Exploring the Link between Obesity and Hypothyroidism

Obesity and Hypothyroidism

Authors

  • Salman Khan District Head Quarter Teaching Hospital, Gomal Medical College, Dera Ismail Khan, Pakistan
  • Abdur Rehman District Head Quarter Teaching Hospital, Gomal Medical College, Dera Ismail Khan, Pakistan
  • Muhammad Zubair District Head Quarter Teaching Hospital, Dera Ismail Khan, Pakistan
  • Naseeb ur Rehman Shah District Head Quarter Teaching Hospital, Dera Ismail Khan, Pakistan
  • Nisar Khan Gomal Medical College, Dera Ismail Khan, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i06.1554

Keywords:

Obesity and Hypothyroidism

Abstract

The association between obesity and hypothyroidism has garnered significant attention due to their overlapping prevalence and potential bidirectional relationship. Objectives: To investigate the link between obesity and hypothyroidism in local population of Pakistan. Methods: A cross-sectional study conducted at Medical Unit DHQ Teaching Hospital in Dera Ismail Khan from 2022 to 2023 involved 550 participants. Demographic characteristics, age, gender, clinical parameters, body mass index (BMI), comorbidities, and thyroid blood tests (TSH, T4) were collected through systematically designed questionnaire. Lifestyle factors, dietary habits, physical activity and medication history were also recorded. Electronic medical records were reviewed to collect demographic information and medication history. Results: Data from 550 participants, meeting inclusion/ exclusion criteria, showed that individuals with hypothyroidism had a lower mean age (42.5 ± 8.6 years) than obese counterparts without hypothyroidism (45.2 ± 9.8 years). The odds ratio (OR) for the association between obesity and hypothyroidism was 2.45 (95% CI: 1.75 - 3.42), indicating a significant positive correlation (p < 0.001). Family history of thyroid disorders was present in 24.0% of individuals with subclinical hypothyroidism and 20.5% without. Mean BMI was higher in individuals with subclinical hypothyroidism (29.3 ± 3.5 kg/m2) than those without (27.8 ± 2.9 kg/m2). Conclusions: Our study confirmed obesity's strong link to hypothyroidism, especially in females, stressing the need for thyroid evaluation in obese individuals, particularly in clinical settings

References

Mahdavi, M., Amouzegar, A., Mehran, L. et al. Investigating the prevalence of primary thyroid dysfunction in obese and overweight individuals: Tehran thyroid study. BMC Endocr Disord 21, 89 (2021). https://doi.org/10.1186/s12902-021-00743-4 DOI: https://doi.org/10.1186/s12902-021-00743-4

Chen Y, Chen Y, Xia F, Wang N, Chen C, Nie X, Li Q, Han B, Zhai H, Jiang B, Shen Z. A higher ratio of estradiol to testosterone is associated with autoimmune thyroid disease in males. Thyroid. 2017;27(7):960–6. DOI: https://doi.org/10.1089/thy.2016.0661

Biondi, Bernadette. "Subclinical Hypothyroidism in Patients with Obesity and Metabolic Syndrome: A Narrative Review." Nutrients, vol. 16, no. 1, 2023, p. 87, https://doi.org/10.3390/nu16010087. DOI: https://doi.org/10.3390/nu16010087

Ding, X.; Zhao, Y.; Zhu, C.Y.; Wu, L.P.; Wang, Y.; Peng, Z.Y.; Deji, C.; Zhao, F.Y.; Shi, B.Y. The association between subclinical hypothyroidism and metabolic syndrome: An update meta-analysis of observational studies. Endocr. J. 2021, 68, 1043–1056 DOI: https://doi.org/10.1507/endocrj.EJ20-0796

Alwan, H.; Ribero, V.A.; Efthimiou, O.; Del Giovane, C.; Rodondi, N.; Duntas, L. A systematic review and meta-analysis investigating the relationship between metabolic syndrome and the incidence of thyroid diseases. Endocrine 2023. DOI: https://doi.org/10.1007/s12020-023-03503-7

Biondi, B.; Kahaly, G.J.; Robertson, R.P. Thyroid Dysfunction and Diabetes Mellitus: Two Closely Associated Disorders. Endocr. Rev. 2019, 40, 789–824. DOI: https://doi.org/10.1210/er.2018-00163

Chang, C.H.; Yeh, Y.C.; Shih, S.R.; Lin, J.W.; Chuang, L.M.; Caffrey, J.L.; Tu, Y.K. Association between thyroid dysfunction and dysglycaemia: A prospective cohort study. Diabet. Med. 2017, 34, 1584–1590 DOI: https://doi.org/10.1111/dme.13420

Gholampour Dehaki, M.; Amouzegar, A.; Delshad, H.; Mehrabi, Y.; Tohidi, M.; Azizi, F. Thyroid dysfunction in patients with impaired glucose metabolism: 11 year follow up from the Tehran Thyroid Study. PLoS ONE 2017, 12, e0184808 DOI: https://doi.org/10.1371/journal.pone.0184808

Boutari, C.; Mantzoros, C.S. A 2022 update on the epidemiology of obesity and a call to action: As its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism. 2022, 133, 155217 DOI: https://doi.org/10.1016/j.metabol.2022.155217

Sun, J.Y.; Huang, W.J.; Hua, Y.; Qu, Q.; Cheng, C.; Liu, H.L.; Kong, X.Q.; Ma, Y.X.; Sun, W. Trends in general and abdominal obesity in US adults: Evidence from the National Health and Nutrition Examination Survey (2001–2018). Front. Public Health 2022, 10, 925293 DOI: https://doi.org/10.3389/fpubh.2022.925293

Cesaro, A.; De Michele, G.; Fimiani, F.; Acerbo, V.; Scherillo, G.; Signore, G.; Rotolo, F.P.; Scialla, F.; Raucci, G.; Panico, D.; et al. Visceral adipose tissue and residual cardiovascular risk: A pathological link and new therapeutic options. Front. Cardiovasc. Med. 2023, 10, 1187735 DOI: https://doi.org/10.3389/fcvm.2023.1187735

van Hulsteijn, L.T.; Pasquali, R.; Casanueva, F.; Haluzik, M.; Ledoux, S.; Monteiro, M.P.; Salvador, J.; Santini, F.; Toplak, H.; Dekkers, O.M. Prevalence of endocrine disorders in obese patients: Systematic review and meta-analysis. Eur. J. Endocrinol. 2020, 182, 11–21. DOI: https://doi.org/10.1530/EJE-19-0666

Mele, C.; Mai, S.; Cena, T.; Pagano, L.; Scacchi, M.; Biondi, B.; Aimaretti, G.; Marzullo, P. The pattern of TSH and fT4 levels across different BMI ranges in a large cohort of euthyroid patients with obesity. Front. Endocrinol. 2022, 13, 1029376 DOI: https://doi.org/10.3389/fendo.2022.1029376

Guan, B.; Chen, Y.; Yang, J.; Yang, W.; Wang, C. Effect of Bariatric Surgery on Thyroid Function in Obese Patients: A Systematic Review and Meta-Analysis. Obes. Surg. 2017, 27, 3292–3305. DOI: https://doi.org/10.1007/s11695-017-2965-2

Wang, X.; Gao, X.; Han, Y.; Zhang, F.; Lin, Z.; Wang, H.; Teng, W.; Shan, Z. Causal Association Between Serum Thyrotropin and Obesity: A Bidirectional, Mendelian Randomization Study. J. Clin. Endocrinol. Metab. 2021, 106, e4251–e4259. DOI: https://doi.org/10.1210/clinem/dgab183

Song, R.H.; Wang, B.; Yao, Q.M.; Li, Q.; Jia, X.; Zhang, J.A. The Impact of Obesity on Thyroid Autoimmunity and Dysfunction: A Systematic Review and Meta-Analysis. Front. Immunol. 2019, 10, 2349

Zhang, F.; Li, Y.; Yu, X.; Wang, X.; Lin, Z.; Song, B.; Tian, L.; Feng, C.; Shan, Z.; Teng, W. The Relationship and Gender Disparity Between Thyroid Nodules and Metabolic Syndrome Components Based on a Recent Nationwide Cross-Sectional Study and Meta-Analysis. Front. Endocrinol. 2021, 12, 736972 DOI: https://doi.org/10.3389/fendo.2021.736972

Pasquali, R.; Casanueva, F.; Haluzik, M.; van Hulsteijn, L.; Ledoux, S.; Monteiro, M.P.; Salvador, J.; Santini, F.; Toplak, H.; Dekkers, O.M. European Society of Endocrinology Clinical Practice Guideline: Endocrine work-up in obesity. Eur. J. Endocrinol. 2020, 182, G1–G32. DOI: https://doi.org/10.1530/EJE-19-0893

Giannakou, M.; Saltiki, K.; Mantzou, E.; Loukari, E.; Philippou, G.; Terzidis, K.; Stavrianos, C.; Kyprianou, M.; Psaltopoulou, T.; Karatzi, K.; et al. The effect of obesity and dietary habits on oxidative stress in Hashimoto’s thyroiditis. Endocr. Connect. 2018, 1, 990–997. DOI: https://doi.org/10.1530/EC-18-0272

Yan, Y., Xu, M., Wu, M. et al. Obesity is associated with subclinical hypothyroidism in the presence of thyroid autoantibodies: a cross-sectional study. BMC Endocr Disord 22, 94 (2022). https://doi.org/10.1186/s12902-022-00981-0 DOI: https://doi.org/10.1186/s12902-022-00981-0

Wang, Bin, et al. "The Impact of Obesity on Thyroid Autoimmunity and Dysfunction: A Systematic Review and Meta-Analysis." Frontiers in Immunology, vol. 10, 2019, https://doi.org/10.3389/fimmu.2019.02349 DOI: https://doi.org/10.3389/fimmu.2019.02349

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Published

2024-06-30
CITATION
DOI: 10.54393/pjhs.v5i06.1554
Published: 2024-06-30

How to Cite

Khan, S., Rehman, A., Zubair, M., Shah, N. ur R., & Khan, N. (2024). Exploring the Link between Obesity and Hypothyroidism: Obesity and Hypothyroidism. Pakistan Journal of Health Sciences, 5(06), 19–24. https://doi.org/10.54393/pjhs.v5i06.1554

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