Evidence map›Paper›PMID 40596193›Full record

ArticleScientific reports2025

The platelet to high-density lipoprotein cholesterol ratio is associated with thyroid hormone abnormalities based on NHANES 2007 to 2012 data.

Wu Li, Peng Wu

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Wu LiDepartment of Thyroid Surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, No. 238 Tongzipo Road, Changsha, 410013, Hunan, China.
Peng WuDepartment of Thyroid Surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, No. 238 Tongzipo Road, Changsha, 410013, Hunan, China. wupeng@hnca.org.cn.

Funding

Health Research Project of Hunan Provincial Health Commission W20243236Hunan Cancer Hospital Research Climbing Plan 2020NSFC-B007Hunan Provincial Natural Science Foundation of China Grant No. 2024JJ9251Research Project of Science Popularization Special Project of Hunan Provincial Department of Science and Technology 2024ZK4141
6 · The paper itself

Abstract

Thyroid hormone abnormalities are closely associated with metabolic and cardiovascular diseases, yet easily accessible predictors remain limited. This study aimed to investigate the association between the platelet/high-density lipoprotein cholesterol ratio (PHR) and thyroid hormone levels, including thyroid dysfunction. Data from the National Health and Nutrition Examination Survey (NHANES) spanning 2007 to 2012 were analyzed. Weighted multiple linear and logistic regression models were used to assess the relationship between PHR and thyroid hormone levels, as well as the prevalence of thyroid dysfunction. Subgroup analyses, smoothing curve fitting, and threshold effect analyses were also conducted to further explore potential associations. A total of 8440 participants were included, with a mean age of 47.83 ± 18.48 years and a mean platelet/high-density lipoprotein cholesterol ratio (PHR) of 20.64 ± 8.43. Significant differences in thyroid hormone levels were observed across PHR quartiles, with higher PHR quartiles associated with elevated FT3, TT4, and hypothyroidism prevalence, and lower FT4/FT3 and FT4/TT4 ratios.In unadjusted models, PHR was positively correlated with FT3 (β = 0.007, P < 0.001), TT4 (β = 0.017, P < 0.001), and hypothyroidism (OR = 1.024, P = 0.012), and negatively correlated with FT4/FT3 and FT4/TT4 ratios. After adjusting for potential confounders, these associations remained significant. The odds of hypothyroidism were higher in Q2 and Q4 compared to Q1.Nonlinear associations were observed in the threshold effect analysis, with inflection points for FT3 and TT4 at 10.050 and 24.706, respectively. Below these points, PHR showed a negative association with FT3 and a positive association with TT4, while the associations plateaued above the inflection points. PHR, a readily available biomarker, is significantly associated with FT3, TT4, and the prevalence of hypothyroidism. These findings suggest that PHR could serve as a promising marker for predicting thyroid hormone abnormalities, especially in resource-limited settings where routine thyroid screening is not feasible.

Indexed as

Blood PlateletsCholesterol, HDLHypothyroidismThyroid HormonesAdultAgedFemaleHumansMaleMiddle AgedNutrition SurveysPrevalenceCholesterol, HDLThyroid HormonesCross-sectional studyHypothyroidismNHANESPlatelet/high-density lipoprotein cholesterol ratioThyroid hormones

Identifiers

PMID40596193
PMCPMC12217886

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.