THYROID FUNCTION ABNORMALITIES IN PATIENTS WITH METABOLIC SYNDROME: AN OBSERVATIONAL STUDY
DOI:
https://doi.org/10.22159/ajpcr.2024.v17i1.50199Keywords:
Metabolic syndrome, Thyroid function test, HypothyroidismAbstract
Objective: The objective of the study is to study the presence of thyroid function abnormalities in cases with metabolic syndrome.
Methods: This was a prospective observational study done in the department of biochemistry of a tertiary care medical college. 60 patients fulfilling the criteria for metabolic syndrome as per the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III) criteria were included in this study. Demographic details of all the patients were noted. A detailed history was taken and thorough clinical examination was done. Thyroid function test was done in all cases. The presence of thyroid function test abnormalities was analyzed. Statistical analysis was done using SSPS 21.0 software and p<0.05 was taken as statistically significant.
Results: Out of these 60 cases, there were 37 (61.67%) males and 23 (38.33%) females with a M: F ratio of 1:0.62. The mean age of male and female patients was found to be 47.96±14.78 and 45.78±13.26 years, respectively. The mean age of male and female patients was found to be comparable with no statistically significant difference. Skin changes were present in 23 (38.33%) cases followed by tiredness (36.67%), constipation (25.00%), weight gain (21.67%), and pallor (15%). 29 (48.33%) were euthyroid whereas subclinical and clinical hypothyroidism was present in 18 (30%) and 10 (16.67%), respectively. 3 (5%) patients were found to have subclinical hyperthyroidism whereas there was no patient with clinical hyperthyroidism.
Conclusion: Thyroid function abnormalities are common in patients with metabolic syndrome. It is therefore important to screen patients for thyroid function abnormalities so that appropriate interventions can be undertaken if necessary.
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References
Grundy SM. Hypertriglyceridemia, insulin resistance, and the metabolic syndrome. Am J Cardiol 1999;83:25F-9. doi: 10.1016/s0002- 9149(99)00211-8
Livingstone KM, Brayner B, Celis-Morales C, Ward J, Mathers JC, Bowe SJ. Dietary patterns, genetic risk, and incidence of obesity: Application of reduced rank regression in 11,735 adults from the UK Biobank study. Prev Med 2022;158:107035. doi: 10.1016/j. ypmed.2022.107035
Roos A, Bakker SJ, Links TP, Gans RO, Wolffenbuttel BH. Thyroid function is associated with components of the metabolic syndrome in euthyroid subjects. J Clin Endocrinol Metab 2007;92:491-6. doi: 10.1210/jc.2006-1718
Mullur R, Liu YY, Brent GA. Thyroid hormone regulation of metabolism. Physiol Rev 2014;94:355-82. doi: 10.1152/physrev.00030.2013
Mehran L, Amouzegar A, Rahimabad PK, Tohidi M, Tahmasebinejad Z, Azizi F. Thyroid function and metabolic syndrome: A population-based thyroid study. Horm Metab Res 2017;49:192-200. doi: 10.1055/s- 0042-117279
Zamwar UM, Muneshwar KN. Epidemiology, types, causes, clinical presentation, diagnosis, and treatment of hypothyroidism. Cureus 2023;15:e46241. doi: 10.7759/cureus.46241
Rizos CV, Elisaf MS, Liberopoulos EN. Effects of thyroid dysfunction on lipid profile. Open Cardiovasc Med J 2011;5:76-84. doi: 10.2174/1874192401105010076
Ogbera AO, Kuku S, Dada O. The metabolic syndrome in thyroid disease: A report from Nigeria. Indian J Endocrinol Metab 2012;16:417-22. doi: 10.4103/2230-8210.95688
Mehran L, Amouzegar A, Abdi H, Delbari N, Madreseh E, Tohidi M, et al. Incidence of thyroid dysfunction facing metabolic syndrome: A prospective comparative study with 9 Years of follow-up. Eur Thyroid J 2021;10:390-8. doi: 10.1159/000512665
Iwen KA, Schröder E, Brabant G. Thyroid hormones and the metabolic syndrome. Eur Thyroid J 2013;2:83-92. doi: 10.1159/000351249
Rezaianzadeh A, Namayandeh SM, Sadr SM. National cholesterol education program adult treatment panel III versus international diabetic federation definition of metabolic syndrome, which one is associated with diabetes mellitus and coronary artery disease? Int J Prev Med 2012;3:552-8.
Tamrakar R, Shrestha A, Tamrakar D. Prevalence of metabolic syndrome in newly diagnosed type 2 diabetes mellitus. Kathmandu Univ Med J (KUMJ) 2019;17:273-8.
Ogedengbe SO, Ezeani IU. Profile of metabolic abnormalities seen in patients with type 2 diabetes mellitus and their first degree relatives with metabolic syndrome seen in Benin City, Edo state Nigeria. J Diabetes Metab Disord 2014;13:61. doi: 10.1186/2251-6581-13-61
Onesi SO, Ignatius UE. Metabolic syndrome: Performance of five different diagnostic criterias. Indian J Endocrinol Metab 2014;18:496-501. doi: 10.4103/2230-8210.137494
Khan MA, Ahsan T, Rehman UL, Jabeen R, Farouq S. Subclinical hypothyroidism: Frequency, clinical presentations and treatment indications. Pak J Med Sci 2017;33:818-22. doi: 10.12669/ pjms.334.12921, PMID: 29067046; PMCID: PMC5648945
Khatiwada S, Sah SK, Kc R, Baral N, Lamsal M. Thyroid dysfunction in metabolic syndrome patients and its relationship with components of metabolic syndrome. Clin Diabetes Endocrinol 2016;2:3. doi: 10.1186/ s40842-016-0021-0
Tehrani FR, Tohidi M, Dovom MR, Azizi F. A population based study on the association of thyroid status with components of the metabolic syndrome. J Diabetes Metab 2011;2:156. doi: 10.4172/2155- 6156.1000156
Senthil N, Thomas S, Santosh P, Sujatha S. A study of prevalence of thyroid dysfunction in patients with metabolic syndrome. Int J Res Med Sci 2015;3:3171-6.
Abha P, Keshari J, Sinha SR, Nishant K, Kumari R, Prakash P. Association of thyroid function with lipid profile in patients with metabolic syndrome: A prospective cross-sectional study in the Indian population. Cureus 2023;15:e44745. doi: 10.7759/cureus.44745
Deshmukh V, Farishta F, Bhole M. Thyroid dysfunction in patients with metabolic syndrome: A cross-sectional, epidemiological, Pan-India study. Int J Endocrinol 2018;2018:2930251. doi: 10.1155/2018/2930251
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