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肥胖对沙特甲状腺功能正常成年人血清甲状腺激素水平的影响。

Impact of Obesity on Serum Levels of Thyroid Hormones among Euthyroid Saudi Adults.

作者信息

Al-Musa Hassan M

机构信息

Family and Community Medicine Department, College of Medicine, King Khalid University, Abha, Saudi Arabia.

出版信息

J Thyroid Res. 2017;2017:5739806. doi: 10.1155/2017/5739806. Epub 2017 May 22.

Abstract

AIM OF STUDY

To assess serum thyroid hormones levels among Saudi adults and to correlate participants' serum levels with their grades of body mass index (BMI).

METHODOLOGY

A total of 278 adult subjects were recruited. Participants were categorized according to their BMI grades into normal weight (BMI < 25 kg/m), overweight (BMI 25-29.9 kg/m), or obese (BMI ≥ 30 kg/m). Serum thyroid hormones levels were assessed at the central laboratory of Aseer Central Hospital, Abha City, by chemiluminescence immunoassay.

RESULTS

More than three-fourths of participants were either overweight (31.3%) or obese (44.6%). Mean TSH serum levels showed a significantly increasing trend with increasing BMI ( < 0.001). A negative trend was observed regarding participants' mean serum levels of fT4 with their BMI, but there were no significant differences in mean serum fT4 levels according to BMI. Moreover, no significant differences were observed in serum fT3 levels according to BMI.

CONCLUSIONS

Mean TSH serum levels increase with BMI increase. Further largescale multicentric and longitudinal studies are necessary to prove the association between serum levels of thyroid hormones and BMI of euthyroid adults.

摘要

研究目的

评估沙特成年人的血清甲状腺激素水平,并将参与者的血清水平与其体重指数(BMI)等级相关联。

方法

共招募了278名成年受试者。参与者根据其BMI等级分为正常体重(BMI < 25 kg/m)、超重(BMI 25 - 29.9 kg/m)或肥胖(BMI ≥ 30 kg/m)。血清甲状腺激素水平在阿卜哈市阿西尔中心医院的中央实验室通过化学发光免疫分析法进行评估。

结果

超过四分之三的参与者超重(31.3%)或肥胖(44.6%)。随着BMI增加,促甲状腺激素(TSH)血清平均水平呈显著上升趋势(< 0.001)。观察到参与者游离甲状腺素(fT4)血清平均水平与其BMI呈负相关趋势,但根据BMI,血清fT4平均水平无显著差异。此外,根据BMI,血清游离三碘甲状腺原氨酸(fT3)水平也无显著差异。

结论

TSH血清平均水平随BMI增加而升高。需要进一步开展大规模多中心纵向研究,以证实甲状腺功能正常成年人的血清甲状腺激素水平与BMI之间的关联。

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