STUDY OF THYROID DYSFUNCTION IN METABOLIC SYNDROME
Authors: Drawpathy S , KOLAPARTHI LS AND NIKAM A

ABSTRACT
Background: Thyroid disorders are one of the most prevalent endocrine diseases in the world. Metabolic syndrome is associated mainly with the thyroid dysfunction which impact on glucose, lipid metabolism and cardiac dysfunction. AIM& OBJECTIVE: Tostudythyroiddysfunction inmetabolic syndrome.The main objective of this study was to study the pattern of thyroid dysfunction in casesof metabolic syndrome and to evaluate the association of thyroid dysfunction with thecomponents of metabolic syndrome METHODOLOGY: It was a Crosssectional Observational study. The Study was conducted at outpatient department and wards of Dr DY Patilmedicalcollegeand hospital, DY Patil Vidyapeeth, Pimpri, Pune. Outpatient department wards of tertiary care hospital. Registration ofpatients was from August 2019. They were registered when admitted under Medicine department. RESULTS: In the present study, mean age in years was 49.27 + 8.99 years. Majority 50% were in the age group of 46 to 55 years. Majority were females with 58% and 42% weremales. Number of Criteria positive for metabolic syndrome among study subjects, majority 48% had 3 parameters, 30% had 4 parameters and 22% had 5 parameters positive. On general examination, mean age was 49.27+8.99, height was 156.5+0.04, weight was 79.4+12.2, waist circumference was 102.44+10.68, systolic blood pressure was 129.2+8.36, diastolic blood pressure was 88.88+10.46, fasting bloodsugar 160.7+54.96, total cholesterol was 131.84+21.2,HDL was52+20.65,triglyceridewas146.53+42.25.In present study Thyroid dysfunction was seen among 22% of metabolic syndrome patients. Majority 78% had euthyroid status, 15% had subclinical hypothyroid, 4% had hypothyroid, 2% had subclinical hyperthyroid, and 1% had hyperthyroidism. In present study majority 78% had euthyroid status, 15% had subclinical hypothyroid, 4% were hypothyroid, 2% had subclinical hyperthyroid, and 1% hadhyperthyroidism. No statistical significance was seen between gender and thyroidstatus (P=0.73). Nostatistical significance was seen between ageandthyroid status(P=0.98). Strong association of thyroid dysfunction with the components of metabolic syndrome was seen (p<0.0001). CONCLUSION: The study conclude that thyroid functions should be taken into account while treating a patient with metabolic syndrome which will help in early diagnosis of thyroid dysfunction and thus decrease the incidence of a therosclerotic cardiovascular disease risk. Keywords: Thyroid, Metabolic syndrome, HDL, euthyroid, Cardiovascular disease
Publication date: 15/02/2022
    https://ijbpas.com/pdf/2022/February/MS_IJBPAS_2022_FEB_SPCL_1039.pdf
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https://doi.org/10.31032/IJBPAS/2022/11.2.1039