Health Management Center, The Third Xiangya Hospital of Central South University, Changsha, China.
Xiangya Nursing School, Central South University, Changsha, China.
Front Endocrinol (Lausanne). 2022 Aug 17;13:967380. doi: 10.3389/fendo.2022.967380. eCollection 2022.
To determine the prevalence of thyroid nodules in Chinese adult women. To analyze the relationships between lifestyle, metabolic syndrome and thyroid nodules.
We conducted a retrospective cross-sectional study in the tertiary hospital from 2017 to 2019. Included participants underwent thyroid color Doppler ultrasonography, lipids examination, and dietary evaluation.
Totally 2,784 participants were included, and 933 participants were found to have thyroid nodule(s) by B-ultrasound. The prevalence of thyroid nodules was 33.3%. Women in 50-59 years (OR: 1.746, 95% CI [1.356-2.249]), older than 60 (2.147 [1.540-2.993]) and occupations with mainly manual work (1.780 [1.367-2.317]) were risk factors for thyroid nodules, while moderate dietary diversity (0.624 [0.476-0.817]) and normal triglycerides level (0.739 [0.604-0.905]) were protective factors.
Women over 50 and those whose jobs are mainly manual should enhance screening, follow-up and health management of thyroid nodules. Higher dietary diversity is protective measures against thyroid nodules for adult women and should consider dietary balance and the food varieties, not just increased quantities.
确定中国成年女性甲状腺结节的患病率。分析生活方式、代谢综合征与甲状腺结节的关系。
我们在 2017 年至 2019 年在一家三级医院进行了一项回顾性横断面研究。纳入的参与者接受了甲状腺彩色多普勒超声、血脂检查和饮食评估。
共纳入 2784 名参与者，其中 933 名参与者经 B 超检查发现甲状腺结节。甲状腺结节的患病率为 33.3%。50-59 岁的女性（OR：1.746，95%CI [1.356-2.249]）、60 岁以上的女性（2.147 [1.540-2.993]）和主要从事体力劳动的职业（1.780 [1.367-2.317]）是甲状腺结节的危险因素，而中等饮食多样性（0.624 [0.476-0.817]）和正常甘油三酯水平（0.739 [0.604-0.905]）是保护因素。
50 岁以上的女性和主要从事体力劳动的女性应加强对甲状腺结节的筛查、随访和健康管理。较高的饮食多样性是成年女性预防甲状腺结节的保护措施，应考虑饮食平衡和食物种类，而不仅仅是增加数量。
