Jebmh.com Original Research Article
J Evid Based Med Healthc, pISSN - 2349-2562, eISSN - 2349-2570 / Vol. 7 / Issue 49 / Dec. 07, 2020 Page 2907
Hypothyroidism Induced Lipid Peroxidation
and Coronary Hazard in Lucknow
Sankha Simlai
1
, Pradeep Kumar
2
, Tapan Kumar Mohapatra
3
, Preeti Sharma
4
1, 2, 3, 4
Department of Biochemistry, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.
ABSTRACT
BACKGROUND
Dyslipidaemia is a common trait in subclinical (S.H.T.) and overt (O.H.T.)
hypothyroidism and had been comprehensively studied; the association of
dyslipidaemia, peroxidation of lipids, and coronary lipid risk factors have not been
well-thought-out in sub-clinical and clinical hypothyroidism in contrast to controls.
The intend of our study was to estimate lipid profile, coronary lipid risk factors,
lipid peroxidation index, and malondialdehyde (M.D.A.). Our intension is also to
determine their associations with TSH, thyroid hormone (fT3, fT4), and B.M.I. in
hypothyroid patients.
METHODS
This is a case control study conducted among 176 OHT patients, 176 SHT patients,
and 176 healthy controls from OPD of the medical college.
RESULTS
It was observed that all lipid parameters were higher in O.H.T. patients when
measured against controls (p < 0.05). Similarly, the parameters were also high in
the S.H.T patients group compared to euthyroid controls (p < 0.05). HDL-C was
low in both hypothyroid groups when evaluated against controls (p < 0.05).
Coronary lipid risk factors and levels of serum M.D.A. were also seen to be high in
both hypothyroid patient groups (p < 0 .05). FT3 and FT4 were correlated with
TC (p = < 0.05) and (p < 0.05) respectively and with non-HDL-C (p < 0.05) and
correspondingly (r = - 0.34, p < 0.05) in OHT subjects. TC (p < 0.05), LDL-C (p
< 0.05), Non-HDL-C (p < 0.05), LDL-C / HDL-C (p < 0.05) and MDA (p < 0.01)
were correlated with TSH. After nullification with B.M.I., M.D.A.'s relation to LDL-
C / HDL-C along with TC / HDL-C ratios constantly continued although similarity
between M.D.A. and LDL-C had been lost. If the function of M.D.A. was cancelled,
B.M.I. correlations with T.G., T.C., and VLDL-C remained constant along with the
correlation with atherogenic lipid factors and atherogenic index (A.I.) whereas the
B.M.I. and LDL-C link had been lost. No associations were observed in patients
with S.H.T however.
CONCLUSIONS
Dyslipidaemia, coronary lipid risk factors, and peroxidation of lipids were more
distinct in overt hypothyroids than in the sub-clinical group.
KEYWORDS
Atherogenic Risk, Dyslipidaemia, Lipid Peroxidation, Thyroid Hormone
Corresponding Author:
Dr. Tapan Kumar Mohapatra,
Santosh Medical College and
Hospital, Ghaziabad,
Uttar Pradesh, India.
E-mail: tapan.mahapatra7@gmail.com
DOI: 10.18410/jebmh/2020/595
How to Cite This Article:
Simlai S, Kumar P, Mohapatra TK, et al.
Hypothyroidism induced lipid
peroxidation and coronary hazard in
Lucknow. J Evid Based Med Healthc
2020; 7(49), 2907-2912. DOI:
10.18410/jebmh/2020/595
Submission 28-09-2020,
Peer Review 06-10-2020,
Acceptance 26-10-2020,
Published 07-12-2020.
Copyright © 2020 Sankha Simlai et al.
This is an open access article
distributed under Creative Commons
Attribution License [Attribution 4.0
International (CC BY 4.0)]