Η επίδραση της βιταμίνης D σε ασθενείς με θυροειδίτιδα Hashimoto (Bachelor thesis)
Ανδρεοπούλου, Δήμητρα
Vitamin D as a main immunomodulator plays an important role in a number of metabolic and
autoimmune diseases. According to research studies, concentration of vitamin D can positively affect
the thyroid gland function.
Aim: To investigate the effect of vitamin D oral supplementation in plasma levels of TSH (thyroid
stimulating hormone) and anti-thyroid antibodies (anti-TPO και anti-TG), as well as other related
markers, in HT (Hashimoto Thyroiditis) patients with vitamin D insufficiency. Another aim of the
present study was to assess information about vitamin D and its health related role in a pool of HT
patients using an internet based questionnaire.
Methods: In total 10 HT patients with vitamin D insufficiency were recruited (7 women; 3 men).
Prior to vitamin D supplementation (time 0), blood was withdrawn from all patients to assess levels of
vitamin D, TSH, Anti-TPO, Anti-TG. Additionally, patients were requested to fulfill a disease related
questionnaire, while anthropometric indices namely body weight, height, waist circumference and hip
circumference were also measured. Oral vitamin D supplementation (25000 I.U./week) was
implemented for a total period of three months. After the end of intervention, the same blood tests were
repeated. Statistical analysis was conducted using Microsoft Excel and IBM SPSS Statistics 25
program.
Results: The results of the intervention showed a statistically significant decrease of TSH at 3 months
compared to time 0 (4,64±3,3 μIU/mL vs. 2,6±0,94 μIU/mL respectively, p=0,037), meaning that TSH
was reduced by 2 units. Non significant reductions were observed for Anti-TPO (reduced by 72,6
IU/mL, p=0,241) and Anti-TG levels (reduced by 115,5 IU/mL, p=0,285). In regards to anthropometry,
body mass index (p=0,011) was reduced by 0.7 kg/m2
. During the study a total number of 4 patients
did not receive medical treatment (T4, thyroxin). However, at the end of the intervention period these
patients showed decrease (non significant) of TSH (reduced by 0,6 μIU/mL, p=0,068) Anti TPO(reduced by 203,8 IU/mL p=0,068) and Anti-TG (reduced by 315,8 IU/mL,p=0,068). Thus
supporting the hypothesis that vitamin D could be an independent regulator of thyroid function. Regarding the internet based questionnaire, HT patients who received vitamin D supplementation had
lower levels of TSH (11,47±13,11 μIU/mL) compared to those patients who did not take vitamin D
supplementation (17,33±31 μIU/mL). Last but not least, while 78% of HT patients had vitamin D
supplementation, only 18% had sufficiency (>30ng/ml).
Conclusion: It is of vital importance that patients with HT should undergo blood test to assess
vitamin D status. Oral supplementation of cholecalciferol by these patients could possibly lead to
beneficial effects on thyroid function.
Institution and School/Department of submitter: | Σχολή Επιστημών Υγείας / Τμήμα Επιστημών Διατροφής και Διαιτολογίας |
Subject classification: | Βιταμίνη D Vitamin D Αυτοάνοση θυρεοειδίτιδα Autoimmune thyroiditis |
Keywords: | Hashimoto;Ανεπάρκεια βιταμίνης D;Vitamin D deficiency;Συμπλήρωμα βιταμίνης D;Vitamin D supplement;Αντιθυρεοειδικά αντισώματα;Anti-thyroid antibodies;TSH |
Description: | Πτυχιακή εργασία - Σχολή Επιστημών Υγείας - Τμήμα Επιστημών Διατροφής και Διαιτολογίας, 2019 (α/α 11310) |
URI: | http://195.251.240.227/jspui/handle/123456789/14718 |
Appears in Collections: | Πτυχιακές Εργασίες |
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