Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian Patients

Thyroid hormones play an important role in several metabolic pathways including glucose and lipid metabolism and may cause metabolic syndrome. Both hypothyroidism and metabolic syndrome are common in Syrian population. This study was done to evaluate the metabolic syndrome in two types of hypothyro...

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Main Authors: Madeline Albishara, Lama Hadid, Shaden Haddad
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2022-02-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/8633
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author Madeline Albishara
Lama Hadid
Shaden Haddad
author_facet Madeline Albishara
Lama Hadid
Shaden Haddad
author_sort Madeline Albishara
collection DOAJ
description Thyroid hormones play an important role in several metabolic pathways including glucose and lipid metabolism and may cause metabolic syndrome. Both hypothyroidism and metabolic syndrome are common in Syrian population. This study was done to evaluate the metabolic syndrome in two types of hypothyroidism and the effect of TSH levels on its occurrence. A retrospective cross-sectional study was performed of 91 patients with overt hypothyroidism, 31 patients with subclinical hypothyroidism without clinical symptoms and 53 controls without thyroid disorders. Metabolic syndrome was defined as per International Diabetes Federation(IDF) criteria which are defined as central obesity based on race- and gender-specific WC cutoffs (Waist circumference (WC) ≥ 94cm for male , WC ≥ 80cm for female) plus any two of the following four parameters: (Raised triglycerides: ≥150 mg/dl (1.7 mmol/l) or history of specific treatment for this lipid abnormality, Reduced HDL cholesterol: < 40 mg/dl (1.03 mmol/l) in males and < 50 mg/dl (1.29 mmol/l) in females or history of specific treatment for this lipid abnormality, Raised blood pressure: systolic BP ≥130 mm Hg or diastolic BP ≥85 mm Hg or on treatment for previously diagnosed hypertension and Raised FPG: ≥ 100 mg/dl or previously diagnosed type 2 Diabetes mellitus  In conclusion, our study showed significant association between overt hypothyroidism and metabolic syndrome. It also revealed that TSH level over 2.5 uIU‎/ml significantly increases the risk of the metabolic syndrome.
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spelling doaj.art-67ccce7c12c943f5b3740a8b55c6325d2022-12-21T23:33:26ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942022-02-0160210.18502/acta.v60i2.8822Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian PatientsMadeline Albishara0Lama Hadid1Shaden Haddad2Department of Biochemistry and Microbiology, Faculty of Pharmacy, Damascus University, Damascus, SyriaDepartment of Endocrinology, Al-Assad University Hospital, Damascus, SyriaDepartment of Biochemistry and Microbiology, Faculty of Pharmacy, Damascus University, Damascus, Syria. Thyroid hormones play an important role in several metabolic pathways including glucose and lipid metabolism and may cause metabolic syndrome. Both hypothyroidism and metabolic syndrome are common in Syrian population. This study was done to evaluate the metabolic syndrome in two types of hypothyroidism and the effect of TSH levels on its occurrence. A retrospective cross-sectional study was performed of 91 patients with overt hypothyroidism, 31 patients with subclinical hypothyroidism without clinical symptoms and 53 controls without thyroid disorders. Metabolic syndrome was defined as per International Diabetes Federation(IDF) criteria which are defined as central obesity based on race- and gender-specific WC cutoffs (Waist circumference (WC) ≥ 94cm for male , WC ≥ 80cm for female) plus any two of the following four parameters: (Raised triglycerides: ≥150 mg/dl (1.7 mmol/l) or history of specific treatment for this lipid abnormality, Reduced HDL cholesterol: < 40 mg/dl (1.03 mmol/l) in males and < 50 mg/dl (1.29 mmol/l) in females or history of specific treatment for this lipid abnormality, Raised blood pressure: systolic BP ≥130 mm Hg or diastolic BP ≥85 mm Hg or on treatment for previously diagnosed hypertension and Raised FPG: ≥ 100 mg/dl or previously diagnosed type 2 Diabetes mellitus  In conclusion, our study showed significant association between overt hypothyroidism and metabolic syndrome. It also revealed that TSH level over 2.5 uIU‎/ml significantly increases the risk of the metabolic syndrome. https://acta.tums.ac.ir/index.php/acta/article/view/8633Overt hypothyroidismSubclinical hypothyroidismMetabolic syndromeThyroid-stimulating hormoneObesity
spellingShingle Madeline Albishara
Lama Hadid
Shaden Haddad
Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian Patients
Acta Medica Iranica
Overt hypothyroidism
Subclinical hypothyroidism
Metabolic syndrome
Thyroid-stimulating hormone
Obesity
title Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian Patients
title_full Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian Patients
title_fullStr Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian Patients
title_full_unstemmed Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian Patients
title_short Metabolic syndrome in Overt and Subclinical Hypothyroidism Syrian Patients
title_sort metabolic syndrome in overt and subclinical hypothyroidism syrian patients
topic Overt hypothyroidism
Subclinical hypothyroidism
Metabolic syndrome
Thyroid-stimulating hormone
Obesity
url https://acta.tums.ac.ir/index.php/acta/article/view/8633
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AT lamahadid metabolicsyndromeinovertandsubclinicalhypothyroidismsyrianpatients
AT shadenhaddad metabolicsyndromeinovertandsubclinicalhypothyroidismsyrianpatients