Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional Study

Background and purpose: Fibromyalgia is a syndrome characterized by chronic musculoskeletal pain, tenderness, and other physical symptoms. We determined the frequency of Fibromyalgia in hypothyroid patients and the relationship between FM symptoms and hypothyroid status. Materials and methods: The c...

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Main Authors: Maryam Mobini, Sajedehsadat Naghibi, Zahra Kashi, Reza Ali Mohammadpour, Mehrnoush Sohrab
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2023-12-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-20233-en.pdf
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author Maryam Mobini
Sajedehsadat Naghibi
Zahra Kashi
Reza Ali Mohammadpour
Mehrnoush Sohrab
author_facet Maryam Mobini
Sajedehsadat Naghibi
Zahra Kashi
Reza Ali Mohammadpour
Mehrnoush Sohrab
author_sort Maryam Mobini
collection DOAJ
description Background and purpose: Fibromyalgia is a syndrome characterized by chronic musculoskeletal pain, tenderness, and other physical symptoms. We determined the frequency of Fibromyalgia in hypothyroid patients and the relationship between FM symptoms and hypothyroid status. Materials and methods: The current study is a cross-sectional descriptive study investigating the prevalence and demographic characteristics of fibromyalgia in hypothyroid patients referred to University clinic in Sari in 1401-1402. Ninety-one hypothyroid patients were included in the study. The sampling method was convenience sampling. The sociodemographic features and the clinical features of hypothyroid patients were recorded. Thyroid tests included T4, TSH, and Anti Tpo Ab. Patients were examined for Fibromyalgia using American College Rheumatology (ACR) criteria for FM 2010 and 1990. For the patients who were classified as FM, the FIQR questionnaire was completed. To analyze the data, descriptive statistics indicators such as central and dispersion indicators and calculation of ratios were used, and to check the relationship between qualitative variables, chi-square test and quantitative variable comparison in different groups were used by t-tests and ANOVA in SPSS-25 software was used. Results: The mean age and duration of hypothyroidism were 48.35 ± 13.8 and 9.84± 6.6 years respectively. The frequency of fibromyalgia in hypothyroid patients was 7(8%) patients based on ACR 2010 criteria. In patients with hypothyroidism and fibromyalgia, 6 patients (85.7%) were positive for Anti Tpo Ab, while in patients with hypothyroidism without fibromyalgia, 29 patients (34.5%) had this antibody (P=0.007). Conclusion: It seems that Anti Tpo Ab is more important than thyroid dysfunction, and it is suggested to check this antibody in fibromyalgia patients in addition to thyroid function tests.
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spelling doaj.art-1c113481e67549149ebef321a0a2418e2024-01-10T06:52:06ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792023-12-01332287683Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional StudyMaryam Mobini0Sajedehsadat Naghibi1Zahra Kashi2Reza Ali Mohammadpour3Mehrnoush Sohrab4 Professor, Department of Internal Medicine, Diabetes Research Center, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran Internist, Mazandaran University of Medical Sciences, Sari, Iran Professor, Department of Internal Medicine, Diabetes Research Center, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran Professor, Department of Biostatistics, Faculty of Health, IMazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Internal Medicine, Diabetes Research Center, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Fibromyalgia is a syndrome characterized by chronic musculoskeletal pain, tenderness, and other physical symptoms. We determined the frequency of Fibromyalgia in hypothyroid patients and the relationship between FM symptoms and hypothyroid status. Materials and methods: The current study is a cross-sectional descriptive study investigating the prevalence and demographic characteristics of fibromyalgia in hypothyroid patients referred to University clinic in Sari in 1401-1402. Ninety-one hypothyroid patients were included in the study. The sampling method was convenience sampling. The sociodemographic features and the clinical features of hypothyroid patients were recorded. Thyroid tests included T4, TSH, and Anti Tpo Ab. Patients were examined for Fibromyalgia using American College Rheumatology (ACR) criteria for FM 2010 and 1990. For the patients who were classified as FM, the FIQR questionnaire was completed. To analyze the data, descriptive statistics indicators such as central and dispersion indicators and calculation of ratios were used, and to check the relationship between qualitative variables, chi-square test and quantitative variable comparison in different groups were used by t-tests and ANOVA in SPSS-25 software was used. Results: The mean age and duration of hypothyroidism were 48.35 ± 13.8 and 9.84± 6.6 years respectively. The frequency of fibromyalgia in hypothyroid patients was 7(8%) patients based on ACR 2010 criteria. In patients with hypothyroidism and fibromyalgia, 6 patients (85.7%) were positive for Anti Tpo Ab, while in patients with hypothyroidism without fibromyalgia, 29 patients (34.5%) had this antibody (P=0.007). Conclusion: It seems that Anti Tpo Ab is more important than thyroid dysfunction, and it is suggested to check this antibody in fibromyalgia patients in addition to thyroid function tests.http://jmums.mazums.ac.ir/article-1-20233-en.pdffibromyalgiahypothyroidismanti tpo ab
spellingShingle Maryam Mobini
Sajedehsadat Naghibi
Zahra Kashi
Reza Ali Mohammadpour
Mehrnoush Sohrab
Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional Study
Journal of Mazandaran University of Medical Sciences
fibromyalgia
hypothyroidism
anti tpo ab
title Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional Study
title_full Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional Study
title_fullStr Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional Study
title_full_unstemmed Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional Study
title_short Frequency of Fibromyalgia in Hypothyroidism: A Cross-Sectional Study
title_sort frequency of fibromyalgia in hypothyroidism a cross sectional study
topic fibromyalgia
hypothyroidism
anti tpo ab
url http://jmums.mazums.ac.ir/article-1-20233-en.pdf
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AT sajedehsadatnaghibi frequencyoffibromyalgiainhypothyroidismacrosssectionalstudy
AT zahrakashi frequencyoffibromyalgiainhypothyroidismacrosssectionalstudy
AT rezaalimohammadpour frequencyoffibromyalgiainhypothyroidismacrosssectionalstudy
AT mehrnoushsohrab frequencyoffibromyalgiainhypothyroidismacrosssectionalstudy