Jsou tyreoidální hormony a tyreotropin asociovány s kardiometabolickými riziky a inzulinovou rezistencí u eutyreoidních jedinců?
[Are the thyroid hormones and thyrotropin associated with cardiometabolic risks and insulin resistance even in euthyroid subjects?]
Language Czech Country Czech Republic Media print
Document type Journal Article
PubMed
27734684
PII: 59249
- MeSH
- Hypothyroidism epidemiology metabolism MeSH
- Insulin MeSH
- Insulin Resistance * MeSH
- Cardiovascular Diseases epidemiology metabolism MeSH
- Humans MeSH
- Metabolic Syndrome epidemiology metabolism MeSH
- Adolescent MeSH
- Obesity epidemiology metabolism MeSH
- Risk Factors MeSH
- Thyroid Function Tests MeSH
- Thyrotropin metabolism MeSH
- Thyroxine metabolism MeSH
- Triiodothyronine metabolism MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Insulin MeSH
- Thyrotropin MeSH
- Thyroxine MeSH
- Triiodothyronine MeSH
Associations of both hypothyroidism and subclinical hypothyroidism with metabolic syndrome are well established. Nowadays, more attention has been paid to the role of thyroid hormones and thyrotropin (TSH) within the euthyroid range on the development of cardiometabolic health risks. The paper summarizes current knowledge related to the associations of lower free thyroxine (fT4) level and higher levels of both free triiodothyronine (fT3) and TSH with body adiposity, metabolic syndrome and insulin resistance in euthyroid subjects. In our recent study of obese euthyroid adolescents, we revealed that fasting insulin and homeostasis model assessment of insulin resistance (HOMA-IR) positively correlated with fT3 and TSH and negatively with fT4. The ratio of fT3 to fT4 was also significantly related to HOMA-IR both in girls (r = 0.347, p < 0.001) and boys (r = 0.267, p < 0.001). It is concluded that up-to-date conducted studies mostly confirmed that thyroid hormones and TSH even in euthyroid range may significantly affect the metabolic health and particularly insulin sensitivity.Key words: euthyroid range - insulin resistance - metabolic health - metabolic syndrome - obesity - thyrotropin - thyroxine - triiodothyronine.