PMID- 35641932 OWN - NLM STAT- MEDLINE DCOM- 20220602 LR - 20220716 IS - 1472-6823 (Electronic) IS - 1472-6823 (Linking) VI - 22 IP - 1 DP - 2022 May 31 TI - Correlation between the thyroid hormone levels and nonalcoholic fatty liver disease in type 2 diabetic patients with normal thyroid function. PG - 144 LID - 10.1186/s12902-022-01050-2 [doi] LID - 144 AB - BACKGROUND: The objective of this study is to retrospectively analyze the correlation between the thyroid hormones and nonalcoholic fatty liver disease (NAFLD) in type 2 diabetes mellitus (T2DM) patients with normal thyroid function. METHODS: Totally 586 T2DM patients with normal thyroid function participated in this research and were divided into T2DM without NAFLD (240 cases) group and T2DM with NAFLD (346 cases) group. The NAFLD fibrosis score (NFS) > 0.676 was defined as progressive liver fibrosis and used to categorize the patients into T2DM without progressive liver fibrosis group (493 cases) and T2DM with progressive liver fibrosis group (93 cases). RESULTS: The results indicated that the levels of free triiodothyronine (FT3), total triiodomethylamine (TT3) and FT3/free thyroxine ratio (FT3/FT4) were significantly higher while the FT4 level was lower in T2DM with NAFLD group than that in T2DM without NAFLD group (p < 0.05). The levels of FT3, FT4, TT3 and TT4 in patients with progressive liver fibrosis were significantly lower in patients with progressive liver fibrosis than that in patients without progressive liver fibrosis (p < 0.05). Logistic regression analysis showed a positive connection between FT3/FT4 ratio and NAFLD (p = 0.038), a negative relationship between FT4 level and NAFLD (p = 0.026), between the levels of FT4, TT3 and total thyroxine (TT4) and the risk of progressive hepatic fibrosis (p = 0.022, p = 0.007, p = 0.046). CONCLUSION: There is a certain correlation between thyroid hormone levels and NAFLD in T2DM patients, suggesting that the assessment of thyroid hormone levels in T2DM patients with normal thyroid function could be helpful in the prevention and treatment of NAFLD. CI - (c) 2022. The Author(s). FAU - Zhang, Yuanyuan AU - Zhang Y AD - Department of Endocrinology, Geriatrics Center, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, 230001, Anhui, China. FAU - Li, Juyi AU - Li J AD - Department of Endocrinology, Geriatrics Center, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, 230001, Anhui, China. FAU - Liu, Huaizhen AU - Liu H AD - Department of Endocrinology, Geriatrics Center, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, 230001, Anhui, China. 1140808869@qq.com. LA - eng GR - 2020yfyzc22/Anhui University of Traditional Chinese Medicine/ GR - 2020yfyzc22/Anhui University of Traditional Chinese Medicine/ GR - 2020yfyzc22/Anhui University of Traditional Chinese Medicine/ PT - Journal Article DEP - 20220531 PL - England TA - BMC Endocr Disord JT - BMC endocrine disorders JID - 101088676 RN - 0 (Thyroid Hormones) RN - Q51BO43MG4 (Thyroxine) SB - IM MH - *Diabetes Mellitus, Type 2/complications MH - Humans MH - Liver Cirrhosis/diagnosis/etiology MH - *Non-alcoholic Fatty Liver Disease/complications MH - Retrospective Studies MH - Risk Factors MH - Thyroid Gland MH - Thyroid Hormones MH - Thyroxine PMC - PMC9158236 OTO - NOTNLM OT - Nonalcoholic fatty liver disease OT - Progressive liver fibrosis OT - Thyroid hormones OT - Type 2 diabetes mellitus COIS- The authors declare that they have no competing interests. EDAT- 2022/06/02 06:00 MHDA- 2022/06/03 06:00 PMCR- 2022/05/31 CRDT- 2022/06/01 00:15 PHST- 2021/07/28 00:00 [received] PHST- 2022/03/25 00:00 [accepted] PHST- 2022/06/01 00:15 [entrez] PHST- 2022/06/02 06:00 [pubmed] PHST- 2022/06/03 06:00 [medline] PHST- 2022/05/31 00:00 [pmc-release] AID - 10.1186/s12902-022-01050-2 [pii] AID - 1050 [pii] AID - 10.1186/s12902-022-01050-2 [doi] PST - epublish SO - BMC Endocr Disord. 2022 May 31;22(1):144. doi: 10.1186/s12902-022-01050-2.