Association between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.

<h4>Objectives</h4>Low-normal thyroid function is associated with numerous metabolic risk factors including insulin resistance (IR). Triglyceride-glucose (TyG) index is a new surrogate marker of IR calculated by fasting triglyceride and glucose levels. Here, we investigated the associati...

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Autores principales: Wonsuk Choi, Ji Yong Park, A Ram Hong, Jee Hee Yoon, Hee Kyung Kim, Ho-Cheol Kang
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spelling oai:doaj.org-article:97613c376c2742edabf2ab2f201da2d42021-12-02T20:09:12ZAssociation between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.1932-620310.1371/journal.pone.0254630https://doaj.org/article/97613c376c2742edabf2ab2f201da2d42021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254630https://doaj.org/toc/1932-6203<h4>Objectives</h4>Low-normal thyroid function is associated with numerous metabolic risk factors including insulin resistance (IR). Triglyceride-glucose (TyG) index is a new surrogate marker of IR calculated by fasting triglyceride and glucose levels. Here, we investigated the association between thyroid function and TyG index in non-diabetic euthyroid adults.<h4>Methods</h4>This cross-sectional study was based on data from the Korean National Health and Nutritional Examination Survey 2015 including 1482 individuals (741 men and 741 women). Serum thyrotropin (TSH) and free thyroxine (fT4) levels were measured.<h4>Results</h4>After adjusting for confounders, there was an inverse relationship of TyG index with fT4 in men (β = -0.094, P = 0.009) and a positive relationship of TyG index with TSH in women (β = 0.078, P = 0.018). The lowest fT4 tertile in men (P = 0.001) and the highest TSH tertile in women (P = 0.010) exhibited increased TyG index after adjusting for confounders. The lowest fT4 tertile also showed increased homeostatic model assessment for IR (HOMA-IR) only in men (P = 0.006). Odds ratios (ORs) for the high TyG index, which was defined as the highest TyG quartile decreased in the highest and second highest tertile of fT4 in men (OR = 0.41 and OR = 0.45, respectively; P < 0.001) and increased in highest tertile of TSH in women (OR = 1.81, P = 0.031) after adjusting for confounders. The OR for high HOMA-IR defined as the highest HOMA-IR quartile was also lower in the highest and second highest fT4 tertiles in men (both OR = 0.47; P = 0.003).<h4>Conclusions</h4>This is the first study to suggest that TyG index is a good surrogate marker of IR in evaluating its relationship with thyroid function.Wonsuk ChoiJi Yong ParkA Ram HongJee Hee YoonHee Kyung KimHo-Cheol KangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254630 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Wonsuk Choi
Ji Yong Park
A Ram Hong
Jee Hee Yoon
Hee Kyung Kim
Ho-Cheol Kang
Association between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.
description <h4>Objectives</h4>Low-normal thyroid function is associated with numerous metabolic risk factors including insulin resistance (IR). Triglyceride-glucose (TyG) index is a new surrogate marker of IR calculated by fasting triglyceride and glucose levels. Here, we investigated the association between thyroid function and TyG index in non-diabetic euthyroid adults.<h4>Methods</h4>This cross-sectional study was based on data from the Korean National Health and Nutritional Examination Survey 2015 including 1482 individuals (741 men and 741 women). Serum thyrotropin (TSH) and free thyroxine (fT4) levels were measured.<h4>Results</h4>After adjusting for confounders, there was an inverse relationship of TyG index with fT4 in men (β = -0.094, P = 0.009) and a positive relationship of TyG index with TSH in women (β = 0.078, P = 0.018). The lowest fT4 tertile in men (P = 0.001) and the highest TSH tertile in women (P = 0.010) exhibited increased TyG index after adjusting for confounders. The lowest fT4 tertile also showed increased homeostatic model assessment for IR (HOMA-IR) only in men (P = 0.006). Odds ratios (ORs) for the high TyG index, which was defined as the highest TyG quartile decreased in the highest and second highest tertile of fT4 in men (OR = 0.41 and OR = 0.45, respectively; P < 0.001) and increased in highest tertile of TSH in women (OR = 1.81, P = 0.031) after adjusting for confounders. The OR for high HOMA-IR defined as the highest HOMA-IR quartile was also lower in the highest and second highest fT4 tertiles in men (both OR = 0.47; P = 0.003).<h4>Conclusions</h4>This is the first study to suggest that TyG index is a good surrogate marker of IR in evaluating its relationship with thyroid function.
format article
author Wonsuk Choi
Ji Yong Park
A Ram Hong
Jee Hee Yoon
Hee Kyung Kim
Ho-Cheol Kang
author_facet Wonsuk Choi
Ji Yong Park
A Ram Hong
Jee Hee Yoon
Hee Kyung Kim
Ho-Cheol Kang
author_sort Wonsuk Choi
title Association between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.
title_short Association between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.
title_full Association between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.
title_fullStr Association between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.
title_full_unstemmed Association between triglyceride-glucose index and thyroid function in euthyroid adults: The Korea National Health and Nutritional Examination Survey 2015.
title_sort association between triglyceride-glucose index and thyroid function in euthyroid adults: the korea national health and nutritional examination survey 2015.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/97613c376c2742edabf2ab2f201da2d4
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