Profiles of Thyroid Hormones in the Overweight Boys of District Rawalpindi, Punjab, Pakistan

Main Article Content

Amber Ayub
Muhammad Irfan
Amir Nadeem
Sara Hayee
Naveed Akhtar
Faheem Nawaz

Abstract

We mustunderstand hormonal pathways to solve the global problem of overweight children and adolescents. This study examines the relationship between thyroid hormone levels and body weight in Rawalpindi boys, where childhood obesity/BMI is more prevalent. Thyroidfunction and body weight have been linked in a few studies. In this case-control study, we recruited 166 boys (both normal and Obese) aged 5-15 from hospitals inDistrict Rawalpindi, Pakistan. Heparinized syringes collected 1.5 ml antecubital blood samples from each subject. Blood plasma was immediately centrifuged following standard procedures and frozen at -20 °C. ELISA measured T3,T4,and TSH levels. A family history of Obesity or other endocrine or chronic diseases disqualified participants. Overweight boys had lower tri-iodothyronine (T3) levels than normal-weight boys (p<0.05). Ordinaryboys' T3 levels rose from 5 to 10 years old. Overweight boys had lower T3 levels than normal-weight 9–15-year-olds (p<0.05). From 5 to 7, 9 to 11, and 15 years old, overweight boys had lower tetra iodothyronine (T4) levels than normal-weight males (p<0.05). Chubby boys had higher TSH levels at 9, 11, and 13–15than normal-weight males (p<0.05). TSH correlated positively with body weight, while T3 and T4 correlated negatively. TSH linked with BMI, while T3 and T4 did not. This profile may explain overweight etiology. These findings can inform future research and interventions to address this serious public health concern in Rawalpindi and beyond.

Article Details

How to Cite
Ayub, A., Irfan, M., Nadeem, A., Hayee, S., Akhtar, N., & Nawaz, F. (2023). Profiles of Thyroid Hormones in the Overweight Boys of District Rawalpindi, Punjab, Pakistan. Pakistan Journal of Emerging Science and Technologies (PJEST), 4(3), 1–8. https://doi.org/10.58619/pjest.v4i3.121
Section
Articles

References

N. Knudsen et al., "Small Differences in Thyroid Function May Be Important for Body Mass Index and the Occurrence of Obesity in the Population," J. Clin. Endocrinol. Metab., vol. 90, no. 7, pp. 4019–4024, Jul. 2005, doi: 10.1210/jc.2004-2225.

V. Marras et al., "Thyroid Function in Obese Children and Adolescents," Horm. Res. Paediatr., vol. 73, no. 3, pp. 193–197, 2010, doi: 10.1159/000284361.

T. Reinehr, "Obesity and thyroid function," Mol. Cell. Endocrinol., vol. 316, no. 2, pp. 165–171, Mar. 2010, doi: 10.1016/j.mce.2009.06.005.

T. Reinehr, G. de Sousa, and W. Andler, "Hyperthyrotropinemia in Obese Children Is Reversible after Weight Loss and Is Not Related to Lipids," J. Clin. Endocrinol. Metab., vol. 91, no. 8, pp. 3088–3091, Aug. 2006, doi: 10.1210/jc.2006-0095.

M. Rotondi et al., "Raised serum TSH levels in patients with morbid obesity: is it enough to diagnose subclinical hypothyroidism?," Eur. J. Endocrinol., vol. 160, no. 3, pp. 403–408, Mar. 2009, doi: 10.1530/EJE-08-0734.

R. Patel, C. Dave, S. Mehta, H. Mendpara, R. Shukla, and A. Bajpai, "Metabolic Impact of Subclinical Hypothyroidism in Obese Children and Adolescents," Indian J. Pediatr., vol. 88, no. 5, pp. 437–440, May 2021, doi: 10.1007/s12098-020-03463-0.

L. K. Christensen, "PITUITARY REGULATION OF THYROID ACTIVITY," Acta Endocrinol. (Copenh)., vol. XXXIII, no. I, pp. 111–116, Jan. 1960, doi: 10.1530/acta.0.XXXIII0111.

H. Fujita, "Fine Structure of the Thyroid Gland," 1975, pp. 197–280. doi: 10.1016/S0074-7696(08)60954-7.

M. Rosenbaum, J. Hirsch, E. Murphy, and R. L. Leibel, "Effects of changes in body weight on carbohydrate metabolism, catecholamine excretion, and thyroid function," Am. J. Clin. Nutr., vol. 71, no. 6, pp. 1421–1432, Jun. 2000, doi: 10.1093/ajcn/71.6.1421.

MSTAT-C Manual, Micro-Statistical Programme. Michigan State University, USA, 1991.

D. A. Fisher, "Physiological variations in thyroid hormones: physiological and pathophysiological considerations," Clin. Chem., vol. 42, no. 1, pp. 135–139, Jan. 1996, doi: 10.1093/clinchem/42.1.135.

R. Moncayo et al., "The role of selenium, vitamin C, and zinc in benign thyroid diseases and of selenium in malignant thyroid diseases: Low selenium levels are found in subacute and silent thyroiditis and in papillary and follicular carcinoma," BMC Endocr. Disord., vol. 8, no. 1, p. 2, Dec. 2008, doi: 10.1186/1472-6823-8-2.

A. Parra, S. Villalpando, E. Junco, B. Urquieta, S. Alatorre, and G. García-Bulnes, "Thyroid gland function during childhood and adolescence," Acta Endocrinol. (Copenh)., vol. 93, no. 3, pp. 306–314, Mar. 1980, doi: 10.1530/acta.0.0930306.

C. Michaud, J. P. Kahn, N. Musse, C. Burlet, J. P. Nicolas, and L. Mejean, "Relationships between a critical life event and eating behaviour in high-school students," Stress Med., vol. 6, no. 1, pp. 57–64, Jan. 1990, doi: 10.1002/smi.2460060112.

R. Gutekunst et al., "Goitre epidemiology: thyroid volume, iodine excretion, thyroglobulin and thyrotropin in Germany and Sweden," Acta Endocrinol. (Copenh)., vol. 112, no. 4, pp. 494–501, Aug. 1986, doi: 10.1530/acta.0.1120494.

Y. Fleury, G. Van Melle, V. Woringer, R. C. Gaillard, and L. Portmann, "Sex-Dependent Variations and Timing of Thyroid Growth during Puberty 1," J. Clin. Endocrinol. Metab., vol. 86, no. 2, pp. 750–754, Feb. 2001, doi: 10.1210/jcem.86.2.7209.

A. Georges-Gobinet, S. Pedeboscq, H. Malanda, and L. Bordenave, "Assessment of thyrotropin, free thyroxine and free triiodothyronine concentrations in healthy children measured by radioisotopic assays," Immuno-analyse Biol. Spécialisée, vol. 16, no. 2, pp. 119–121, Mar. 2001, doi: 10.1016/S0923-2532(01)80064-8.

A. Djemli, G. Van Vliet, J. Belgoudi, M. Lambert, and E. E. Delvin, "Reference intervals for free thyroxine, total triiodothyronine, thyrotropin and thyroglobulin for Quebec newborns, children and teenagers," Clin. Biochem., vol. 37, no. 4, pp. 328–330, Apr. 2004, doi: 10.1016/j.clinbiochem.2003.12.006.

G. Kaur, L. Kalsotra, and A. K. Sadhoo, "Age and Sex Related Changes in Thyroid Functions in Normal Healthy Subjects of Jammu Region," J.K. Sci., vol. 9, no. 3, pp. 132–136, 2007.

A. Lipson et al., "A study of age-dependent changes in thyroid function tests in adults," J. Nucl. Med., vol. 20, no. 11, pp. 1124–1130, 1979.

U. Westgren, A. Burger, S. Ingemansson, A. Melander, S. Tibblin, and E. Wåhlin, "Blood Levels of 3,5,3‘-Triiodothyronine and Thyroxine: Differences between Children, Adults, and Elderly Subjects," Acta Med. Scand., vol. 200, no. 1–6, pp. 493–495, Apr. 2009, doi: 10.1111/j.0954-6820.1976.tb08271.x.

G. García-Bulnes, C. Cervantes, M. A. Cerbón, H. Tudon, R. M. Argote, and A. Parra, "Serum Thyrotrophin, Triiodothyronine And Thyroxine Levels By Radioimmunoassay During Childhood And Adolescence," Acta Endocrinol. (Copenh)., vol. 86, no. 4, pp. 742–753, Dec. 1977, doi: 10.1530/acta.0.0860742.

O. P. Soldin, E. G. Hoffman, M. A. Waring, and S. J. Soldin, "Pediatric reference intervals for FSH, L.H., estradiol, T3, free T3, cortisol, and growth hormone on the DPC IMMULITE 1000," Clin. Chim. Acta, vol. 355, no. 1–2, pp. 205–210, May 2005, doi: 10.1016/j.cccn.2005.01.006.

J. M. Corcoran, C. J. Eastman, J. N. Carter, and L. Lazarus, "Circulating thyroid hormone levels in children," Arch. Dis. Child., vol. 52, no. 9, pp. 716–720, Sep. 1977, doi: 10.1136/adc.52.9.716.