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波兰桥本甲状腺炎女性铁人三项运动员代谢参数评估

Assessment of Metabolic Parameters in Female Triathletes with Hashimoto's Thyroiditis in Poland.

作者信息

Gierach Marcin, Junik Roman

机构信息

Department of Endocrinology and Diabetology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, ul. M. Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland.

Cardiometabolic Center Gierach-Med, ul. Bydgoskich Olimpijczyków 5/39-40, 85-796 Bydgoszcz, Poland.

出版信息

Biomedicines. 2023 Mar 2;11(3):769. doi: 10.3390/biomedicines11030769.

Abstract

: Hypothyroidism is a complex disorder characterized by an increase in body weight. About 15-30% of hypothyroid patients are reported to be overweight. The triathlon is an endurance combination sport that comprises a sequential swim, cycle, and run. Triathletes must withstand high training loads with various combinations of intensity and volume. Adequate body structure, the ratio of fat and muscle tissue, and adequate hydration play a huge role. The aim of our study was to show the potential differences in metabolic parameters assessed by medical Body Composition Analyzer before the initiation of treatment with L-thyroxine and after 3 and 6 months of treatment in females who practiced triathlon and who were newly diagnosed with Hashimoto's thyroiditis. : The study group included 32 females practicing triathlon. They were recruited for 10 months from March to December 2021. Analysis of anthropometric measurements was performed using a seca device mBCA 515 medical Body Composition Analyzer. : We observed significant differences in FM and VAT before and after L-thyroxine treatment. We also noticed lower BMI levels after treatment, along with significant differences in thyroid function tests (TSH and fT4) carried out during the recruitment period and after 3 and 6 months of treatment. Conclusion: Due to their higher daily energy consumption, further research is needed into the treatment of Hashimoto's thyroiditis in athletes who practice triathlon. Frequent bioelectrical impedance analysis of body composition during treatment can be very helpful.

摘要

甲状腺功能减退症是一种以体重增加为特征的复杂疾病。据报道,约15%-30%的甲状腺功能减退患者超重。铁人三项是一项耐力综合运动,包括依次进行的游泳、骑自行车和跑步。铁人三项运动员必须承受高强度和高训练量的各种组合。适当的身体结构、脂肪与肌肉组织的比例以及充足的水合作用起着巨大的作用。我们研究的目的是展示在新诊断为桥本甲状腺炎的女性铁人三项运动员中,在开始使用左旋甲状腺素治疗前以及治疗3个月和6个月后,通过医学人体成分分析仪评估的代谢参数的潜在差异。

研究组包括32名从事铁人三项运动的女性。她们于2021年3月至12月招募了10个月。使用seca设备mBCA 515医学人体成分分析仪进行人体测量分析。

我们观察到左旋甲状腺素治疗前后FM和VAT有显著差异。我们还注意到治疗后BMI水平较低,以及在招募期间和治疗3个月及6个月后进行的甲状腺功能测试(TSH和fT4)有显著差异。结论:由于铁人三项运动员日常能量消耗较高,对于他们中桥本甲状腺炎的治疗需要进一步研究。治疗期间频繁进行身体成分的生物电阻抗分析会非常有帮助。

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Body composition and Hashimoto disease.身体成分与桥本氏病
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