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年轻成年人促甲状腺激素与动脉脉搏波速度的关联:芬兰年轻人心血管风险研究

Association of thyrotropin with arterial pulse wave velocity in young adults: the Cardiovascular Risk in Young Finns Study.

作者信息

Hjelt Siiri, Aatola Heikki, Kähönen Mika, Juonala Markus, Koivistoinen Teemu, Lehtimäki Terho, Viikari Jorma S A, Raitakari Olli T, Laitinen Tomi, Hutri-Kähönen Nina

机构信息

Department of Clinical Physiology, University of Tampere and Tampere University Hospital , Tampere.

出版信息

Scand J Clin Lab Invest. 2014 Nov;74(8):716-21. doi: 10.3109/00365513.2014.953994. Epub 2014 Sep 4.

Abstract

OBJECTIVE

Limited data are available regarding the relationship of thyrotropin (TSH) and arterial pulse wave velocity (PWV) at population level. Therefore, we conducted the present study to determine whether TSH is related to PWV assessed in young adulthood.

METHODS

The study population consisted of 1598 Finnish white young adults (aged 30-45 years, 47.4% males) who had TSH, traditional cardiovascular risk factors, and PWV measured in 2007. PWV measurements were performed using a whole-body impedance cardiography device.

RESULTS

In bivariate association analyses, TSH level was significantly associated with body mass index (BMI), smoking, diastolic blood pressure, triglyceride and insulin levels (p < 0.001). In multivariable regression model, TSH (β = 0.055, p = 0.015) was associated with PWV when adjusted with age (β = 0.295, p < 0.001) and sex (β = 0.345, p < 0.001). The association of TSH with PWV was however diluted to non-significant after further adjustment with traditional risk factors (β = 0.027, p = 0.218 for TSH).

CONCLUSION

Serum TSH was associated with PWV on population level when adjusted with age and sex. This association was diluted when cardiovascular risk factors were added in the model, suggesting that the association of thyroid hormone on arterial stiffening is not independent of changes in the traditional risk factor levels.

摘要

目的

在人群水平上,关于促甲状腺激素(TSH)与动脉脉搏波速度(PWV)之间关系的数据有限。因此,我们开展了本研究,以确定TSH是否与成年早期评估的PWV相关。

方法

研究人群包括1598名芬兰白人青年(年龄30 - 45岁,男性占47.4%),他们在2007年测量了TSH、传统心血管危险因素和PWV。使用全身阻抗心动图设备进行PWV测量。

结果

在双变量关联分析中,TSH水平与体重指数(BMI)、吸烟、舒张压、甘油三酯和胰岛素水平显著相关(p < 0.001)。在多变量回归模型中,当对年龄(β = 0.295,p < 0.001)和性别(β = 0.345,p < 0.001)进行调整后,TSH(β = 0.055,p = 0.015)与PWV相关。然而,在用传统危险因素进一步调整后,TSH与PWV的关联减弱至无统计学意义(TSH的β = 0.027,p = 0.218)。

结论

在对年龄和性别进行调整后,血清TSH在人群水平上与PWV相关。当在模型中加入心血管危险因素时,这种关联减弱,表明甲状腺激素对动脉僵硬度的影响并非独立于传统危险因素水平的变化。

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