Case-control study2020Open access

Correlation Between Hashimoto's Thyroiditis-Related Thyroid Hormone Levels and 25-Hydroxyvitamin D

Chao G, Zhu Y, Fang L

Frontiers in endocrinology · 50 citations

How it was studied

Design
Case-control study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
National Natural Science Foundation of China
Government
Natural Science Foundation of Zhejiang Province
Grants
National Natural Science Foundation of China (2015RCA020); Natural Science Foundation of Zhejiang Province (2016ZB071); Natural Science Foundation of Zhejiang Province (2015ZZ012); Natural Science Foundation of Zhejiang Province (2017KY413); National Natural Science Foundation of China (81973598); National Natural Science Foundation of China (2017ZA089); Natural Science Foundation of Zhejiang Province (LY18H030001); Natural Science Foundation of Zhejiang Province (81573760); Natural Science Foundation of Zhejiang Province (2017ZA089); National Natural Science Foundation of China (LY16H030010); Natural Science Foundation of Zhejiang Province (LY16H030010); Natural Science Foundation of Zhejiang Province (2014ZA030); National Natural Science Foundation of China (2017KY413); National Natural Science Foundation of China (LY18H030001); National Natural Science Foundation of China (2014ZA030); National Natural Science Foundation of China (81573760); Natural Science Foundation of Zhejiang Province (2015RCA020); National Natural Science Foundation of China (2015ZZ012); National Natural Science Foundation of China (2016ZB071); Natural Science Foundation of Zhejiang Province (81973598)

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2020-02-14 · Front Endocrinol (Lausanne) · vol. 11 · p. 4
Publisher
Frontiers Media
Cited
68 citations · more than 97% of similar papers · 5.6× the field average
Impact
Top 10% most cited in its field
References
28 works
Access
Open access (journal) · CC-BY
Research areas
Vitamin D Research Studies · Thyroid Disorders and Treatments · Thyroid Cancer Diagnosis and Treatment
Keywords
Medicine, Internal medicine, vitamin D deficiency, Thyroid peroxidase, Endocrinology, Thyroiditis, Vitamin D and neurology, Hormone, Iodine deficiency, Thyroid-stimulating hormone, Thyroid, Gastroenterology
MeSH
humans, hypertension, vitamin d deficiency, thyroid hormones, vitamin d, thyroid function tests, case-control studies, blood pressure, adult, middle aged, female, male, hashimoto disease

3 authors

From CN

  • Guanqun Chao · correspondingSir Run Run Shaw Hospital; Zhejiang University
  • Yue ZhuSir Run Run Shaw Hospital; Zhejiang University
  • Lizheng Fang · correspondingSir Run Run Shaw Hospital; Zhejiang University

Abstract

Objective: The purpose of this study was to further clarify the association of Hashimoto's thyroiditis (HT) and vitamin D deficiency, and to seek the connection between them and related influencing factors. Methods: Data were obtained from subjects who underwent health examinations from January 2018 to December 2018. The diagnosis of HT was based on: antithyroid peroxidase antibody (TPO-Ab) levels >35 IU/ml and/or antithyroglobulin antibody (Tg-Ab) levels >40 IU/ml. Based on the Endocrine Society guidelines, 25-hydroxyvitamin D [25(OH)D] levels ≥30.0 ng/ml were classified as a vitamin D sufficiency; those between 20 and 29.9 ng/ml, as an insufficiency; and those Results: Of a total of 75,436 individuals who were physically examined, 5,656 of them had 25(OH)D levels tested at the same time; 5,230 were enrolled. The level of 25(OH)D in the non-HT group was higher than that in the HT group. Multiple regression analysis showed that HT was statistically significantly correlated with being male, body mass index (BMI), waist circumference, and thyroid-stimulating hormone (TSH). TSH levels in the insufficiency group and deficiency group were higher than those in the sufficiency group. Free triiodothyronine (FT3) and thyroxine (FT4) levels in the insufficiency group and deficiency group were lower than those in the sufficiency group. 25(OH)D increased by 1 ng/ml at the normal reference level, with an increase of 2.78 ng/dl in FT4 concentration and a decrease of 0.17 mIU/L in TSH. Conclusions: Patients with HT present with a reduced 25(OH)D level, and TSH is an independent risk factor for HT. TSH is negatively correlated with 25(OH)D level. FT3 and FT4 levels were positively correlated with 25(OH)D levels.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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