The Relationship between Thyroid Function and Different Obesity Phenotypes in Korean Euthyroid Adults
- Author:
Jeong Mi KIM
1
;
Bo Hyun KIM
;
Hyungi LEE
;
Eun Heui KIM
;
Mijin KIM
;
Jong Ho KIM
;
Yun Kyung JEON
;
Sang Soo KIM
;
In Joo KIM
;
Yong Ki KIM
Author Information
- Publication Type:Original Article
- Keywords: Metabolic syndrome; Obesity; Phenotype; Sex; Thyroid hormones
- MeSH: Adipose Tissue; Adult; Body Mass Index; Cardiovascular Diseases; Humans; Iodine; Korea; Male; Nutrition Surveys; Obesity; Obesity, Metabolically Benign; Phenotype; Smoke; Smoking; Thyroid Diseases; Thyroid Gland; Thyroid Hormones; Thyrotropin; Thyroxine
- From:Diabetes & Metabolism Journal 2019;43(6):867-878
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Thyroid disease and metabolic syndrome are both associated with cardiovascular disease. The aim of this study was to investigate the correlation between thyroid hormones and obesity sub-phenotypes using nationwide data from Korea, a country known to be iodine replete.METHODS: This study was based on data obtained from the sixth Korea National Health and Nutrition Examination Survey, administered from 2013 to 2015. A total of 13,873 participants aged ≥19 years were included, and classified into four groups: metabolically healthy non-obesity (MHNO), metabolically healthy obesity (MHO), metabolically unhealthy non-obesity (MUNO), and metabolically unhealthy obesity (MUO) by body fat on the basis of body mass index and metabolic health.RESULTS: At baseline, serum free thyroxine (fT4) values were significantly higher in the MHNO phenotype (MHNO, 1.27±0.01 ng/dL; MHO, 1.25±0.01 ng/dL; MUNO, 1.24±0.01 ng/dL; MUO, 1.24±0.01 ng/dL, P<0.001) in total study population. However, this significant association no longer remained after adjustment for age, urine iodine concentration, and smoking (P=0.085). After adjustment for confounders, statistically significant association was observed between lower thyroid stimulating hormone (TSH) and MHNO phenotype (P=0.044). In men participants (not women), higher fT4 values were significantly associated with MHNO phenotype (P<0.001). However, no significant association was observed between thyroid function (TSH or fT4) and obesity phenotypes in groups classified by age (cutoff age of 55 years).CONCLUSION: Although there was a difference by age and sex, we found that the decrease of TSH and the increase of fT4 values were associated with MHNO.
