一个被忽视的点:老年人与差异化甲状腺癌的脆弱性
Meric Coskun1, Esra Cataltepe2, Hacer Dogan Varan2
1Department of Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.
Endocrinology and metabolism (Seoul, Korea)
|November 5, 2024
概括
患有差异化甲状腺癌 (DTC) 和较低甲状腺刺激激素 (TSH) 水平的老年人面临更高的脆弱性风险,肌肉质量减少和力量下降. 仔细的TSH目标设定对于管理这些患者的脆弱性至关重要.
科学领域:
- 老年学是一门学科.
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 差异化甲状腺癌 (DTC) 在老年人中很常见.
- 脆弱性是人口老龄化的一个重大问题.
- 甲状腺刺激激素 (TSH) 水平与DTC患者的脆弱性之间的关系需要研究.
研究的目的:
- 评估患有DTC的老年人的脆弱风险.
- 检查TSH水平对这一群体脆弱性的影响.
- 为了确定DTC患者脆弱性的预测因素.
主要方法:
- 一个单中心的横截面研究,对70名DTC患者 (年龄≥60岁) 进行了稳定的TSH.
- 使用脆性表型 (FFP) 评估的脆弱性.
- 测量了肌肉质量 (超声波),力量 (手动力计) 和体力活动 (PASE).
主要成果:
- 58.6%的患者是先前脆弱或脆弱的.
- 较低的TSH水平与脆弱性/脆弱性,低肌肉质量和低强度有关.
- TSH水平与FFP负相关,与STAR指数正相关.
- 低TSH (<1.325μIU/mL) 预测增加了脆弱性风险.
结论:
- 老年DTC患者的TSH水平较低与较高的虚弱风险,肌肉质量减少和力量减弱有关.
- 综合评估,考虑风险/收益比率,对于设定TSH目标至关重要.
- 女性性别,手握强度低,体力活动低也预测了这一群体的脆弱性.
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