略高的TSH (4.21-8.86 mU/L) 与甲状腺水平 (0.27-4.2 mU/L) 相比,与代谢障碍的增加无关.
- 然而,高于8.86mU/L的TSH水平与老年人中低高密度脂蛋白胆固醇和脂质失调独立相关.
- 这些关联与在年轻人中观察到的不同.
结论:
- 该研究得出结论,轻微升高的TSH水平与65岁及以上个体代谢性疾病风险增加无关.
- 建议考虑提高老年人TSH参考范围的上限.
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