Climate and air pollution exposure are associated with thyroid function parameters: a retrospective cross-sectional study

摘要

Objectives There are still controversies about the impact of climatic and environmental factors on thyroid function parameters in healthy populations. We investigated the relationships between climate, air pollution exposure, and thyroid function fluctuations. Methods We retrospectively reviewed 327,913 individuals attending routine health checks from December 2013 to December 2018. We analyzed the associations between thyroid function and climatic factors using Spearman's correlation analysis. We explored the relationships between thyroid function and air pollution exposure using multiple linear regression analysis, after adjusting for age, sex, season, and outdoor temperature. We also performed subgroup analyses by age and sex and sensitivity analyses of different anti-thyroid peroxidase antibody status. Results Thyroid-stimulating hormone (TSH) and free triiodothyronine (FT3) were negatively associated with outdoor temperature (r=-0.66, P<0.001; r=-0.55, P< 0.001), while free thyroxine (FT4) and FT4/FT3 were positively associated with temperature (r = 0.35, P< 0.001; r = 0.79, P<0.001). An increase of 10 μg/m~3 in fine particulate matter≤2.5 μm (PM2.5) was associated with a decrease of 0.12 pmol/L in FT4 and an increase of 0.07 pmol/L in FT3 (both P< 0.01). FT4/FT3 was significantly negatively associated with PM2.5 (coefficient: -0.06, P<0.01). These results remained robust in hierarchical analyses and sensitivity analyses. Conclusions Thyroid function parameters are associated with climate and air pollution exposure. These factors may influence variations in thyroid function. Our results also highlight the importance of public health interventions to reduce air pollution.