Evidence map›Paper›PMID 38773550›Full record

ArticleBMC psychiatry2024

Elevated thyroid stimulating hormone and metabolic syndrome risk in patients with first-episode and drug-naïve major depressive disorder: a large-scale cross-sectional study.

Qiaoyang Zhang, Guanzhong Dong, Xuanyan Zhu, Yin Cao, Xiangyang Zhang

Abstract read
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Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Qiaoyang ZhangDepartment of Psychology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China.
Guanzhong DongDepartment of Psychology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China.
Xuanyan ZhuDepartment of Psychology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China.
Yin CaoDepartment of Psychology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China. czeyxlk@163.com.
Xiangyang ZhangInstitute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing, 100101, China. zhangxy@psych.ac.cn.

Funding

Changzhou Medical Center, Nanjing Medical University CMCC202216Elderly Health Research Project of Jiangsu Provincial Health Commission LKZ2022016Science and Technology Development Program of Nanjing Medical University NMUB20220190Science and Technology Development Project of Changzhou Health Commission QN202369Science and Technology Development Project of Traditional Chinese Medicine in Jiangsu Province MS2023087Young Talent Development Plan of Changzhou Health Commission CZQM2023012
6 · The paper itself

Abstract

backgroundMetabolic syndrome (MetS) is common in major depressive disorder (MDD), but its relationship with thyroid hormones remains unclear. We aimed to examine the association of thyroid hormones and MetS in first-episode drug-naïve (FEDN) MDD patients.

methodsWe recruited 1718 unmedicated MDD patients in this cross-sectional study. MetS was defined based on the 2004 Chinese Diabetes Society Criteria. Serum thyroid hormones including free thyroxine (FT4), free triiodothyronine (FT3), thyroid-stimulating hormone (TSH), thyroid peroxidase antibodies (TPOAb), and anti-thyroglobulin (TGAb) were examined. We used the logistic regression model to determine risk factors for MetS and examined the performance of the regression model by using the Area Under the Curve (AUC). In addition, we performed the trend test to test whether the results were robust.

resultsThe prevalence of MetS in unmedicated MDD patients was 34.4%. MDD patients with MetS had higher levels of serum TSH, TGAb, and TPOAb (all P < 0.001). Concurrently, serum TSH levels were independent risk factors for MetS in MDD patients (OR:1.49, 95%CI: 1.40-1.58), which could also distinguish MDD patients with and without MetS (AUC was 0.77). Additionally, in the trend test, the results also indicated a similar trend when TSH was used as a categorical variable (P for trend < 0.001).

conclusionsThis study suggests that TSH levels were independent risk factors for MetS in FEDN MDD patients (OR:1.49). The examination of thyroid function may contribute to the early detection of MetS.

Indexed as

Major Depressive DisorderMetabolic SyndromeThyrotropinAdultAutoantibodiesChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsTriiodothyronineAutoantibodiesThyrotropinTriiodothyronineDepressionMetabolic syndromeThyroidTSH

Identifiers

PMID38773550
PMCPMC11110191

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.