Trunk fat and leg fat in relation to free triiodothyronine in euthyroid postmenopausal women.

free triiodothyronine leg fat trunk fat trunk fat mass to leg fat mass ratio

Journal

Endocrine connections
ISSN: 2049-3614
Titre abrégé: Endocr Connect
Pays: England
ID NLM: 101598413

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 16 09 2019
accepted: 26 09 2019
pubmed: 4 10 2019
medline: 4 10 2019
entrez: 4 10 2019
Statut: ppublish

Résumé

A high level of free triiodothyronine (FT3) within the reference range may be a potential metabolic risk marker. However, the relationship between different fat depots and FT3 has remained unclear. We aimed to explore the relationships between segmental fat distribution and FT3 in euthyroid middle-aged and elderly men and postmenopausal women. A total of 891 subjects (394 men and 497 women) were enrolled. A bioelectrical impedance analyzer was used to measure total, trunk, arm and leg fat mass (FM) and fat percentage (fat%). The leg fat mass to trunk fat mass ratio (LTR) was calculated to evaluate the relative distribution of leg fat compared with that of trunk fat. Thyroid hormones were measured by electrochemical luminescence immunoassay. FT3 in men did not change significantly with increases in LTR quartiles, while FT3 in women decreased significantly (P for trend = 0.004). In multivariate linear regression analysis, multiple metabolic and cardiovascular risk factors were adjusted. The LTR was negatively related to FT3 in women (P < 0.05). After further mutual adjustment for trunk fat and leg fat parameters, trunk FM and fat% were positively related to FT3, while leg FM and fat% were negatively related to FT3 in women (all P < 0.05). In euthyroid postmenopausal women, trunk fat was positively correlated with FT3, whereas leg fat was negatively correlated with FT3. Our findings supported that a high level of FT3 within the reference range was related to adverse fat distribution.

Sections du résumé

BACKGROUND BACKGROUND
A high level of free triiodothyronine (FT3) within the reference range may be a potential metabolic risk marker. However, the relationship between different fat depots and FT3 has remained unclear.
OBJECTIVE OBJECTIVE
We aimed to explore the relationships between segmental fat distribution and FT3 in euthyroid middle-aged and elderly men and postmenopausal women.
METHODS METHODS
A total of 891 subjects (394 men and 497 women) were enrolled. A bioelectrical impedance analyzer was used to measure total, trunk, arm and leg fat mass (FM) and fat percentage (fat%). The leg fat mass to trunk fat mass ratio (LTR) was calculated to evaluate the relative distribution of leg fat compared with that of trunk fat. Thyroid hormones were measured by electrochemical luminescence immunoassay.
RESULTS RESULTS
FT3 in men did not change significantly with increases in LTR quartiles, while FT3 in women decreased significantly (P for trend = 0.004). In multivariate linear regression analysis, multiple metabolic and cardiovascular risk factors were adjusted. The LTR was negatively related to FT3 in women (P < 0.05). After further mutual adjustment for trunk fat and leg fat parameters, trunk FM and fat% were positively related to FT3, while leg FM and fat% were negatively related to FT3 in women (all P < 0.05).
CONCLUSIONS CONCLUSIONS
In euthyroid postmenopausal women, trunk fat was positively correlated with FT3, whereas leg fat was negatively correlated with FT3. Our findings supported that a high level of FT3 within the reference range was related to adverse fat distribution.

Identifiants

pubmed: 31581130
doi: 10.1530/EC-19-0394
pii: EC-19-0394.R1
pmc: PMC6826169
doi:
pii:

Types de publication

Journal Article

Langues

eng

Pagination

1425-1432

Références

J Gerontol A Biol Sci Med Sci. 2007 Sep;62(9):997-1001
pubmed: 17895438
Diabetes. 2011 Aug;60(8):2032-40
pubmed: 21659500
Am J Hypertens. 2012 Oct;25(10):1131-7
pubmed: 22785405
J Clin Endocrinol Metab. 2010 Sep;95(9):4389-98
pubmed: 20519350
Nutrients. 2013 Feb 07;5(2):498-508
pubmed: 23434905
Hypertension. 2016 Sep;68(3):576-83
pubmed: 27432862
Int J Obes (Lond). 2018 Apr;42(4):850-857
pubmed: 29151596
Clin Endocrinol (Oxf). 2013 Nov;79(5):652-60
pubmed: 23146120
Clin Nutr. 2019 Dec;38(6):2704-2711
pubmed: 30545664
Thyroid. 2014 Feb;24(2):223-31
pubmed: 24032604
Nat Commun. 2014 Aug 21;5:4708
pubmed: 25144627
Nat Commun. 2019 Jan 21;10(1):339
pubmed: 30664634
Eur J Clin Nutr. 2004 Nov;58(11):1479-84
pubmed: 15138459
Endocr Res. 2015;40(4):188-93
pubmed: 25531861
Eur J Nutr. 2013 Mar;52(2):489-95
pubmed: 22484387
JAMA. 2017 Feb 14;317(6):626-634
pubmed: 28196256
Circulation. 2017 Jun 13;135(24):2373-2388
pubmed: 28500271
Clin Endocrinol (Oxf). 2007 Aug;67(2):265-9
pubmed: 17547687
Cell Metab. 2013 May 7;17(5):644-656
pubmed: 23583168
Diabetes Care. 2004 Feb;27(2):372-7
pubmed: 14747216
Diabetes. 2012 Jun;61(6):1399-403
pubmed: 22492525
J Clin Endocrinol Metab. 2016 Feb;101(2):730-8
pubmed: 26595101
Diabetes Care. 2011 Jun;34(6):1415-8
pubmed: 21505210
Metabolism. 2017 Feb;67:62-71
pubmed: 28081779
Physiol Rev. 2014 Apr;94(2):355-82
pubmed: 24692351
Diabetologia. 1985 Jul;28(7):412-9
pubmed: 3899825
Eur J Endocrinol. 2015 Aug;173(2):237-45
pubmed: 26142102

Auteurs

Xiaomin Nie (X)

Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China.

Yiting Xu (Y)

Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China.

Xiaojing Ma (X)

Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China.

Yun Shen (Y)

Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China.

Yufei Wang (Y)

Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China.

Yuqian Bao (Y)

Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China.

Classifications MeSH