Thyroid and Lipid Profile Dysfunction among Obese versus Non-Obese Individuals
Obesity and Thyroid Lipid Profile Dysfunction
DOI:
https://doi.org/10.54393/pjhs.v5i03.1412Keywords:
Obesity, Lipid Profile, Thyroid Profile, Thyroid DysfunctionAbstract
Obesity, a complex disorder influenced by both genetic and environmental factors, manifests through intricate interactions. Objective: To assess thyroid function tests and serum lipid profiles in obese and non-obese individuals. Methods: This cross sectional observational study was conducted over six months from July to December 2023 at the medical outpatient department of Shahida Islam Medical College, after obtaining ethical approval (IRB Ref no. SIMC/H.R./7314/23, dated May 1, 2023). A sample size of 200 was calculated, divided equally into obese (BMI > 30 kg/m²) and non-obese (BMI < 25 kg/m²) groups. Data were analyzed using SPSS version 23.0, employing chi-square tests for significance (p < 0.05). Results: Each group comprised 100 participants, with mean ages of 42.49 ± 9.0 years for the obese and 43.83 ± 6.2 years for the non-obese group. Females constituted 62% of the obese and 51% of the non-obese group. Mean BMI was 35.8 kg/m² and 26.6 kg/m² in the obese and non-obese groups, respectively. Obese individuals exhibited higher mean total cholesterol (173 ± 40.77 mg/dl vs. 134 ± 29.62 mg/dl, p = 0.05) and significant differences in HDL, LDL, triglycerides, TSH, T3, and T4 levels (p < 0.05). Conclusions: Obesity is associated with adverse thyroid and lipid profiles, with a higher prevalence among females. These findings underscore the importance of addressing these metabolic factors in obesity management.
References
Van Dijk SJ, Molloy PL, Varinli H, Morrison JL, Muhlhausler BS. Epigenetics and human obesity. International Journal of Obesity. 2015 Jan; 39(1): 85-97. doi: 10.1038/ijo.2014.34. DOI: https://doi.org/10.1038/ijo.2014.34
Hruby A and Hu FB. The epidemiology of obesity: a big picture. Pharmacoeconomics. 2015 Jul; 33(7): 673-89. doi: 10.1007/s40273-014-0243-x. DOI: https://doi.org/10.1007/s40273-014-0243-x
Topór-Mądry R. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. New England Journal of Medicine. 2017 July; 377(1): 13-27. doi: 10.1056/NEJMoa1614362. DOI: https://doi.org/10.1056/NEJMoa1614362
Smith KB and Smith MS. Obesity statistics. Primary Care: Clinics in Office Practice. 2016 Mar; 43(1): 121-35. doi: 10.1016/j.pop.2015.10.001. DOI: https://doi.org/10.1016/j.pop.2015.10.001
Oliveros E, Somers VK, Sochor O, Goel K, Lopez-Jimenez F. The concept of normal weight obesity. Progress in Cardiovascular Diseases. 2014 Jan; 56(4): 426-33. doi: 10.1016/j.pcad.2013.10.003. DOI: https://doi.org/10.1016/j.pcad.2013.10.003
Heymsfield SB and Wadden TA. Mechanisms, pathophysiology, and management of obesity. New England Journal of Medicine. 2017 Jan; 376(3): 254-66. doi: 10.1056/NEJMra1514009. DOI: https://doi.org/10.1056/NEJMra1514009
Simmonds M, Llewellyn A, Owen CG, Woolacott N. Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obesity Reviews. 2016 Feb; 17(2): 95-107. doi: 10.1111/obr.12334. DOI: https://doi.org/10.1111/obr.12334
Hruby A, Manson JE, Qi L, Malik VS, Rimm EB, Sun Q et al. Determinants and consequences of obesity. American Journal of Public Health. 2016 Sep; 106(9): 1656-62. doi: 10.2105/AJPH.2016.303326. DOI: https://doi.org/10.2105/AJPH.2016.303326
Björnson E, Adiels M, Taskinen MR, Borén J. Kinetics of plasma triglycerides in abdominal obesity. Current Opinion in Lipidology. 2017 Feb; 28(1): 11-8. doi: 10.1097/MOL.0000000000000375. DOI: https://doi.org/10.1097/MOL.0000000000000375
Fan J, Liu Y, Yin S, Chen N, Bai X, Ke Q et al. Small dense LDL cholesterol is associated with metabolic syndrome traits independently of obesity and inflammation. Nutrition & Metabolism. 2019 Dec; 16(1): 7-16. doi: 10.1186/s12986-019-0334-y. DOI: https://doi.org/10.1186/s12986-019-0334-y
Sanyal D and Raychaudhuri M. Hypothyroidism and obesity: An intriguing link. Indian Journal of Endocrinology and Metabolism. 2016 Jul; 20(4): 554-7. doi: 10.4103/2230-8210.183454. DOI: https://doi.org/10.4103/2230-8210.183454
Fontenelle LC, Feitosa MM, Severo JS, Freitas TE, Morais JB, Torres-Leal FL et al. Thyroid function in human obesity: underlying mechanisms. Hormone and Metabolic Research. 2016 Dec; 48(12): 787-94. doi: 10.1055/s-0042-121421. DOI: https://doi.org/10.1055/s-0042-121421
Witkowska-Sędek E, Kucharska A, Rumińska M, Pyrżak B. Thyroid dysfunction in obese and overweight children. Endokrynologia Polska. 2017; 68(1): 54-60. doi: 10.5603/EP.2017.0007. DOI: https://doi.org/10.5603/EP.2017.0007
García-Solís P, García OP, Hernández-Puga G, Sánchez-Tusie AA, Sáenz-Luna CE, Hernández-Montiel HL et al. Thyroid hormones and obesity: a known but poorly understood relationship. Endokrynologia Polska. 2018; 69(3): 292-303. doi: 10.5603/EP.2018.0032. DOI: https://doi.org/10.5603/EP.2018.0032
Montoya-Morales DS, de los Ángeles Tapia-González M, Alamilla-Lugo L, Sosa-Caballero A, Muñoz-Solís A, Jiménez-Sánchez M et al. Alterations of the thyroid function in patients with morbid obesity. Revista Médica Del Instituto Mexicano Del Seguro Social. 2015 Feb; 53(1): 18-23.
Hussain A, Ali I, Kaleem WA, Yasmeen F. Correlation between Body Mass Index and Lipid Profile in patients with Type 2 Diabetes attending a tertiary care hospital in Peshawar. Pakistan Journal of Medical Sciences. 2019 May; 35(3): 591-7. doi: 10.12669/pjms.35.3.7. DOI: https://doi.org/10.12669/pjms.35.3.7
Bora K, Pathak MS, Borah P, Das D. Association of Decreased High-Density Lipoprotein Cholesterol (HDL-C) With Obesity and Risk Estimates for Decreased HDL-C Attributable to Obesity: Preliminary Findings From a Hospital-Based Study in a City From Northeast India. Journal of Primary Care & Community Health. 2017 Jan; 8(1): 26-30. doi: 10.1177/2150131916664706. DOI: https://doi.org/10.1177/2150131916664706
Bastien M, Poirier P, Lemieux I, Després JP. Overview of epidemiology and contribution of obesity to cardiovascular disease. Progress in Cardiovascular Diseases. 2014 Jan; 56(4): 369-81. doi: 10.1016/j.pcad.2013.10.016. DOI: https://doi.org/10.1016/j.pcad.2013.10.016
Kanwar GU, Kirad SU, Chawla L. A comparative study of serum lipid profile between premenopausal and post-menopausal women in Kota, Rajasthan, India. International Journal of Research in Applied, Natural and Social Sciences. 2014; 2(8): 61-6. doi: 10.21276/ijcmr.2018.5.8.21 DOI: https://doi.org/10.21276/ijcmr.2018.5.8.21
Maghsoudi Z, Kelishadi R, Hosseinzadeh-Attar MJ. The comparison of chemerin, adiponectin and lipid profile indices in obese and non-obese adolescents. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2016 Apr; 10(2): 43-6. doi: 10.1016/j.dsx.2016.01.020. DOI: https://doi.org/10.1016/j.dsx.2016.01.020
Suneetha K. Study of Lipid Profile in Obese and Non-obese Students in Acharya Nagarjuna University. International Journal of Pharmaceutical and Clinical Research. 2018; 10(2): 40-2.
Oliosa PR, Zaniqueli D, de Oliveira Alvim R, Barbosa MC, Mill JG. Body fat percentage is better than indicators of weight status to identify children and adolescents with unfavorable lipid profile. Jornal de Pediatria. 2019 Jan; 95(1): 112-8. doi: 10.1016/j.jped.2017.11.003. DOI: https://doi.org/10.1016/j.jped.2017.11.003
Kanwar GU and Kabra RA. A study of association between obesity and lipid profile. Impact Journals. 2016; 4(4): 69-74.
Rotondi M, Leporati P, Rizza MI, Clerici A, Groppelli G, Pallavicini C et al. Raised serum TSH in morbid-obese and non-obese patients: effect on the circulating lipid profile. Endocrine. 2014 Feb; 45(1): 92-7. doi: 10.1007/s12020-013-9928-8. DOI: https://doi.org/10.1007/s12020-013-9928-8
Wang X, Liu H, Chen J, Huang Y, Li L, Rampersad S et al. Metabolic characteristics in obese patients complicated by mild thyroid hormone deficiency. Hormone and Metabolic Research. 2016 May; 48(05): 331-7. doi: 10.1055/s-0042-105150. DOI: https://doi.org/10.1055/s-0042-105150
Martínez-Sánchez N, Alvarez CV, Fernø J, Nogueiras R, Diéguez C, López M et al. Hypothalamic effects of thyroid hormones on metabolism. Best Practice & Research Clinical Endocrinology & Metabolism. 2014 Oct; 28(5): 703-12. doi: 10.1016/j.beem.2014.04.004. DOI: https://doi.org/10.1016/j.beem.2014.04.004
Gutch M, Rungta S, Kumar S, Agarwal A, Bhattacharya A, Razi SM et al. Thyroid functions and serum lipid profile in metabolic syndrome. Biomedical Journal. 2017 Jun; 40(3): 147-53. doi: 10.1016/j.bj.2016.12.006. DOI: https://doi.org/10.1016/j.bj.2016.12.006
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments