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新诊断的桥本甲状腺炎患者维生素D水平与甲状腺自身抗体之间的相关性

Correlation between Vitamin D levels and thyroid autoantibodies in newly diagnosed hashimoto's thyroiditis patients.

作者信息

Genç Ahmed Cihad, Toçoğlu Aysel, Asan Fatma Betül, Önmez Attila

机构信息

Sakarya University Training and Research Hospital, Department of Internal Medicine, Sakarya, Turkey.

Duzce University, Department of Internal Medicine, Duzce, Turkey.

出版信息

Afr Health Sci. 2025 Jun;25(2):168-175. doi: 10.4314/ahs.v25i2.22.

Abstract

BACKGROUND

Vitamin D plays a role in numerous metabolic functions. In this study we aimed to assess vitamin D levels in Hashimoto's Thyroditis (HT) patients, and demonstrate the relationship between these levels and thyroid function tests or thyroid autoantibodies.

METHODS

A retrospective analysis of 112 newly diagnosed euthyroid HT (EHT) patients and 178 healthy controls was carried out. 25-OH D level was classified as vitamin D deficiency, vitamin D insufficiency, and vitamin D sufficient.

RESULTS

Mean age was 35.33±11.54 years in the patient group, and 35.84±10.9 in the control group (p=0.777). Compared with the healthy controls, patients in the EHT group had significantly lower vitamin D levels (p=0.007), and a significantly higher prevalence of vitamin D deficiency (p=0.001). While there was a negative correlation between vitamin D levels and anti-TPO values (r=-0.133, p=0.023), there was no significant relationship between vitamin D and TSH, fT4, fT3, and anti-TG values (p>0.05).

CONCLUSIONS

This study showed that EHT patients had lower vitamin D levels compared to healthy controls, and there was a significant negative correlation between vitamin D levels and anti-TPO levels. Based on our study, patients diagnosed with HT should undergo vitamin D screening, and replacement if necessary.

摘要

背景

维生素D在众多代谢功能中发挥作用。在本研究中,我们旨在评估桥本甲状腺炎(HT)患者的维生素D水平,并阐明这些水平与甲状腺功能检查或甲状腺自身抗体之间的关系。

方法

对112例新诊断的甲状腺功能正常的HT(EHT)患者和178例健康对照进行回顾性分析。将25-羟基维生素D水平分为维生素D缺乏、维生素D不足和维生素D充足。

结果

患者组的平均年龄为35.33±11.54岁,对照组为35.84±10.9岁(p = 0.777)。与健康对照相比,EHT组患者的维生素D水平显著降低(p = 0.007),维生素D缺乏的患病率显著更高(p = 0.001)。虽然维生素D水平与抗甲状腺过氧化物酶(anti-TPO)值之间存在负相关(r = -0.133,p = 0.023),但维生素D与促甲状腺激素(TSH)、游离甲状腺素(fT4)、游离三碘甲状腺原氨酸(fT3)和抗甲状腺球蛋白(anti-TG)值之间无显著关系(p>0.05)。

结论

本研究表明,与健康对照相比,EHT患者的维生素D水平较低,且维生素D水平与anti-TPO水平之间存在显著负相关。基于我们的研究,被诊断为HT的患者应进行维生素D筛查,必要时进行补充。

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