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甲状腺疾病中的肥胖治疗应何时开始?

When Should the Treatment of Obesity in Thyroid Disease Begin?

作者信息

Sutkowska Edyta, Kisiel Michał, Zubkiewicz-Kucharska Agnieszka

机构信息

Department of Clinical Physiotherapy and Rehabilitation, Faculty of Physiotherapy, Wroclaw Medical University, 50-367 Wroclaw, Poland.

Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.

出版信息

Biomedicines. 2025 Jan 10;13(1):157. doi: 10.3390/biomedicines13010157.

Abstract

Obesity often coexists with thyroid diseases, and the prevalence of these disorders has been on the rise for years. While hypothyroidism can contribute to excess fat tissue, the relationship between Body Mass Index (BMI) and thyroid function hormones is bidirectional. Research confirms that fat tissue reduction can positively impact thyroid function. Thus, delaying the initiation of therapies beyond substitution treatment to achieve optimal weight reduction in individuals with thyroid dysfunction seems unwarranted. The authors summarize current knowledge on this topic in the article.

摘要

肥胖常与甲状腺疾病并存,且这些疾病的患病率多年来一直在上升。虽然甲状腺功能减退会导致脂肪组织过多,但体重指数(BMI)与甲状腺功能激素之间的关系是双向的。研究证实,减少脂肪组织对甲状腺功能有积极影响。因此,对于甲状腺功能障碍患者,推迟开始替代治疗以外的疗法以实现最佳体重减轻似乎没有必要。作者在文章中总结了关于这一主题的现有知识。

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