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苏丹早孕女性的甲状腺功能与25(OH)维生素D水平

Thyroid Function and 25 (OH) Vitamin D Level among Sudanese Women in Early Pregnancy.

作者信息

Musa Imad R, Rayis Duria A, Ahmed Mohmamed A, Khamis Ammar H, Nasr Abubakr M, Adam Ishag

机构信息

King Abdu Aziz Armed Forces, Hospital at Air Base, Dhahran, Kingdom of Saudi Arabia.

Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

出版信息

Open Access Maced J Med Sci. 2018 Mar 7;6(3):488-492. doi: 10.3889/oamjms.2018.125. eCollection 2018 Mar 15.

Abstract

AIM

A cross-sectional study was conducted at Saad Abualila Hospital (Khartoum, Sudan) to evaluate the vitamin D levels and thyroid function among pregnant Sudanese women (132) in early pregnancy.

METHODS

A cross-sectional study was conducted at Saad Abualila hospital (Khartoum, Sudan) during the period from March to July 2015. Women who were in early pregnancy with a singleton pregnancy were approached to participate in the study after signing informed consent. A sample size of 132 participants was calculated guided by the normal interval of thyroid function in Sudanese women in the first trimester and not the level of 25(OH) vitamin D. The 25 - hydroxyvitamin D (25 (OH) vitamins levels were measured using an electrochemiluminescence immunoassay on an Elecsys 2010 Analyzer (Roche Diagnostics, Mannheim, Germany).

RESULTS

The mean (SD) of age, gravidity and gestational age was 27.6 (5.5) years, 2.2 (1.6) and 10.4 (2.2) weeks, respectively. The mean (SD) of the body mass index (BMI) and haemoglobin was 27.1 (5.2) kg/m and 10.8 (1.1) g/dl, respectively. Median (interquartile) values of TSH, FT3, and FT4 were 1.164 IU/ml (0.079 -2.177 IU/ml), 4.639 nmol/l (3.843 - 6.562 nmol/l), and 16.86 pmol/l (13.02 - 31.48 pmol/l), respectively. There was no significant correlation between vitamin D levels and TSH, FT3 and FT4.

CONCLUSION

There is no correlation between 25 (OH) vitamin D levels and thyroid function during early pregnancy among Sudanese pregnant women, despite prevalent vitamin D deficiency among these women.

摘要

目的

在苏丹喀土穆的萨阿德·阿布阿利拉医院开展一项横断面研究,以评估早孕阶段苏丹孕妇(132例)的维生素D水平和甲状腺功能。

方法

2015年3月至7月期间,在苏丹喀土穆的萨阿德·阿布阿利拉医院开展了一项横断面研究。在签署知情同意书后,邀请早孕且单胎妊娠的女性参与该研究。样本量为132名参与者,其计算依据是苏丹女性孕早期甲状腺功能的正常区间,而非25(OH)维生素D水平。使用罗氏诊断公司(德国曼海姆)的Elecsys 2010分析仪通过电化学发光免疫分析法测定25-羟维生素D(25(OH)维生素)水平。

结果

年龄、孕次和孕周的均值(标准差)分别为27.6(5.5)岁、2.2(1.6)和10.4(2.2)周。体重指数(BMI)和血红蛋白的均值(标准差)分别为27.1(5.2)kg/m²和10.8(1.1)g/dl。促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)和游离甲状腺素(FT4)的中位数(四分位间距)分别为1.164 IU/ml(0.079 - 2.177 IU/ml)、4.639 nmol/l(3.843 - 6.562 nmol/l)和16.86 pmol/l(13.02 - 31.48 pmol/l)。维生素D水平与TSH、FT3和FT4之间无显著相关性。

结论

尽管苏丹孕妇普遍存在维生素D缺乏情况,但孕早期25(OH)维生素D水平与甲状腺功能之间无相关性。

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本文引用的文献

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No Association between 25 (OH) Vitamin D Level And Hypothyroidism among Females.女性中25(OH)维生素D水平与甲状腺功能减退之间无关联。
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Vitamin D and thyroid diseases.维生素D与甲状腺疾病。
Physiol Res. 2015;64(Suppl 2):S95-S100. doi: 10.33549/physiolres.933083.

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