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Volume 33(4); December 2018
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Review Articles
Adrenal gland
Primary Aldosteronism and Cerebrovascular Diseases
Zheng-Wei Chen, Chi-Sheng Hung, Vin-Cent Wu, Yen-Hung Lin
Endocrinol Metab. 2018;33(4):429-434.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.429
  • 4,825 View
  • 65 Download
  • 21 Web of Science
  • 20 Crossref
AbstractAbstract PDFPubReader   ePub   

As diagnostic techniques have advanced, primary aldosteronism (PA) has emerged as the most common cause of secondary hypertension. The excess of aldosterone caused by PA resulted in not only cardiovascular complications, including coronary artery disease, myocardial infarction, arrhythmia, and heart failure, but also cerebrovascular complications, such as stroke and transient ischemic attack. Moreover, PA is associated more closely with these conditions than is essential hypertension. In this review, we present up-to-date findings on the association between PA and cerebrovascular diseases.

Citations

Citations to this article as recorded by  
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Close layer
Bone Metabolism
Effects of Resistance Exercise on Bone Health
A Ram Hong, Sang Wan Kim
Endocrinol Metab. 2018;33(4):435-444.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.435
  • 22,182 View
  • 364 Download
  • 103 Web of Science
  • 106 Crossref
AbstractAbstract PDFPubReader   ePub   

The prevalence of chronic diseases including osteoporosis and sarcopenia increases as the population ages. Osteoporosis and sarcopenia are commonly associated with genetics, mechanical factors, and hormonal factors and primarily associated with aging. Many older populations, particularly those with frailty, are likely to have concurrent osteoporosis and sarcopenia, further increasing their risk of disease-related complications. Because bones and muscles are closely interconnected by anatomy, metabolic profile, and chemical components, a diagnosis should be considered for both sarcopenia and osteoporosis, which may be treated with optimal therapeutic interventions eliciting pleiotropic effects on both bones and muscles. Exercise training has been recommended as a promising therapeutic strategy to encounter the loss of bone and muscle mass due to osteosarcopenia. To stimulate the osteogenic effects for bone mass accretion, bone tissues must be exposed to mechanical load exceeding those experienced during daily living activities. Of the several exercise training programs, resistance exercise (RE) is known to be highly beneficial for the preservation of bone and muscle mass. This review summarizes the mechanisms of RE for the preservation of bone and muscle mass and supports the clinical evidences for the use of RE as a therapeutic option in osteosarcopenia.

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Editorial
Thyroid
Thyroid-Stimulating Hormone Reference Ranges in Early Pregnancy: Possible Influence of Iodine Status
Tae Yong Kim
Endocrinol Metab. 2018;33(4):445-446.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.445
  • 3,258 View
  • 39 Download
  • 1 Web of Science
  • 1 Crossref
PDFPubReader   ePub   

Citations

Citations to this article as recorded by  
  • Clinical insights of pregnancy management, adrenal insufficiency as a possible cause of elevated TSH: a pilot study of case series
    Ken Kanazawa, Tatsuro Inaba, Shinichiro Koga, Koichiro Kuwabara
    BMC Pregnancy and Childbirth.2023;[Epub]     CrossRef
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Original Articles
Obesity and Metabolism
Metabolic Syndrome and Insulin Resistance Syndrome among Infertile Women with Polycystic Ovary Syndrome: A Cross-Sectional Study from Central Vietnam
Minh Tam Le, Vu Quoc Huy Nguyen, Quang Vinh Truong, Dinh Duong Le, Viet Nguyen Sa Le, Ngoc Thanh Cao
Endocrinol Metab. 2018;33(4):447-458.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.447
  • 4,260 View
  • 76 Download
  • 11 Web of Science
  • 14 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Polycystic ovarian syndrome (PCOS) is one of the most common endocrinopathies among reproductive-age women. Its metabolic features often overlap with those associated with metabolic syndrome (MS) and insulin resistance syndrome (IRS). The objective of this study was to determine the prevalence and predictors of MS and IRS in infertile Vietnamese women with PCOS.

Methods

A cross-sectional study was conducted at a tertiary fertility centre at Hue University Hospital from June 2016 to November 2017. A total of 441 infertile women diagnosed with PCOS based on the revised 2003 Rotterdam consensus criteria were enrolled. MS and IRS were defined based on the National Heart, Lung, and Blood Institute/American Heart Association Adult Treatment Panel III 2005 and American College of Endocrinology IRS 2003 criteria, respectively. Complete clinical and biochemical measurements of 318 women were available for analysis. Independent predictors of MS and IRS were identified using multivariate logistic regression.

Results

The overall prevalence of MS and IRS in women with PCOS was 10.4% and 27.0%, respectively. We identified older age (>30 years) and obesity as independent predictors of MS and IRS. Elevated anti-Müllerian hormone levels increased the risk of IRS, but not that of MS.

Conclusion

MS and IRS are prevalent disorders among infertile Vietnamese women with PCOS. PCOS is not solely a reproductive problem. Screening and early intervention for MS and/or IRS based on anthropometric, metabolic, and reproductive hormone risk factors should be an integral part of fertility care.

Citations

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  • Role of the tripartite motif‐containing (TRIM) family of proteins in insulin resistance and related disorders
    Jianrong Chen, Xianjie Feng, Xu Zhou, Yong Li
    Diabetes, Obesity and Metabolism.2024; 26(1): 3.     CrossRef
  • Effect of pharmacological interventions on lipid profiles and C‐reactive protein in polycystic ovary syndrome: A systematic review and meta‐analysis
    Mohammed A. Abdalla, Najeeb Shah, Harshal Deshmukh, Amirhossein Sahebkar, Linda Östlundh, Rami H. Al‐Rifai, Stephen L. Atkin, Thozhukat Sathyapalan
    Clinical Endocrinology.2022; 96(4): 443.     CrossRef
  • A Cross-Sectional Study of Serum Ferritin Levels in Vietnamese Adults with Metabolic Syndrome
    Thua Nguyen Tran, Huu Dang Tran, Thanh Tung Tran-Huu, Duc Minh Tran, Quang Nhat Tran
    Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2022; Volume 15: 1517.     CrossRef
  • The effects of metformin on clinical features, endocrine and metabolic profiles of infertile women with polycystic ovary syndrome
    Sa Le Viet
    Journal of Clinical Medicine- Hue Central Hospital.2022;[Epub]     CrossRef
  • Uric acid metabolism in polycystic ovary syndrome
    Yan-Nan Liu, Hai Luo, Xuan Che, Hui Peng, Ming Li, Ke-Xuan Liu
    Clinica Chimica Acta.2021; 517: 74.     CrossRef
  • PREVALENCE OF METABOLIC SYNDROME AND INSULIN RESISTANCE AMONG PCOS WOMEN ATTENDING TERTIARY CARE HOSPITAL IN NORTH INDIAN POPULATION.
    Anita R Bhatia, Peyir Bagra, Jyotsna Suri, Rajni Dawar
    INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2021; : 35.     CrossRef
  • “Obesity and Insulin Resistance” Is the Component of the Metabolic Syndrome Most Strongly Associated with Oxidative Stress
    Grzegorz K. Jakubiak, Kamila Osadnik, Mateusz Lejawa, Tadeusz Osadnik, Marcin Goławski, Piotr Lewandowski, Natalia Pawlas
    Antioxidants.2021; 11(1): 79.     CrossRef
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    Subarna Mitra, GautomK Saharia, SaubhagyaK Jena
    Indian Journal of Endocrinology and Metabolism.2021; 25(6): 545.     CrossRef
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    Feng Jiang, Ke Wei, Wenjun Lyu, Chuyan Wu
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    Xihong Liao, Shujun Cao
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  • The relationship between glomerular filtration rate, and metabolic and inflammatory parameters in obese and non-obese patients with polycystic ovary syndrome
    Mustafa Can, Cevdet Duran, Ibrahim Guney, Halis Elmas, Mehmet Ayhan, Said Sami Erdem
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  • Effect of Central Obesity and Hyperandrogenism on Selected Inflammatory Markers in Patients with PCOS: A WHtR-Matched Case-Control Study
    Małgorzata Kałużna, Magdalena Człapka-Matyasik, Katarzyna Wachowiak-Ochmańska, Jerzy Moczko, Jolanta Kaczmarek, Adam Janicki, Katarzyna Piątek, Marek Ruchała, Katarzyna Ziemnicka
    Journal of Clinical Medicine.2020; 9(9): 3024.     CrossRef
  • The relationship between glomerular filtration rate, and metabolic and inflammatory parameters in obese and non-obese patients with polycystic ovary syndrome
    Mustafa Can, Cevdet Duran, Ibrahim Guney, Halis Elmas, Mehmet Ayhan, Said Sami Erdem
    Clínica e Investigación en Arteriosclerosis (English Edition).2020; 32(6): 256.     CrossRef
  • Dyslipidemia involvement in the development of polycystic ovary syndrome
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Thyroid
Clinical Outcomes of Differentiated Thyroid Cancer Patients with Local Recurrence or Distant Metastasis Detected in Old Age
Ji Min Han, Ji Cheol Bae, Hye In Kim, Sam Kwon, Min Ji Jeon, Won Gu Kim, Tae Yong Kim, Young Kee Shong, Won Bae Kim
Endocrinol Metab. 2018;33(4):459-465.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.459
  • 4,708 View
  • 53 Download
  • 5 Web of Science
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AbstractAbstract PDFPubReader   ePub   
Background

Differentiated thyroid carcinoma (DTC) shows a very good prognosis, but older patients have a higher recurrence rate and those show poor prognosis than younger patients. The aim of this study was to determine the clinical outcomes of thyroid cancer patients who experienced recurrence in old age according to the treatment strategy used.

Methods

This retrospective observational cohort study was conducted at Asan Medical Center, Seoul, Korea. Among DTC patients with no evidence of disease after initial treatment, we enrolled 86 patients who experienced recurrence at an age >65 years from 1994 to 2012. Sixty-nine patients had local recurrence and 17 patients showed distant metastasis.

Results

The mean age of patients at recurrence was 72 years. Patients were followed up for a median of 4.1 years after recurrence. Sixty-three of the 69 patients with local recurrence received additional treatment, while the other six received conservative care. The cancer-specific mortality rate was 15.5% in the local recurrence group. Airway problems were the main cause of death in patients who did not receive further treatment for local recurrence. Among the 17 patients with distant metastasis, 10 underwent specific treatment for metastasis and seven received only supportive management. Seven of those 17 patients died, and the cancer-specific mortality rate was 35% in the distant metastasis group.

Conclusion

The overall cancer-specific mortality rate was 20% in DTC patients in whom recurrence was first detected at an age >65 years. Mortality due to uncontrolled local disease occurred frequently in patients who did not receive definitive management for recurrence.

Citations

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  • Identification of Circulating Tumor Cell Phenotype in Differentiated Thyroid Carcinoma
    Huiling Wang, Mian Lv, Yonghong Huang, Xiaoming Pan, Changyuan Wei
    Journal of Biomaterials and Tissue Engineering.2022; 12(4): 813.     CrossRef
  • Long-Term Outcomes and Prognoses of Elderly Patients (≥65-Years-Old) With Distant Metastases From Well-Differentiated Thyroid Cancer During Radioiodine Therapy and Follow-Up
    Zhong-Ling Qiu, Chen-Tian Shen, Zhen-Kui Sun, Hong-Jun Song, Chuang Xi, Guo-Qiang Zhang, Yang Wang, Quan-Yong Luo
    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • Head-to-Head Comparison of Neck 18F-FDG PET/MR and PET/CT in the Diagnosis of Differentiated Thyroid Carcinoma Patients after Comprehensive Treatment
    Yangmeihui Song, Fang Liu, Weiwei Ruan, Fan Hu, Muhsin H. Younis, Zairong Gao, Jie Ming, Tao Huang, Weibo Cai, Xiaoli Lan
    Cancers.2021; 13(14): 3436.     CrossRef
  • Highly sensitive electrochemical immunosensor using a protein-polyvinylidene fluoride nanocomposite for human thyroglobulin
    Maria Oneide Silva de Moraes, João de Deus Pereira de Moraes Segundo, Marcos Marques da Silva Paula, Maria Goreti Ferreira Sales, Walter Ricardo Brito
    Bioelectrochemistry.2021; 142: 107888.     CrossRef
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Thyroid
Thyroid-Stimulating Hormone Reference Ranges in the First Trimester of Pregnancy in an Iodine-Sufficient Country
Carmen Castillo, Nicole Lustig, Paula Margozzini, Andrea Gomez, María Paulina Rojas, Santiago Muzzo, Lorena Mosso
Endocrinol Metab. 2018;33(4):466-472.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.466
  • 6,034 View
  • 85 Download
  • 9 Web of Science
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AbstractAbstract PDFPubReader   ePub   
Background

Thyroid dysfunction is associated with negative neonatal and obstetric outcomes. Large differences in thyroid function reference intervals exist across different populations. These differences can be explained by population-specific factors, such as iodine status. Many countries in Latin America report iodine sufficiency, but relatively few countries have published up-to-date data on iodine levels and thyroid function in the overall population, and especially in pregnant women. We evaluated the iodine status of pregnant women in Chile and determined thyroid hormone reference ranges in this population.

Methods

This was a prospective observational study of healthy Chilean women at their first prenatal visit before week 14. Thyroid-stimulating hormone (TSH), total thyroxine (T4), free T4, antithyroid peroxidase antibody (TPOAb), and iodine levels from spot urine samples were measured. Iodine status and the reference ranges for TSH were calculated.

Results

A total of 1,022 pregnant women in the first trimester were selected. Urinary iodine levels were measured in 302 randomly-selected women. The median urinary iodine concentration was 173.45 µg/L (interquartile range, 108.11 to 249.35).The reference ranges of TSH were calculated in 670 patients selected according to the National Academy of Clinical Biochemistry guidelines. The median TSH level was 1.88 µIU/mL (2.5th percentile: 0.13 to 97.5th percentile: 5.37). Using the reference range in the 1,022 women, the prevalence of clinical hypothyroidism was 1.76%, and that of subclinical hypothyroidism was 3.92%. TPOAb positivity was more common in women with TSH levels above 3.5 µIU/mL.

Conclusion

We found adequate iodine intake and a right-shifted distribution of serum TSH levels in pregnant women in Chile. The prevalence of hypothyroidism in our sample of pregnant women was higher than has been described in the literature.

Citations

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    René Díaz, José Miguel Domínguez, Hernán Tala, Roberto Olmos, Pedro Pineda, Daniela Olivarí, Marcela Jiménez, Ximena Mimica, Alejandra Lanas, Gerson Ocares, Jorge Sapunar
    Archives of Endocrinology and Metabolism.2023;[Epub]     CrossRef
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Close layer
Thyroid
Associations between Hashimoto Thyroiditis and Clinical Outcomes of Papillary Thyroid Cancer: A Meta-Analysis of Observational Studies
Shinje Moon, Hye Soo Chung, Jae Myung Yu, Hyung Joon Yoo, Jung Hwan Park, Dong Sun Kim, Young Joo Park
Endocrinol Metab. 2018;33(4):473-484.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.473
  • 8,026 View
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  • 55 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background

Epidemiological studies have suggested an association between Hashimoto thyroiditis (HT) and papillary thyroid cancer (PTC) development. Other studies, however, have reported a protective role of HT against PTC progression. Through this updated meta-analysis, we aimed to clarify the effects of HT on the progression of PTC.

Methods

We searched citation databases, including PubMed and Embase, for relevant studies from inception to September 2017. From these studies, we calculated the pooled odds ratios (ORs) of clinicopathologic features and the relative risk (RR) of PTC recurrence with 95% confidence intervals (CIs) using the Mantel-Haenszel method. Additionally, the Higgins I2 statistic was used to test for heterogeneity.

Results

The meta-analysis included 71 published studies with 44,034 participants, among whom 11,132 had HT. We observed negative associations between PTC with comorbid HT and extrathyroidal extension (OR, 0.74; 95% CI, 0.68 to 0.81), lymph node metastasis (OR, 0.82; 95% CI, 0.72 to 0.94), distant metastasis (OR, 0.49; 95% CI, 0.32 to 0.76), and recurrence (RR, 0.50; 95% CI, 0.41 to 0.61).

Conclusion

In this meta-analysis, PTC patients with HT appeared to exhibit more favorable clinicopathologic characteristics and a better prognosis than those without HT.

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Adrenal gland
Effects of Altered Calcium Metabolism on Cardiac Parameters in Primary Aldosteronism
Jung Soo Lim, Namki Hong, Sungha Park, Sung Il Park, Young Taik Oh, Min Heui Yu, Pil Yong Lim, Yumie Rhee
Endocrinol Metab. 2018;33(4):485-492.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.485
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AbstractAbstract PDFPubReader   ePub   
Background

Increasing evidence supports interplay between aldosterone and parathyroid hormone (PTH), which may aggravate cardiovascular complications in various heart diseases. Negative structural cardiovascular remodeling by primary aldosteronism (PA) is also suspected to be associated with changes in calcium levels. However, to date, few clinical studies have examined how changes in calcium and PTH levels influence cardiovascular outcomes in PA patients. Therefore, we investigated the impact of altered calcium homeostasis caused by excessive aldosterone on cardiovascular parameters in patients with PA.

Methods

Forty-two patients (mean age 48.8±10.9 years; 1:1, male:female) whose plasma aldosterone concentration/plasma renin activity ratio was more than 30 were selected among those who had visited Severance Hospital from 2010 to 2014. All patients underwent adrenal venous sampling with complete access to both adrenal veins.

Results

The prevalence of unilateral adrenal adenoma (54.8%) was similar to that of bilateral adrenal hyperplasia. Mean serum corrected calcium level was 8.9±0.3 mg/dL (range, 8.3 to 9.9). The corrected calcium level had a negative linear correlation with left ventricular end-diastolic diameter (LVEDD, ρ=−0.424, P=0.031). Moreover, multivariable regression analysis showed that the corrected calcium level was marginally associated with the LVEDD and corrected QT (QTc) interval (β=−0.366, P=0.068 and β=−0.252, P=0.070, respectively).

Conclusion

Aldosterone-mediated hypercalciuria and subsequent hypocalcemia may be partly involved in the development of cardiac remodeling as well as a prolonged QTc interval, in subjects with PA, thereby triggering deleterious effects on target organs additively.

Citations

Citations to this article as recorded by  
  • Bone and mineral metabolism in patients with primary aldosteronism: A systematic review and meta-analysis
    Anning Wang, Yuhan Wang, Hongzhou Liu, Xiaodong Hu, Jiefei Li, Huaijin Xu, Zhimei Nie, Lingjing Zhang, Zhaohui Lyu
    Frontiers in Endocrinology.2022;[Epub]     CrossRef
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Letter
Thyroid
Letter: Iodine Status in Filipino Women of Childbearing Age (Endocrinol Metab 2018;33:372-9, Michael E. Serafico et al.)
Zheng Feei Ma
Endocrinol Metab. 2018;33(4):493-494.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.493
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Response
Thyroid
Response: Iodine Status in Filipino Women of Childbearing Age (Endocrinol Metab 2018;33:372-9, Michael E. Serafico et al.)
Michael E. Serafico
Endocrinol Metab. 2018;33(4):495-496.   Published online November 30, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.4.495
[Original]
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Endocrinol Metab : Endocrinology and Metabolism