Subclinical hypothyroidism among patients with depressive disorders

Subclinical hypothyroidism (SHT) is a biochemical diagnosis, defined as an elevated Thyroid Stimulating Hormone (TSH) with normal free thyroxine (FT4). It affects 4-10% of the adult population and is more prevalent in elderly women. Its commonest cause is autoimmune thyroiditis, detected by anti-thy...

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Main Authors: Zahari Sham, Siti Yazmin, Umar, Nor Aini, Hambali, Zarida, Razali, Rosdinom, Abdul Manaf, Mohd Rizal
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2014
Online Access:http://psasir.upm.edu.my/id/eprint/41424/
http://psasir.upm.edu.my/id/eprint/41424/1/Subclinical%20hypothyroidism%20among%20patients%20with%20depressive%20disorders.pdf
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author Zahari Sham, Siti Yazmin
Umar, Nor Aini
Hambali, Zarida
Razali, Rosdinom
Abdul Manaf, Mohd Rizal
author_facet Zahari Sham, Siti Yazmin
Umar, Nor Aini
Hambali, Zarida
Razali, Rosdinom
Abdul Manaf, Mohd Rizal
author_sort Zahari Sham, Siti Yazmin
building UPM Institutional Repository
collection Online Access
description Subclinical hypothyroidism (SHT) is a biochemical diagnosis, defined as an elevated Thyroid Stimulating Hormone (TSH) with normal free thyroxine (FT4). It affects 4-10% of the adult population and is more prevalent in elderly women. Its commonest cause is autoimmune thyroiditis, detected by anti-thyroid peroxidase antibody (TPO-Ab). About 2-5% of SHT patients progress to overt hypothyroidism annually. The SHT prevalence among depressed patients ranges between 3% and 17%. This study aimed to determine the prevalence of SHT and TPO-Ab positivity among patients diagnosed with depressive disorders. It was a cross-sectional study carried out in the Universiti Kebangsaan Malaysia Medical Centre over a 12 months period. Serum TSH, FT4 and TPO-Ab were measured. Results showed that 82% of depressed patients were euthyroid, 4% had SHT, 11% had subclinical hyperthyroidism and 2% had discordant thyroid function. TPO-Ab positivity among the subjects was 7%, one of whom had SHT. In conclusion, the prevalence of SHT and TPO-Ab positivity in the study population, at 4% and 7%, respectively, were comparable to previous findings.
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spelling upm-414242015-12-18T04:23:55Z http://psasir.upm.edu.my/id/eprint/41424/ Subclinical hypothyroidism among patients with depressive disorders Zahari Sham, Siti Yazmin Umar, Nor Aini Hambali, Zarida Razali, Rosdinom Abdul Manaf, Mohd Rizal Subclinical hypothyroidism (SHT) is a biochemical diagnosis, defined as an elevated Thyroid Stimulating Hormone (TSH) with normal free thyroxine (FT4). It affects 4-10% of the adult population and is more prevalent in elderly women. Its commonest cause is autoimmune thyroiditis, detected by anti-thyroid peroxidase antibody (TPO-Ab). About 2-5% of SHT patients progress to overt hypothyroidism annually. The SHT prevalence among depressed patients ranges between 3% and 17%. This study aimed to determine the prevalence of SHT and TPO-Ab positivity among patients diagnosed with depressive disorders. It was a cross-sectional study carried out in the Universiti Kebangsaan Malaysia Medical Centre over a 12 months period. Serum TSH, FT4 and TPO-Ab were measured. Results showed that 82% of depressed patients were euthyroid, 4% had SHT, 11% had subclinical hyperthyroidism and 2% had discordant thyroid function. TPO-Ab positivity among the subjects was 7%, one of whom had SHT. In conclusion, the prevalence of SHT and TPO-Ab positivity in the study population, at 4% and 7%, respectively, were comparable to previous findings. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2014-06 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/41424/1/Subclinical%20hypothyroidism%20among%20patients%20with%20depressive%20disorders.pdf Zahari Sham, Siti Yazmin and Umar, Nor Aini and Hambali, Zarida and Razali, Rosdinom and Abdul Manaf, Mohd Rizal (2014) Subclinical hypothyroidism among patients with depressive disorders. Malaysian Journal of Medicine and Health Sciences, 10 (2). pp. 71-78. ISSN 1675-8544 http://www.medic.upm.edu.my/dokumen/FKUSK1_Jurnal_Text_Article_9.pdf
spellingShingle Zahari Sham, Siti Yazmin
Umar, Nor Aini
Hambali, Zarida
Razali, Rosdinom
Abdul Manaf, Mohd Rizal
Subclinical hypothyroidism among patients with depressive disorders
title Subclinical hypothyroidism among patients with depressive disorders
title_full Subclinical hypothyroidism among patients with depressive disorders
title_fullStr Subclinical hypothyroidism among patients with depressive disorders
title_full_unstemmed Subclinical hypothyroidism among patients with depressive disorders
title_short Subclinical hypothyroidism among patients with depressive disorders
title_sort subclinical hypothyroidism among patients with depressive disorders
url http://psasir.upm.edu.my/id/eprint/41424/
http://psasir.upm.edu.my/id/eprint/41424/
http://psasir.upm.edu.my/id/eprint/41424/1/Subclinical%20hypothyroidism%20among%20patients%20with%20depressive%20disorders.pdf