Triiodothyronine Levels Are Independently Associated with Metabolic Syndrome in Euthyroid Middle-Aged Subjects.
10.3803/EnM.2016.31.2.311
- Author:
Hye Jeong KIM
1
;
Ji Cheol BAE
;
Hyeong Kyu PARK
;
Dong Won BYUN
;
Kyoil SUH
;
Myung Hi YOO
;
Jae Hyeon KIM
;
Yong Ki MIN
;
Sun Wook KIM
;
Jae Hoon CHUNG
Author Information
1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Thyroid hormones;
Triiodothyronine;
Metabolic syndrome
- MeSH:
Blood Pressure;
Body Mass Index;
Cholesterol, HDL;
Cohort Studies;
Fasting;
Glucose;
Hemoglobin A, Glycosylated;
Humans;
Logistic Models;
Longitudinal Studies;
Metabolome;
Odds Ratio;
Retrospective Studies;
Thyroid Gland;
Thyroid Hormones;
Thyrotropin;
Thyroxine;
Triglycerides;
Triiodothyronine*
- From:Endocrinology and Metabolism
2016;31(2):311-319
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Recent studies have shown an association between thyroid hormone levels and metabolic syndrome (MetS) among euthyroid individuals; however, there have been some inconsistencies between studies. Here, we evaluated the relationship between thyroid hormone levels and MetS in euthyroid middle-aged subjects in a large cohort. METHODS: A retrospective analysis of 13,496 euthyroid middle-aged subjects who participated in comprehensive health examinations was performed. Subjects were grouped according to thyroid stimulating hormone, total triiodothyronine (T3), total thyroxine (T4), and T3-to-T4 ratio quartile categories. We estimated the odds ratios (ORs) for MetS according to thyroid hormone quartiles using logistic regression models, adjusted for potential confounders. RESULTS: Of the study patients, 12% (n=1,664) had MetS. A higher T3 level and T3-to-T4 ratio were associated with unfavourable metabolic profiles, such as higher body mass index, systolic and diastolic blood pressure, triglycerides, fasting glucose and glycated hemoglobin, and lower high density lipoprotein cholesterol levels. The proportion of participants with MetS increased across the T3 quartile categories (P for trend <0.001) and the T3-to-T4 ratio quartile categories (P for trend <0.001). The multi-variate-adjusted OR (95% confidence interval) for MetS in the highest T3 quartile group was 1.249 (1.020 to 1.529) compared to the lowest T3 quartile group, and that in the highest T3-to-T4 ratio quartile group was 1.458 (1.141 to 1.863) compared to the lowest T3-to-T4 ratio quartile group, even after adjustment for potential confounders. CONCLUSION: Serum T3 levels and T3-to-T4 ratio are independently associated with MetS in euthyroid middle-aged subjects. Longitudinal studies are needed to define this association and its potential health implications.
