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甲状腺功能与代谢相关的脂肪肝疾病之间的关联:系统性审查和元分析
Wei Xiong1, Hua Fan2, Jiake Tang3
1The First People's Hospital of Jiande, Hangzhou, China.
Frontiers in endocrinology
|November 14, 2025
概括
甲状腺功能障碍,特别是甲状腺刺激激素 (TSH) 的升高,与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 有关. 年龄影响了这种关系,突出了TSH作为MAFLD发展的潜在风险因素.
科学领域:
- 内分泌学 在内分泌学.
- 肝病学 肝病学是一种肝病学.
- 代谢疾病 代谢疾病
背景情况:
- 代谢功能障碍相关的脂肪肝疾病 (MAFLD) 是一种普遍存在的慢性肝病.
- MAFLD与甲状腺功能之间的关联仍然是正在进行的研究和辩论的主题.
研究的目的:
- 研究代谢因素和甲状腺功能障碍对MAFLD发展的影响.
- 分析不同年龄人口群体中MAFLD和甲状腺参数之间的关系.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,CNKI,Cochrane Library) 中进行了系统的文献搜索.
- 进行了超分析,使用标准化平均差异 (SMD) 和几率比率,并使用95%的置信区间 (CI).
主要成果:
- 对36项涉及198,254名参与者的研究分析显示,与对照组相比,MAFLD患者的甲状腺功能存在显著差异.
- 在MAFLD患者中观察到甲状腺刺激激素 (TSH),自由三甲状腺素和总三甲状腺素的升高.
- 在MAFLD患者中,自由甲状腺素和总甲状腺素的水平降低.
结论:
- 甲状腺刺激激素 (TSH) 可能是MAFLD病变的一个重要风险因素.
- 甲状腺功能和MAFLD之间的相互作用是由患者年龄调节的.
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