在老年患有哈西莫托甲状腺炎的甲状腺腺癌患者中,自由T3和肉症之间的关联
Jin-Liang Chen1,2, Yuan Gao2, Qian Xiao2
1Department of Endocrinology and Metabolism, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Frontiers in endocrinology
|September 2, 2025
概括
较高的自由T3 (FT3) 水平与较好的肌肉质量,力量和身体功能有关. 这表明FT3在预防与年龄相关的肌肉损失方面发挥着关键作用.
科学领域:
- 内分泌学
- 老年病学
- 肌肉生理学
背景情况:
- 人们越来越认识到甲状腺激素在与年龄相关的肌肉损失 (肉症) 中的作用.
- 哈西莫托甲状腺炎 (HT) 是一种常见的自身免疫性甲状腺疾病,影响老年人群.
研究的目的:
- 调查甲状腺激素水平与甲状腺癌老年患者的缩症之间的关联.
- 为了确定自由T3 (FT3) 水平是否与这种特定人群的肉症风险相关.
主要方法:
- 对442名甲状腺功能较好的老年人进行横截面研究.
- 根据亚洲肉病工作组 (AWGS) 2019标准诊断出肉病.
- 评估身体组成,握力,步行速度和甲状腺激素度 (FT3).
- 使用后勤回归分析来评估FT3和肉症风险.
主要成果:
- 与非肉患者相比,患有肉患者的FT3水平显著降低 (2. 92比3. 00ppg/ ml).
- FT3与手握力,步行速度和骨肌肉质量有积极的关联.
- 较低的FT3水平独立地与增加的肉症风险相关 (OR0. 533; p=0. 005).
结论:
- 在正常范围内较高的FT3水平与更大的骨肌肉质量,手握力和身体功能有关.
- 这些发现突出了FT3在缓解老年甲状腺症患者的肉症方面的潜在作用.
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