Diabetic Med:甲状腺功能障碍与血糖异常之间的关系

2017-10-31 MedSci MedSci原创

近日,国际杂志 《Diabetic Medicine》上在线发表一项关于甲状腺功能障碍与血糖异常之间的关系的前瞻性队列研究。研究的目的是为比较低血清,高和正常血清甲状腺激素浓度参与者之间高血糖发生率,以及正常血糖和高血糖患者甲状腺功能异常检测结果的发生率。

近日,国际杂志 《Diabetic Medicine》上在线发表一项关于甲状腺功能障碍与血糖异常之间的关系的前瞻性队列研究。研究的目的是为比较低血清,高和正常血清甲状腺激素浓度参与者之间高血糖发生率,以及正常血糖和高血糖患者甲状腺功能异常检测结果的发生率。

在本项前瞻性研究中,对从研究开始到第一次报告糖尿病糖尿病前期的72003名具有正常,低和升高的血清甲状腺刺激激素浓度的参与者进行随访。使用比例风险回归模型计算每个结果的风险比率和95CI,根据年龄,性别,教育水平,吸烟,饮酒和肥胖进行校正。还进行了血糖异常与异常甲状腺功能检查的关联性分析。

在中位数为2.6年的随访期间,基线时甲状腺激素浓度升高的参与者,血糖异常,特别是糖尿病前期的事件发生率明显升高,而正常和低甲状腺刺激激素参与者的发生率相似。控制危险因素后,甲状腺激素升高的参与者保持糖尿病前期风险增加15%(调整风险比为1.15,95CI 1.04-1.26),但不具有更高的糖尿病风险(调整风险比为0.96 95CI 0.64-1.44)。相比之下,具有正常和低甲状腺刺激激素浓度的参与者具有类似的血糖异常风险。糖尿病和前期糖尿病的参与者与有血糖症的患者相比,在甲状腺功能异常检测方面的风险并不大。

研究表明,血清甲状腺激素浓度升高的患者发生前期糖尿病的风险较大。这是否包括发展成糖尿病的风险更大可能需要长期后续研究来解释。

原始出处:

C.-H. Chang, Y.-C. Yeh, S.-R. Shihet al. Association between thyroid dysfunction and dysglycaemia: a prospective cohort study

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GetPortalCommentsPageByObjectIdResponse(id=257666, encodeId=124e25e66645, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Wed Nov 01 06:01:52 CST 2017, time=2017-11-01, status=1, ipAttribution=)]
    2017-11-01 中医痴

    不错的.学习了.学习分享!

    0

  8. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Thu Nov 02 14:52:00 CST 2017, time=2017-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257737, encodeId=a7eb25e73794, content=不错的.学习了.学习分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Wed Nov 01 09:29:06 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257705, 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GetPortalCommentsPageByObjectIdResponse(id=257666, encodeId=124e25e66645, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Wed Nov 01 06:01:52 CST 2017, time=2017-11-01, status=1, ipAttribution=)]
    2017-11-01 榄枷檬

    学习学习

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1638163, encodeId=19ab16381631b, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Fri Mar 16 05:52:00 CST 2018, time=2018-03-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1760317, encodeId=45f81e603175e, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, 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GetPortalCommentsPageByObjectIdResponse(id=257666, encodeId=124e25e66645, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Wed Nov 01 06:01:52 CST 2017, time=2017-11-01, status=1, ipAttribution=)]
    2017-11-01 天地飞扬

    谢谢分享!

    0

  10. 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GetPortalCommentsPageByObjectIdResponse(id=257666, encodeId=124e25e66645, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Wed Nov 01 06:01:52 CST 2017, time=2017-11-01, status=1, ipAttribution=)]
    2017-11-01 yjs木玉

    好好好好好好好好

    0