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成年肥胖人群甲状腺功能正常与肌肉参数之间的关联:一项初步研究。

Association Between Euthyroidism and Muscular Parameters in Adults with an Excess of Fat Mass: A Preliminary Study.

作者信息

Greco Francesca, Sicilia Luciana, Seminara Giuseppe, Iuliano Stefano, Tocci Vera, Brunetti Antonio, Aversa Antonio, Di Luigi Luigi, Sgrò Paolo

机构信息

Department of Movement, Human and Health Sciences, University "Foro Italico" of Rome, 00135 Rome, Italy.

Department of Clinical and Experimental Medicine, Magna Græcia University of Catanzaro, 88100 Catanzaro, Italy.

出版信息

Healthcare (Basel). 2025 Jan 24;13(3):241. doi: 10.3390/healthcare13030241.

Abstract

BACKGROUND/OBJECTIVES: Thyroid hormones (THs) are correlated with body composition regardless of the presence of thyroid dysfunctions, whereas little is known regarding THs' influence on muscular fitness components. This cross-sectional study investigated whether THs may affect muscular parameters in adults who are overweight and affected obesity.

METHODS

One hundred and five volunteers (65 females and 40 males, BMI: 33.5 (8.0) kg/m) in an euthyroid state were enrolled. Body composition was evaluated using bioelectrical impedance analysis. Muscular parameters of interest were grip strength-evaluated using the handgrip test (HG) and muscular performance -evaluated using the 10-repetition chair-stand test (CST). Free-triiodothyronine (FT3), free-thyroxine (FT4) and their ratio (FT3/FT4) were evaluated to assess thyroid function.

RESULTS

In the female group, the Pearson linear regression analysis revealed a positive correlation between FT3 and HG (R = 0.261, = 0.036) and a negative correlation between FT3/FT4 and CST (R= -0.266, = 0.032). In the male group, a positive correlation between FT3 and skeletal muscle mass was found (R = 0.354, = 0.025). No correlations were found between THs of interest and adiposity indexes (BMI, fat mass) in either group ( > 0.05).

CONCLUSION

FT3 and FT3/FT4 ratio levels in euthyroidism may influence muscular parameters differently in females and males affected by an excess of fat mass. More research is needed to understand the mechanisms behind this correlation and whether THs could be a potential biomarker for muscle-related parameters.

摘要

背景/目的:甲状腺激素(THs)与身体成分相关,无论是否存在甲状腺功能障碍,而关于THs对肌肉健康成分的影响知之甚少。这项横断面研究调查了THs是否会影响超重和肥胖成年人的肌肉参数。

方法

招募了105名甲状腺功能正常的志愿者(65名女性和40名男性,BMI:33.5(8.0)kg/m²)。使用生物电阻抗分析评估身体成分。感兴趣的肌肉参数包括通过握力测试(HG)评估的握力和通过10次重复坐立测试(CST)评估的肌肉表现。评估游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)及其比值(FT3/FT4)以评估甲状腺功能。

结果

在女性组中,Pearson线性回归分析显示FT3与HG之间呈正相关(R = 0.261,P = 0.036),FT3/FT4与CST之间呈负相关(R = -0.266,P = 0.032)。在男性组中,发现FT3与骨骼肌质量之间呈正相关(R = 0.354,P = 0.025)。在两组中,所关注的THs与肥胖指数(BMI、脂肪量)之间均未发现相关性(P > 0.05)。

结论

甲状腺功能正常时,FT3和FT3/FT4比值水平可能对脂肪量过多的女性和男性的肌肉参数产生不同影响。需要更多研究来了解这种相关性背后的机制,以及THs是否可能成为与肌肉相关参数的潜在生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5621/11817674/fce0d232d26a/healthcare-13-00241-g001.jpg

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