甲状腺功能低下症和代谢综合征之间的关联在中国青海,中国
Xiaoxia Fan1,2,3,4,5, Yongli Yao5, Shengjun Chai1,2,3,4
1Research Center for High Altitude Medicine, Qinghai University Medical College, Xining, Qinghai, China.
Frontiers in endocrinology
|November 11, 2024
概括
甲状腺功能低下症影响到青海成年人的30.25%,女性的发病率更高. 吸烟和饮酒是危险因素,早期查是预防代谢综合征的关键.
科学领域:
- 内分泌学 在内分泌学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 青海省的甲状腺功能低下的患病率和影响因素尚未得到充分证实.
- 建立甲状腺功能的局部参考范围对于准确的诊断至关重要.
研究的目的:
- 为了确定青海的甲状腺功能低下的患病率和危险因素.
- 为青海人口建立正常甲状腺功能参考范围.
- 探索甲状腺激素和代谢综合征之间的关系.
主要方法:
- 在18岁以上的2790名青海居民中进行了分层集群随机抽样.
- 通过问卷,体检和实验室测试收集数据.
- 甲状腺功能测试,甲状腺超声波和代谢综合征组件的分析.
主要成果:
- 甲状腺功能低下的患病率为30.25% (1.03%临床,29.22%亚临床).
- 女性患病率更高;吸烟和饮酒是危险因素.
- 已建立的95%的参考范围:TSH为0.43-5.51mIU/L,FT4为11.0-20.4 pmol/L,FT3为3.63-5.73 pmol/L.
- 在正常甲状腺功能个体中,代谢综合征与FT3和FT4正相关.
结论:
- 青海的甲状腺功能低下患病率很高,受到吸烟和饮酒的影响.
- 在中国西部,当地参考范围有助于诊断甲状腺疾病.
- 早期甲状腺查对于预防代谢综合征至关重要.
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