A Clinical Study on Vitamin D deficiency in Hypothyroidism
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i8.45018Keywords:
Hypothyroidism, Subclinical hypothyroidism, Vitamin-D, Thyroid stimulating hormoneAbstract
Vitamin D deficiency is a concern of global health nowadays. Although its main role is in regulating bone metabolism, over the past few decades, its impact on non-skeletal actions has been studied. Its role as an immune modulator has been recently emphasized. Recent evidence is increasingly pointed toward the significant role of vitamin D in reducing the incidence of autoimmune diseases. Aims & Objectives: In the present study, we aimed to determine the relationship between hypothyroidism and Vitamin D deficiency. Methods: It was an Observational Study, a study conducted in the Department of Biochemistry at MGM Medical College & LSK Hospital Kishanganj, Bihar. In the present study, 50 patients and 50 healthy age and sex-matched controls were included during the study period from June 2021 to March 2022. Serum vitamin D (25-OH) levels were measured in all the patients. Vitamin D deficiency was designated at levels lower than 20 ng/ml. Thyroid hormones (TSH, T3, and T4) were also evaluated in all participants. Results: Incidence of vitamin D deficiency is significantly high among hypothyroid patients compared to normal controls (p-value = 0.036). The mean level of Vitamin D was significantly low level among patients with hypothyroidism compared to controls (23.57 ±9.77 vs. 31.20 ±10.23 ng/ml, p-value =0.02). Pearson's correlation between vitamin D level and thyroid profile among hypothyroid cases revealed that there was a significant negative correlation between serum Vitamin D and TSH level (p-value = <0.0001). Conclusion: Deficiency of vitamin D is significantly associated with hypothyroidism, and therefore screening of vitamin D is essential for all hypothyroid patients.
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References
Chaker L, Bianco AC, Jonklaas J, Peeters RP. Hypothyroidism. Lancet 2017;390:1550-62. PMID: 28336049. PMCID: PMC6619426, DOI: 10.1016/S0140-6736(17)30703-1
Makariou S, Liberopoulos EN, Elisaf M, Challa A. Novel roles of Vitamin D in disease: What is new in 2011? Eur J Intern Med 2011;22:355-62. doi: 10.1016/j.ejim.2011.04.012
Wang Y, Zhu J, DeLuca HF. Where is the Vitamin D receptor? Arch Biochem Biophys 2012;523:123-33. doi: 10.1016/j.abb.2012.04.001
Kulie T, Groff A, Redmer J, Hounshell J, Vitamin D: An evidence based review. J Am Board Family Med 2009;22:698-706. doi: 10.3122/ jabfm.2009.06.090037
Holick MF. Vitamin D deficiency. N Engl J Med 2007;357;266-81. doi: 10.1056/NEJMra070553
Christodoulou S, Goula T, Ververidis A, Drosos G. Vitamin D, and bone disease. Biomed Res Int 2013;2013:396541. doi: 10.1155/2013/396541
Haussler MR, Haussler CA, Jurutka PW, Thompson PD, Hsieh JC, Remus LS, et al. The Vitamin D hormone and its nuclear receptor: Molecular actions and disease states. J Endocrinol 1997;154:S57-73. PMID: 9379138
Dankers W, Colin EM, van Hamburg JP, Lubberts E. Vitamin D in autoimmunity: Molecular mechanisms and therapeutic potential. Front Immunol 2017;7:697. doi: 10.3389/fimmu.2016.00697
Skaaby T, Husemoen LL, Thuesen BH, Linneberg A. Prospective population-based study of the association between Vitamin D status and incidence of autoimmune disease. Endocrine 2015;50:231-8. doi: 10.1007/s12020-015-0547-4
Kelishadi R, Qorbani M, Motlagh ME, Heshmat R, Poursafa P, Bahreynian M. Prevalence of Vitamin D deficiency according to climate conditions among a nationally representative sample of Iranian adolescents: The CASPIAN-III study. Int J Pediatr 2016;4:1903-10.
LeFevre ML. Screening for Vitamin D deficiency in adults: US preventive services task force recommendation statement. Ann Intern Med 2015;162:133-40. doi: 10.1001/jama.2021.3069
Arabi A, El Rassi R, Fuleihan GE. Hypovitaminosis D in developing countries-prevalence, risk factors, and outcomes. Nat Rev Endocrinol 2010;6:550-61. doi: 10.1038/nrendo.2010.146
Huang Y, Cai L, Zheng Y, Pan J, Li L, Zong L, et al. Association between lifestyle and thyroid dysfunction: A cross-sectional epidemiologic study in the ethnic minority group of Fujian Province in China. BMC Endocr Disord 2019;19:83-91.
Vilarrasa N, Vendrell J, Maravall J, Elio I, Solano E, San Jose E. Is plasma 25(OH) D related to adipokines, inflammatory cytokines, and insulin resistance in both a healthy and morbidly obese population? Endocrine 2010;38:235-42. doi: 10.3390/nu13082889
Muscogiuri G, Tirabassi G, Bizzaro G, Orio F, Paschou SA, Vryonidou A, et al. Vitamin D, and thyroid disease: To D or not to D? Eur J Clin Nutr 2015;69:291-6. DOI: 10.1038/ejcn.2014.265
Mackay AM, Al-Ayed BM. Vitamin D deficiency and its association with thyroid disease. Int J Health Sci (Qassim) 2013;7:267-75. doi:10.12816/0006054
Velayutham K, Selvan SS, Unnikrishnan AG. Prevalence of thyroid dysfunction among young females in a South Indian population. Indian J Endocrinol Metab 2015;19:781-4. doi: 10.4103/2230-8210.167546
Unnikrishnan AG, Kalra S, Sahay RK, Bantwal G, John M, Tewari N. Prevalence of hypothyroidism in adults: An epidemiological study in eight cities of India. Indian J Endocrinol Metab 2013;17:647-52. PMCID: PMC3743364 DOI: 10.4103/2230-8210.113755
Kim CY, Lee YJ, Choi JH, Lee SY, Lee HY, Jeong DH, et al. The association between low Vitamin D status and autoimmune thyroid disease in premenopausal Korean women: the 6th Korea National Health and nutrition examination survey, 2013-2014. Korean J Fam Med 2019;40:323-8. doi: 10.4082/kjfm.18.0075
Kivity S, Agmon-Levin N, Zisappl M, Shapira Y, Nagy EV, Dankó K, et al. Vitamin D and autoimmune thyroid diseases. Cell Mol Immunol 2011;8:243-7. PMCID: PMC4012880 DOI: 10.1038/cmi.2010.73
Tamer G, Arik S, Tamer I, Coksert D. Relative Vitamin D insufficiency in Hashimoto’s thyroiditis. Thyroid 2011;21:891-6. DOI: 10.1089/ thy.2009.0200
Bozkurt NC, Karbek B, Ucan B, Sahin M, Cakal E, Ozbek M, et al. The association between severity of Vitamin D deficiency and Hashimoto’s thyroiditis. Endocr Pract 2013;19:479-84. doi: 10.4158/EP12376.OR
Mansournia N, Mansournia MA, Saeedi S, Dehghan J. The association between serum 25OHD levels and hypothyroid Hashimoto’s thyroiditis. J Endocrinol Investig 2014;37:473-6. doi: 10.1007/s40618-014-0064-y
Evliyaoğlu O, Acar M, Özcabı B, Erginöz E, Bucak F, Ercan O, et al. Vitamin D deficiency and Hashimoto’s thyroiditis in children and adolescents: A critical Vitamin D level for this association? J Clin Res Pediatr Endocrinol 2015;7:128. doi: 10.4274/jcrpe.2011
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