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长期减少饮食摄入期间的血清甲状腺激素浓度。

Serum thyroid hormone concentrations during prolonged reduction of dietary intake.

作者信息

Visser T J, Lamberts S W, Wilson J H, Docter R, Hennemann G

出版信息

Metabolism. 1978 Apr;27(4):405-9. doi: 10.1016/0026-0495(78)90096-3.

DOI:10.1016/0026-0495(78)90096-3
PMID:634142
Abstract

In nine obese but otherwise healthy subjects the effect of caloric restriction on the serum concentrations of thyroxine (T4), 3,3',5-triiodothyronine (T3), 3,3',5'-triiodothyronine (rT3), urea, uric acid, creatinine, and bilirubin was studied. Blood was obtained before and 2, 4, and 6 wk after the subjects had changed to a chemically defined diet (31 g amino acids, 44 g carbohydrate, and 1.5 g fat; 300 kcal/day). A decline of body weight to 88% and of serum T3 to 70% of the pretreatment values was observed. Creatinine and bilirubin increased to 115% and 163%, respectively. Uric acid and rT3 showed a transient rise to 148% and 180%, respectively. Serum urea was lowest (72%) from the second until the fourth week. There was a highly significant correlation between serum rT3 and uric acid (r = 0.77, p less than 0.001). The time course of the changes seems to indicate that conversion of T4 into T3 and rT3 is mediated by separate processes.

摘要

在9名肥胖但其他方面健康的受试者中,研究了热量限制对血清甲状腺素(T4)、3,3',5-三碘甲状腺原氨酸(T3)、3,3',5'-三碘甲状腺原氨酸(反T3)、尿素、尿酸、肌酐和胆红素浓度的影响。在受试者改为化学定义饮食(31克氨基酸、44克碳水化合物和1.5克脂肪;300千卡/天)之前以及之后2周、4周和6周采集血液。观察到体重下降至预处理值的88%,血清T3下降至70%。肌酐和胆红素分别升至115%和163%。尿酸和反T3分别短暂升至148%和180%。血清尿素在第二周至第四周最低(72%)。血清反T3与尿酸之间存在高度显著的相关性(r = 0.77,p < 0.001)。变化的时间过程似乎表明,T4向T3和反T3的转化是由不同过程介导的。

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