Vitamin D level and its relation with hypothyroidism: Evidence from cross-sectional study

Adnan Imam, ED Prashanth
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Abstract

Objective: The study was designed to estimate the serum Vitamin D3 levels in hypothyroid individuals to see the status of Vitamin D in them and whether any further supplementation is required or not as per results. Materials and Methods: This study included a total of 125 participants, comprising new hypothyroid cases (n = 19), and known hypothyroid cases (n = 106). All anthropometric and biochemical parameters, triiodothyronine (T3), tetraiodothyronine or thyroxine (T4), thyroid stimulating hormone (TSH) and Vitamin D3 were estimated. Collected data were analysed using SPSS software and an appropriate statistical test was used to test the significance. Results: Serum Vitamin D levels were significantly lower in almost all the individuals who were either new or known cases of hypothyroidism except 3 enrolled individuals. The positive correlation was found between serum Vitamin D levels and thyroid hormones level including TSH (P < 0.006), T3 (P < 0.0001) and T4 (P < 0001). This shows that there is strong correlation between Vitamin D and thyroid hormones, where low levels of Vitamin D were noted in hypothyroidism. Conclusion: The evidence of the current study suggested that most of the hypothyroid individuals were having either deficiency or insufficiency of Vitamin D (106 deficient, 16 insufficient). Males and females’ hypothyroid individuals relationship with Vitamin D levels cannot be summarised which may need a further large study group to comment. Whatever be the levels of T3, T4 and TSH in hypothyroid patients, whether the patient is male or female, Vitamin D supplementation is recommended, which may help in improving their TSH levels as well.
维生素D水平及其与甲状腺功能减退的关系:来自横断面研究的证据
目的:本研究旨在评估甲状腺功能减退患者的血清维生素D3水平,以了解他们体内维生素D的状况,并根据结果是否需要进一步补充维生素D。材料和方法:本研究共纳入125名参与者,包括新发甲状腺功能减退病例(n = 19)和已知甲状腺功能减退病例(n = 106)。测定所有人体测量和生化指标,三碘甲状腺原氨酸(T3)、四碘甲状腺原氨酸或甲状腺素(T4)、促甲状腺激素(TSH)和维生素D3。收集的资料使用SPSS软件进行分析,并采用相应的统计检验来检验显著性。结果:除3例入组患者外,几乎所有甲状腺功能减退新发或已知患者血清维生素D水平均显著降低。血清维生素D水平与甲状腺激素TSH (P < 0.006)、T3 (P < 0.0001)、T4 (P < 0001)水平呈正相关。这表明维生素D和甲状腺激素之间有很强的相关性,在甲状腺功能减退症中,维生素D水平较低。结论:本研究的证据表明,大多数甲状腺功能减退患者存在维生素D缺乏或不足(106例缺乏,16例不足)。男性和女性甲状腺功能减退个体与维生素D水平的关系无法总结,这可能需要进一步的大型研究小组来评论。无论甲状腺功能减退患者的T3, T4和TSH水平如何,无论患者是男性还是女性,都建议补充维生素D,这可能有助于改善他们的TSH水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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24 weeks
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