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早期饥荒暴露与成年期甲状腺疾病风险之间的关联
Li Liu1,2, Liliang Yu1, Daikun Zheng1
1Chongqing Three Gorges Medical College, Chongqing, China.
Frontiers in nutrition
|September 29, 2025
概括
早期的饥荒暴露对甲状腺健康的影响不同,具体取决于时间. 胎儿暴露于中国大饥荒可能会降低甲状腺结节的风险,而儿童暴露与甲状腺球蛋白抗体水平的增加有关.
科学领域:
- 内分泌学 在内分泌学.
- 营养流行病学 营养流行病学
- 公共卫生 公共卫生
背景情况:
- 早期的营养侮辱,如饥荒,与代谢障碍有关.
- 饥荒对老年人甲状腺功能的长期影响尚未得到充分证实.
- 中国大饥荒 (1959-1961) 为研究这些影响提供了一个独特的背景.
研究的目的:
- 调查胎儿和儿童暴露于中国大饥荒对甲状腺功能和晚年疾病风险的影响.
- 为了确定关键的发育窗口,用于甲状腺健康的营养编程.
主要方法:
- 在重庆 (1956名参与者) 的截面研究 (2022-2023年).
- 根据出生队伍,参与者分为未暴露,胎儿暴露和儿童暴露的群体.
- 后勤和线性回归模型用于评估饥荒暴露和甲状腺结果之间的关联,调整混因素.
主要成果:
- 胎儿饥饿暴露与明显和亚临床甲状腺功能障碍的风险增加有关.
- 与儿童暴露相比,胎儿饥饿暴露与甲状腺结节风险的反向关联.
- 儿童饥荒暴露与更高的铁血球蛋白抗体 (TgAb) 水平有关.
结论:
- 胎儿饥荒暴露可能会降低甲状腺结节的风险,而儿童暴露会增加TgAb水平,这表明甲状腺编程的明显发育窗口.
- 早期营养不良的时间显著影响长期的甲状腺健康结果.
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