日本人功能性内分泌年龄模型的建立

K. Nomoto, S. Arita, Y. Yonei
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引用次数: 15

摘要

目的:由于已知某些激素的浓度会随着年龄的增长而下降,本研究的目的是开发一种预测内分泌系统功能年龄的方法。方法:我们回顾性检查了2005年至2009年间提供血液样本的3313名健康日本人(2006名男性和1307名女性,年龄40-79岁)的血清或血浆激素浓度数据。分析dhea - 5、胰岛素样生长因子(IGF-I)、皮质醇、促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)的数据,并计算各激素浓度与年龄的相关性。在第二阶段,将数据按10岁的年龄间隔分组,进行单因素方差分析(ANOVA),并使用Tukey事后检验进行评估。结果:在男性和女性中,TSH与年龄呈正相关。igf - 1、dhea - 5、皮质醇与年龄呈负相关;在男性中,年龄与FT3呈负相关。尽管相关系数(r)和显著性水平在性别和激素之间存在差异,但DHEA-s浓度与年龄高度相关,且在男性和女性中均随年龄的增长而下降。将各组DHEA-s平均浓度与年龄中位数进行回归,建立年龄结构模型。回归的置信限很小,这意味着模型的预测是准确的。结论:我们建立了一个年龄结构模型,研究年龄与血清DHEA-s浓度的关系。可作为评价日本男女内分泌系统功能年龄的指标。
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Development of a Model of Functional Endocrine Age in Japanese People
Objective: As the concentrations of some hormones are known to decrease with age, the aim of the present study was to develop a method to predict the functional age of the endocrine system.Methods: We retrospectively examined data for blood serum or plasma hormone concentration from 3,313 healthy Japanese (2,006 men and 1,307 women, aged 40-79 years) who gave blood samples between 2005 and 2009. Data for DHEA-s, insulin-like growth factor (IGF-I), cortisol, thyroid-stimulating hormone (TSH), free triiodothyronine (FT3) and free thyroxine (FT4) were analyzed, and the correlation between concentration of each hormone and age was calculated. In a second stage, data were grouped in 10-year age intervals, subjected to one-way analysis of variance (ANOVA) and evaluated using Tukey’s post-hoc test.Results: In both men and women, TSH was positively correlated with age. IGF-I, DHEA-s and cortisol were negatively correlated with age; in men, age was negatively correlated with FT3. Although correlation coefficients (r) and significance levels differed between sexes and hormones, DHEA-s concentration was highly correlated with age and declined with age in both men and women. An age-structured model was developed from the regression of mean DHEA-s concentration and median age of each group. The confidence limits for the regression were small and imply that the predictions from the model are accurate.Conclusion: We developed an age-structured model of age related to serum DHEA-s concentration. It may be useful as an index for evaluating the functional age of the endocrine system in Japanese men and women.
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