Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China
Abstract Background The relationship between thyroid nodules (TNs) and adiposity is controversial. This paper describes a cross-sectional investigation performed to determine the existence of any such relationship. To assess adiposity, body mass index (BMI) and visceral fat area (VFA) were utilized....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | BMC Endocrine Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12902-019-0430-z |
| _version_ | 1819020074093117440 |
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| author | Hui-xia Yang Yu Zhong Wei-hua Lv Feng Zhang Hong Yu |
| author_facet | Hui-xia Yang Yu Zhong Wei-hua Lv Feng Zhang Hong Yu |
| author_sort | Hui-xia Yang |
| collection | DOAJ |
| description | Abstract Background The relationship between thyroid nodules (TNs) and adiposity is controversial. This paper describes a cross-sectional investigation performed to determine the existence of any such relationship. To assess adiposity, body mass index (BMI) and visceral fat area (VFA) were utilized. Methods Between January 1, 2017 and March 3, 2019. Three thousand five hundred thirty four healthy people were examined using thyroid ultrasonography, visceral fat and anthropometric measurements, laboratory tests and questionnaire interview. Binary logistic regression analyses were used. Results Of the 3534 healthy subjects, 58.69% (2074/3534) of the subjects had TNs. A total of 55.91% (1976/3534) had BMI ≥ 25 kg/m2 and 39.67% (1402/3534) had VFA ≥ 100 cm2. After adjustment to address confounders, BMI-based overweight and obesity levels only correlated with higher risk TNs when used as a continuous variable (OR = 1.031, 95% CI: 1.008–1.055, P = 0.008), while VFA was both a continuous variable (OR = 1.003, 95% CI: 1.000–1.005, P = 0.034) and a categorical variable (OR = 1.198, 95% CI: 1.014–1.417, P = 0.034) associated with significantly elevated risk of TNs. Analyzing the subgroups, BMI ≥ 25 kg/m2 (OR = 1.500, 95% CI: 1.110–2.026, P = 0.008) was significantly correlated with TN risk in individuals with TG ≥ 1.7 mmol/L. VFA ≥ 100 cm2 correlated with the TN risk irrespective of age (< 50 years: OR = 1.374, 95% CI: 1.109–1.703, P = 0.004; ≥ 50 years: OR = 1.367, 95% CI: 1.063–1.759, P = 0.015) and in the following subgroups: women (OR = 4.575, 95% CI: 2.558–8.181, P = 0.000), FBG ≥ 6.1 mmol/L (OR = 1.522, 95% CI: 1.048–2.209, P = 0.027), and TG ≥ 1.7 mmol/L (OR = 1.414, 95% CI: 1.088–1.838, P = 0.010). Conclusions Adiposity correlates with TNs. To assess TN risk in Chinese individuals, VFA is better than BMI. |
| first_indexed | 2024-12-21T03:45:25Z |
| format | Article |
| id | doaj.art-920f2552b6be4767aed1059d1353fc68 |
| institution | Directory Open Access Journal |
| issn | 1472-6823 |
| language | English |
| last_indexed | 2024-12-21T03:45:25Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Endocrine Disorders |
| spelling | doaj.art-920f2552b6be4767aed1059d1353fc682022-12-21T19:17:07ZengBMCBMC Endocrine Disorders1472-68232019-10-011911810.1186/s12902-019-0430-zAssociation of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, ChinaHui-xia Yang0Yu Zhong1Wei-hua Lv2Feng Zhang3Hong Yu4Beijing Rehabilitation Hospital, Capital Medical UniversityBeijing Rehabilitation Hospital, Capital Medical UniversityBeijing Rehabilitation Hospital, Capital Medical UniversityBeijing Rehabilitation Hospital, Capital Medical UniversityBeijing Rehabilitation Hospital, Capital Medical UniversityAbstract Background The relationship between thyroid nodules (TNs) and adiposity is controversial. This paper describes a cross-sectional investigation performed to determine the existence of any such relationship. To assess adiposity, body mass index (BMI) and visceral fat area (VFA) were utilized. Methods Between January 1, 2017 and March 3, 2019. Three thousand five hundred thirty four healthy people were examined using thyroid ultrasonography, visceral fat and anthropometric measurements, laboratory tests and questionnaire interview. Binary logistic regression analyses were used. Results Of the 3534 healthy subjects, 58.69% (2074/3534) of the subjects had TNs. A total of 55.91% (1976/3534) had BMI ≥ 25 kg/m2 and 39.67% (1402/3534) had VFA ≥ 100 cm2. After adjustment to address confounders, BMI-based overweight and obesity levels only correlated with higher risk TNs when used as a continuous variable (OR = 1.031, 95% CI: 1.008–1.055, P = 0.008), while VFA was both a continuous variable (OR = 1.003, 95% CI: 1.000–1.005, P = 0.034) and a categorical variable (OR = 1.198, 95% CI: 1.014–1.417, P = 0.034) associated with significantly elevated risk of TNs. Analyzing the subgroups, BMI ≥ 25 kg/m2 (OR = 1.500, 95% CI: 1.110–2.026, P = 0.008) was significantly correlated with TN risk in individuals with TG ≥ 1.7 mmol/L. VFA ≥ 100 cm2 correlated with the TN risk irrespective of age (< 50 years: OR = 1.374, 95% CI: 1.109–1.703, P = 0.004; ≥ 50 years: OR = 1.367, 95% CI: 1.063–1.759, P = 0.015) and in the following subgroups: women (OR = 4.575, 95% CI: 2.558–8.181, P = 0.000), FBG ≥ 6.1 mmol/L (OR = 1.522, 95% CI: 1.048–2.209, P = 0.027), and TG ≥ 1.7 mmol/L (OR = 1.414, 95% CI: 1.088–1.838, P = 0.010). Conclusions Adiposity correlates with TNs. To assess TN risk in Chinese individuals, VFA is better than BMI.http://link.springer.com/article/10.1186/s12902-019-0430-zAdiposityThyroid nodulesBody mass indexVisceral fat area |
| spellingShingle | Hui-xia Yang Yu Zhong Wei-hua Lv Feng Zhang Hong Yu Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China BMC Endocrine Disorders Adiposity Thyroid nodules Body mass index Visceral fat area |
| title | Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China |
| title_full | Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China |
| title_fullStr | Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China |
| title_full_unstemmed | Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China |
| title_short | Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China |
| title_sort | association of adiposity with thyroid nodules a cross sectional study of a healthy population in beijing china |
| topic | Adiposity Thyroid nodules Body mass index Visceral fat area |
| url | http://link.springer.com/article/10.1186/s12902-019-0430-z |
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