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肥胖和不肥胖个体之间的甲状腺自身免疫和甲状腺功能测试的差异:与肥胖程度有相关性吗?
1Division of Endocrinology and Metabolism, Department of Internal Medicine Bursa Yuksek Ihtisas Education and Training Hospital, University of Health Sciences, Bursa, Turkey.
肥胖与甲状腺自身免疫性增加有关,特别是甲状腺过氧化酶抗体 (抗TPO) 和抗甲状腺球蛋白抗体 (抗Tg),尽管与BMI不成比例. 甲状腺抗体的个体表现出较差的代谢健康.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 肥胖是一个日益严重的全球健康问题,与慢性炎症和并发症有关.
- 肥胖和甲状腺自身免疫性之间的关系尚未得到充分证实.
研究的目的:
- 为了研究肥胖,肥胖程度和甲状腺自身免疫性之间的联系,在 euthyroid个体.
- 探索肥胖对甲状腺功能测试 (TFT) 和甲状腺抗体的影响.
主要方法:
- 一项病例对照研究比较了164名超甲状腺肥胖个体 (BMI>30 kg/m2) 与73名瘦身对照.
- 测量包括甲状腺激素,TSH,抗TPO,抗Tg和代谢参数.
- 肥胖的参与者根据BMI分为第一,第二和第三度肥胖.
主要成果:
- 甲状腺抗体阳性 (抗TPO和抗Tg) 在肥胖组显著更高.
- 在肥胖个体中观察到高抗Tg标位;抗TPO水平相似.
- 与对照组相比,患有一级和二级肥胖症的个体具有较高的抗体阳性和抗体标位.
- 肥胖个体的TSH和FT4水平较高.
- 甲状腺抗体阳性个体表现出更糟糕的代谢特征,尽管没有直接的相关性.
结论:
- 患有肥胖症的甲状腺腺患者表现出甲状腺自身免疫性增加.
- 甲状腺自身免疫的增加与肥胖程度 (BMI) 不成正比.
- 甲状腺抗体对肥胖的代谢参数的影响需要进一步研究.
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