各年龄组促甲状腺激素水平与维生素 D 缺乏症严重程度之间的关系。

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY
Mansi Modi, Pinky Garg
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引用次数: 0

摘要

研究目的长期以来,研究人员一直被维生素 D 与甲状腺之间复杂的分子相互作用所吸引。甲状腺功能减退症影响着2%至4%的育龄妇女,可通过无排卵周期、黄体期缺陷、高催乳素血症和性激素失衡影响生育能力。本研究调查了甲状腺疾病与不同年龄组维生素 D 缺乏严重程度之间的关系:我们对本院临床生化实验室处理的286份患者样本进行了回顾性研究,这些样本来自18至60岁的人群。对样本进行了促甲状腺激素(TSH)和维生素 D(特别是维生素 D3)水平检测。研究样本根据促甲状腺激素水平分为四个临床相关组,根据血清 25- 羟维生素 D(25(OH)D)水平分为三组:大多数样本来自女性患者(269 人),最常见的年龄组为 18 至 35 岁(191 人,66.78%)。在 120 名患者中发现了亚临床甲状腺功能减退症,而在 237 名参与者(82.87%)中发现了维生素 D 缺乏症。观察发现,维生素 D 缺乏与甲状腺疾病之间存在明显关联。此外,还发现促甲状腺激素和维生素 D 水平之间存在明显的负相关。103名女性患者(36.01%)患有多囊卵巢综合征:结论:所有育龄妇女都应接受促甲状腺激素和25(OH)D水平的筛查,而不仅仅是那些高危人群,因为亚临床和隐匿性甲状腺功能减退症可能会被漏诊。此外,促甲状腺激素应被视为主要的筛查项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between thyroid-stimulating hormone levels and the severity of vitamin D deficiency by age group.

Objective: Researchers have long been captivated by the complex molecular interactions between vitamin D and the thyroid gland. Hypothyroidism affects 2% to 4% of women of reproductive age and can impact fertility through anovulatory cycles, luteal phase defects, hyperprolactinemia, and sex hormone imbalances. This study investigated the relationship between thyroid disease and the severity of vitamin D deficiency across different age groups.

Methods: A retrospective study was conducted of 286 patient samples from individuals aged 18 to 60 years who were processed in the clinical biochemistry laboratory of our hospital. Samples were tested for thyroid-stimulating hormone (TSH) and vitamin D (specifically, vitamin D3) levels. The study samples were categorized into four clinically relevant groups based on TSH levels and into three groups based on serum 25-hydroxyvitamin D (25(OH)D) levels.

Results: Most of the samples were from female patients (n=269), and the most common age group was 18 to 35 years (n=191, 66.78%). Subclinical hypothyroidism was identified in 120 patients, while vitamin D deficiency was present in 237 (82.87%) participants. A significant association was observed between vitamin D deficiency and the presence of thyroid disorders. Additionally, a significant negative correlation was found between TSH and vitamin D levels. Polycystic ovary syndrome was noted in 103 female patients (36.01%).

Conclusion: TSH and 25(OH)D levels should be screened in all women of reproductive age, not just those in high-risk groups, as subclinical and occult hypothyroidism may otherwise go undiagnosed. Furthermore, TSH should be considered the primary screening test.

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CiteScore
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