Study of Thyroid Function Tests in Patients with Metabolic Syndrome

Abstract

Background: The metabolic syndrome is a constellation of clinical and metabolic abnormalities including abdominal obesity, hypertension, dyslipidemia and impaired fasting glucose or impaired glucose tolerance. Metabolic syndrome and thyroid dysfunction are independent risk factors for cardiovascular disease. Aims and objectives: To study the prevalence, symptomatology of thyroid dysfunction and fine needle aspiration cytology (FNAC) findings of thyroid
in the patients having metabolic syndrome. Material and methods: The study was carried out in 60 cases of metabolic syndrome (according to NCEP ATP III criteria) selected from the medicine outdoor clinic (including diabetic clinics, thyroid clinics) and medicine indoor wards in Post Graduate Department of Medicine, SN Medical College and Hospital, Agra. Diagnosis of thyroid dysfunction was made by history, examination and serum FT4 and TSH. Result
and observations: Out of 60 patients of metabolic syndrome, 30 patients (50%) were euthyroid, 13 patients (21.66%) had subclinical hypothyroid and 12 patients (20%) had overt hypothyroid. Five patients (8.33%) of metabolic syndrome had hyperthyroidism. Truncal obesity was most prevalent (80.0%) component of metabolic syndrome, followed by hypertriglyceridemia (70%). Diabetes mellitus was equally prevalent in both males as well as females and was present
in about 40.0% patients and 53% of patients with metabolic syndrome were hypertensive. Conclusion: This study shows that 50% metabolic syndrome patients had thyroid dysfunction. About 21.66% had subclinical hypothyroidism, 20% had overt hypothyroidism and 8.33% were having hyperthyroidism. The most common symptom in metabolic syndrome patients with hypothyroidism was lethargy/sleepiness followed by dry and coarse skin. The most common
symptom in hyperthyroid patients was nervousness (100%) followed by sweating, heat intolerance and palpitation in 80% of the patients.