代谢综合症和亚临床甲状腺功能低下症之间的关联:系统性审查
Musab Karar1, Suzan Mohammed Eltayeb Eltahir2, Afra Mubarak Mohammed Ibrahim3
1General Practice, Hull University Teaching Hospitals NHS Trust, Hull, GBR.
Cureus
|June 20, 2025
概括
亚临床甲状腺功能低下症 (SCH) 在代谢综合征 (MetS) 患者中更常见,与肥胖,血脂不良和高血压有关. 这种关联因性别和年龄而异,表明共享的代谢途径.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 心血管健康 心血管健康
背景情况:
- 代谢综合征 (MetS) 和亚临床甲状腺功能低下症 (SCH) 是常见的内分泌代谢疾病.
- 这两种情况都与心血管风险增加有关.
- 目前尚不完全理解SCH和MetS之间的关系.
研究的目的:
- 系统地审查有关SCH和MetS之间的关联的文献.
- 评估SCH和MetS之间的流行,人口变化和机制联系.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在2025年4月之前搜索了PubMed,Scopus,Web of Science和Embase.
- 包括12项符合SCH和MetS预定义标准的观察性研究.
主要成果:
- 与对照组相比,SCH患病率在MetS患者中较高 (8.9-37%).
- 在SCH和中心肥胖症,脂质不良症和高血压之间发现了显著的关联.
- 观察到SCH流行率和MetS发病率的性别和年龄差异.
结论:
- 在SCH和MetS之间存在显著的关联,可能是由于脂质代谢,胰岛素抵抗和肥胖的共同途径.
- 人口变化凸显了对高风险人群进行有针对性的查的需要.
- 需要进一步的前性研究来确定因果关系和治疗影响.
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