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ORIGINAL RESEARCH article

Front. Endocrinol.

Sec. Thyroid Endocrinology

Volume 16 - 2025 | doi: 10.3389/fendo.2025.1602202

Impaired Sensitivity to Thyroid Hormones is Associated with ASCVD Risk Factors in Beijing in Euthyroid Population: A Cross-Sectional Study

Provisionally accepted
Lintao  ShiLintao ShiJianjun  WangJianjun WangLi  YangLi YangWeichao  ZhaoWeichao ZhaoMin  ZhangMin ZhangAiyun  YuAiyun YuLingfang  NiLingfang NiYu  LiuYu Liu*Haiying  JiaHaiying Jia
  • PLA Strategic Support Force Characteristic Medical Center, Beijing, China

The final, formatted version of the article will be published soon.

1) Background: This review aims to investigate the relationship between impaired sensitivity to thyroid hormones and ASCVD risk factors in the euthyroid population. (2) Methods:A cross-sectional study including 7,895 euthyroid subjects aged ≥18 years old was conducted.Height, body weight, blood pressure (BP) were measured, and serum concentrations of lipids, fasting blood glucose, uric acid, free thyroxine (FT4), free triiodothyronine (FT3), and thyrotropin (TSH) were assayed. Thyroid hormone resistance was calculated by Thyroid-stimulating hormone (TSHI), Thyroid Feedback Quantile-based Index (TFQI), and Free Triiodothyronine/Free thyroxine (FT3/FT4), which were calculated based on FT3, FT4, and TSH. (3) Results: We are divided into four groups according to the TFQI quartile. Age, BMI, BP, HDL-C, TC, TG, FBG, UA were statistically significant between the four groups. F3/F4 showed statistical significance in populations with high UA, high FBG, and high TG; TFQI was positively correlated with BP, TG, FBG, UA and TyG, SBP, FBG, UA and TyG, FT3/FT4 was negatively correlated with DBP, SBP, TC, TG and UA. (4) Conclusion: Impaired sensitivity to thyroid hormone in euthyroid population is associated with ASCVD risk factors. These findings are potentially useful for understanding the interaction between thyroid hormone sensitivity and ASCVD risk factors in euthyroid population.

Keywords: Thyroid hormones resistance, Atherosclerotic cardiovascular disease, Dyslipidemia, Uric Acid, Blood Pressure

Received: 29 Mar 2025; Accepted: 30 Jun 2025.

Copyright: © 2025 Shi, Wang, Yang, Zhao, Zhang, Yu, Ni, Liu and Jia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yu Liu, PLA Strategic Support Force Characteristic Medical Center, Beijing, China

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