已发表论文

关于 2 型糖尿病患者内脏脂肪指数、脂肪肝指数与甲状腺功能障碍相关性的研究

 

Authors Zheng B, Hu T, Yao J, Zhang Z, Xu Y, Shen H, Wang X, Tan Q

Received 4 June 2025

Accepted for publication 19 August 2025

Published 19 September 2025 Volume 2025:18 Pages 3553—3562

DOI https://doi.org/10.2147/DMSO.S544669

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Rebecca Baqiyyah Conway

Bojing Zheng,* Tianxiao Hu,* Jiaqi Yao, Zhenying Zhang, Yao Xu, Huiling Shen, Xiujing Wang, Qingying Tan

Department of Endocrinology, 903rd Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation Army, Hangzhou, Zhejiang Province, 310013, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Xiujing Wang; Qingying Tan, Department of Endocrinology, 903rd Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation Army, Hangzhou, Zhejiang Province, 310013, People’s Republic of China, Email wangxjzju@sina.com; tanqy1973@163.com

Objective: This study explores the correlations between visceral adiposity index, fatty liver indices and thyroid dysfunction in type 2 diabetes mellitus patients.
Methods: This cross-sectional investigation was carried out between January 2021 and December 2022, encompassing 131 adult out-patients. Patients with other endocrine diseases, severe hepatic or renal insufficiency, or recent use of thyroid-affecting medications were excluded. Clinical and laboratory data, including body mass index, waist circumference, lipid profiles, liver function markers, and thyroid function tests, were collected.
Results: Blood tests showed hepatic injury markers, alanine aminotransferase, aspartate aminotransferase, and adverse lipid profiles, elevated triglycerides, reduced high-density lipoprotein, significantly increased across fatty liver indices quartiles (P < 0.05), reflecting hepatocellular injury. Waist circumference and body mass index also increased significantly with higher fatty liver indices quartiles. Similarly, visceral adiposity index showed strong correlations with metabolic parameters, including elevated alanine aminotransferase, aspartate aminotransferase, and triglycerides levels (P < 0.05). Regarding thyroid function, TSH levels increased to some extent (P = 0.068), suggesting a potential link between fatty liver and hypothyroidism.
Conclusion: This study highlights the significant role of visceral fat accumulation and liver fat deposition in contributing to insulin resistance and metabolic imbalances among individuals with type 2 diabetes. Clinicians and public health departments should promote early identification and intervention of visceral fat accumulation and fatty liver as tools to prevent metabolic syndrome and related diseases.

Keywords: type 2 diabetes mellitus, visceral adiposity index, fatty liver index, thyroid dysfunction, metabolic disorders