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불현성 갑상선 기능저하증과 혈청 총 콜레스테롤, 저밀도 콜레스테롤 농도와의 상관성

Interreationship between the Subclinical Hypothyroidism and Serum Total Cholesterol, LDL-Cholesterol

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주제분류한의학

초록

This study was carried out in 14,443 subjects(8,706 men, 5,737 women, mean age 41.8 ± 9.16) who visited the health promotion center of one university hospital.Serum T₃, T₄and TSH concentrations were measured with CIA using commercial kits on ADVIA Centaur Assay and Serum total cholesterol, triglyceride, and HDL-cholesterol were measured by auto- analyzer Hitach 7600 in enzyme method.1. The prevalence of subclinical hypothyroidism was 12.6/1,000 population(men 6.0/1,000, women 22.7/ 1,000) and as high as about 4 times in women than in men.2. In subclinical hypothyroidism, the values of total cholesterol and LDL-cholesterol were significantly high by 5.5 mg/dL, 4.6 mg/dL compared with normal group(p<0.05).3. In all the tested hypercholesterolemia and hyperLDL-cholesterolemia, were correlated with TSH. There is higher correlation in women group than men group. These results indicate that the subclinical hypothyroidism and dyslipemia significantly correlated. Especially, it is very important to find that the hypercholesterolemia and hyperLDL-cholesterolemia are the high risk factors of atherosclerosis. Therefore, it is essential for the group of subclinical hypothyroidism to take the cholesterol, LDL-cholesterol and serum lipid test as well as thyroid function test.

Abstract

This study was carried out in 14,443 subjects(8,706 men, 5,737 women, mean age 41.8 ± 9.16) who visited the health promotion center of one university hospital.Serum T₃, T₄and TSH concentrations were measured with CIA using commercial kits on ADVIA Centaur Assay and Serum total cholesterol, triglyceride, and HDL-cholesterol were measured by auto- analyzer Hitach 7600 in enzyme method.1. The prevalence of subclinical hypothyroidism was 12.6/1,000 population(men 6.0/1,000, women 22.7/ 1,000) and as high as about 4 times in women than in men.2. In subclinical hypothyroidism, the values of total cholesterol and LDL-cholesterol were significantly high by 5.5 mg/dL, 4.6 mg/dL compared with normal group(p<0.05).3. In all the tested hypercholesterolemia and hyperLDL-cholesterolemia, were correlated with TSH. There is higher correlation in women group than men group. These results indicate that the subclinical hypothyroidism and dyslipemia significantly correlated. Especially, it is very important to find that the hypercholesterolemia and hyperLDL-cholesterolemia are the high risk factors of atherosclerosis. Therefore, it is essential for the group of subclinical hypothyroidism to take the cholesterol, LDL-cholesterol and serum lipid test as well as thyroid function test.

참고문헌 (13)

  1. 정찬희, 신헌섭, 이현영, 박승하, 이호철, 김선우, 이원영, 김범수, 강진호, 김선우, 이만호, 박정로, 성기철, 이은정, "한국인에서 갑상선기능에 따른 지질, hsCRP, 허리둔부비와 같은 심혈관질환의 위험인자의 변화", 대한내과학회지, 63(3), pp.5~282 (2002), 대한내과학회
  2. Vanderpump MP, "The incidence of thyroid disorders in the community:a twenty-year follow-up of the Whickham Survey", Clin Endocrinol, 43, pp.55~68 (1995)
  3. Tunbridge WM, "The spectrum of thyroid disease in a com- munity", Clin Endocrinol, 7, pp.481~493 (1977)
  4. Hak AE, "Subclinical hypothyroidism is an independent risk factor for atherosclerosis and myocardial infarction in elderly women:the Rotterdam Study", Ann Intern Med, 132(4), pp.270~278 (2000)
  5. Feld S, "An association between varying degrees of hypothyroidism and hypercholesterloemia in women", Prev Car- diol, 4, pp.179~182 (2000)
  6. Friedewald WT, "Fredrickson DS;Estimation of the concentration of low density lipoprotein cholesterol in plasma, without use of the preparative ultra- centrfuge", Clin Chem, 6, pp.136~145 (1972)
  7. Expert panel on detection, evaluation and treament of high blood cholesterol in adults, "summary of the second report of the national cholesterol education program (NCEP):expert panel on detection, eva- luation, and treatment of high blood cholesterol in cholesterol in adults(adults treatment panelⅡ)", JAMA, 269, pp.3015~3023 (1993)
  8. Canaris GJ, "The Colorado thyroid di- sease prevalence study", Arch Intern Med, 160, pp.526~534 (2000)
  9. Andersen RK, "Thyroid function, morphol ogy and prevalence of thyroid population based study of danish centenarians", Geriatr Soc, 47, pp.1238~1243 (1999)
  10. Fardella C, "High prevalence of subclinical thyroidal disease among indi- visuals attended in health control", Rev Med Chil, 129, pp.155~160 (2001)
  11. 정재훈, "건강검진수진자를 대상으로 한 갑상선중독증과 갑상선 기능저하증의 유병률 조사", 대한내분비학회지, 14, pp.301~313 (1999)
  12. 정원제, "고콜레스테롤증 성인환자에서 무증상 갑상선 기능저하증의 빈도와 혈청 콜레스테롤치에 대한 혈청 TSH의 영향", 대한내과학회지, 63(2), pp.187~19 (2002)
  13. Bindels AJ, "The prevalence of subclinical hypothyroidism at different total plasma cholesterol levels in middle aged men and women:a need for case-finding?", Clin Endocrinol, 50, pp.217~220 (1999)

관련 논문AI추천

고콜레스테롤혈증 성인환자에서 무증상 갑상선 기능저하증의 빈도와 혈청 콜레스테롤 치에 대한 혈청 TSH의 영향김성운, 김영설, 김진우, 류미숙, 박병헌, 박철영, 양인명, 오승준, 우정택, 정원제, 최영길, 팽정령대한내과학회 · 대한내과학회지2002 · 제62권 제2호한국인에서 갑상선기능에 따른 지질, hsCRP, 허리둔부비와 같은 심혈관질환의 위험인자의 변화강진호, 김범수, 김선우, 박승하, 박정로, 성기철, 신헌섭, 이만호, 이원영, 이은정, 이현영, 이호철, 정찬희대한내과학회 · 대한내과학회지2002 · 제63권 제3호폐경여성에서 무증상 갑상선 기능 저하증과 심혈관계 위험인자와의 관련성권오성, 김진희, 박형무, 성은주, 조수현대한폐경학회 · 대한폐경학회지2012 · 제18권 제3호Alteration of Lipid Profiles in Patients with Subclinical HypothyroidismChong-Hwa Kim, Jung Eun Lee, Sol Jae Lee, Sook Jung Lee, Su Jin Jeong, Young Hoon Lee, Yuchang Lee한국지질동맥경화학회 · 지질·동맥경화학회지2017 · 제6권 제2호여성에서 갑상샘 기능과 심혈관계 질환의 위험인자와의 관계나은희, 이정규대한진단검사의학회 · Annals of Laboratory Medicine2009 · 제29권 제4호Serum TSH Level in Healthy Koreans and the Association of TSH with Serum Lipid Concentration and Metabolic Syndrome김문종, 김수경, 박석원, 조용욱, Hyun Ju Oh, Jo Eun Kim, Kyung Sun Park, Yeo Kyung Lee대한내과학회 · The Korean Journal of Internal Medicine2011 · 제26권 제4호

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