Research Article

A Low Free T3 to Free T4 Ratio Is Associated with Sarcopenia in Euthyroid Patients with Type 2 Diabetes Mellitus

Table 3

Logistic regression analysis of thyroid hormones and the components of sarcopenia.

Independent variableModel 1Model 2Model 3
OR (95% CI)OR (95% CI)OR (95% CI)

Muscle mass
 FT3, per 1 pmol/L0.700 (0.469-1.045)0.0810.670 (0.429-1.048)0.0790.659 (0.412-1.056)0.083
 FT4, per 1 pmol/L1.089 (0.995-1.193)0.0661.110 (1.004-1.226)0.0411.114 (1.009-1.232)0.036
 FT3/FT4, per 0.01 unit0.953 (0.918-0.988)0.0090.944 (0.906-0.983)0.0060.943 (0.905-0.981)0.006
 TSH, per 1 μIU/mL0.823 (0.655-1.035)0.0960.902 (0.705-1.156)0.4160.903 (0.703-1.162)0.429
Muscle strength
 FT3, per 1 pmol/L0.384 (0.238-0.620)<0.0010.476 (0.284-0.796)0.0050.525 (0.305-0.902)0.020
 FT4, per 1 pmol/L1.056 (0.953-1.171)0.2951.074 (0.961-1.201)0.2071.077 (0.960-1.207)0.207
 FT3/FT4, per 0.01 unit0.931 (0.891-0.973)0.0010.938 (0.895-0.984)0.0080.945 (0.901-0.992)0.021
 TSH, per 1 μIU/mL0.818 (0.622-1.077)0.1520.770 (0.573-1.033)0.0810.746 (0.548-1.015)0.062
Physical performance
 FT3, per 1 pmol/L0.372 (0.241-0.575)<0.0010.474 (0.292-0.770)0.0030.443 (0.259-0.758)0.003
 FT4, per 1 pmol/L1.062 (0.970-1.162)0.1931.094 (0.989-1.210)0.0811.087 (0.980-1.206)0.115
 FT3/FT4, per 0.01 unit0.929 (0.895-0.965)<0.0010.931 (0.892-0.971)0.0010.934 (0.894-0.975)0.002
 TSH, per 1 μIU/mL0.947 (0.759-1.181)0.6280.853 (0.660-1.101)0.2220.835 (0.639-1.091)0.186

Notes: model 1, unadjusted; model 2, adjusted for age, gender, smoking habit, drinking habit, duration of DM, hypertension, and HbA1c; model 3, adjusted for age, gender, smoking habit, drinking habit, duration of DM, hypertension, HbA1c, eGFR, TG, HDL-C, and body fat percentage. Abbreviations: FT3: free triiodothyronine; FT4: free thyroxine; TSH: thyroid-stimulating hormone; OR: odds ratio; CI: confidence interval. .