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人体测量参数与血清促甲状腺激素、催乳素、胰岛素样生长因子-I及睾酮水平的关联:波美拉尼亚地区健康研究(SHIP)结果

Associations of anthropometric parameters with serum TSH, prolactin, IGF-I, and testosterone levels: results of the study of health in Pomerania (SHIP).

作者信息

Friedrich N, Rosskopf D, Brabant G, Völzke H, Nauck M, Wallaschofski H

机构信息

1Institute of Clinical Chemistry and Laboratory Medicine, Ernst Moritz Arndt University Greifswald, Germany.

出版信息

Exp Clin Endocrinol Diabetes. 2010 Apr;118(4):266-73. doi: 10.1055/s-0029-1225616. Epub 2009 Jul 16.

Abstract

Obesity is a major risk factor for chronic diseases including cardiovascular disorders. Divergent associations between obesity and hormonal changes have been reported. The objective of the present study was to analyse the associations between anthropometric measurements and hormone levels including serum thyroid stimulating hormone (TSH), prolactin, insulin-like growth factor (IGF) I, and testosterone. Form the cross-sectional Study of Health in Pomerania 1 women and 1 864 men aged 20-79 years were included in the analyses. Serum TSH, prolactin, IGF-I, and testosterone levels were determined by immunochemiluminescent procedures. Body height, weight as well as waist and hip circumferences were measured. Body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were calculated. Our analyses revealed inverse linear associations of waist and hip circumferences, BMI and WHtR with serum TSH levels and linear associations between waist circumference as well as WHtR and serum prolactin levels in women. In men, inverse linear and quadratic associations between anthropometric parameters and serum IGF-I as well as serum testosterone levels were found. Additionally, men with high waist circumference had more often low serum IGF-I or testosterone levels and less often high serum IGF-I or testosterone levels compared to men with low waist circumference. These sex-specific differences should be noted in studies regarding hormones and obesity.

摘要

肥胖是包括心血管疾病在内的慢性疾病的主要风险因素。已有报道称肥胖与激素变化之间存在不同的关联。本研究的目的是分析人体测量指标与激素水平之间的关联,这些激素包括血清促甲状腺激素(TSH)、催乳素、胰岛素样生长因子(IGF)I和睾酮。在波美拉尼亚健康横断面研究中,纳入了1864名年龄在20 - 79岁之间的女性和男性进行分析。血清TSH、催乳素、IGF - I和睾酮水平通过免疫化学发光法测定。测量身高、体重以及腰围和臀围。计算体重指数(BMI)、腰臀比(WHR)和腰高比(WHtR)。我们的分析显示,在女性中,腰围、臀围、BMI和WHtR与血清TSH水平呈负线性关联,腰围以及WHtR与血清催乳素水平呈线性关联。在男性中,人体测量参数与血清IGF - I以及血清睾酮水平之间存在负线性和二次关联。此外,与腰围低的男性相比,腰围高的男性血清IGF - I或睾酮水平低的情况更常见,而血清IGF - I或睾酮水平高的情况则较少见。在关于激素与肥胖的研究中应注意这些性别差异。

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