Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid Patients

Objective. The osteoporosis in thyroid disorder has the lowest report especially in sub-Saharan Africa. This study aims to determine the prevalence, predictive factors, and characteristics of osteoporosis in hyperthyroid patients. Method. Forty (40) hyperthyroid patients and healthy controls ages 21...

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Main Authors: Ayotunde O. Ale, Anthonia O. Ogbera, Henry O. Ebili, Olusola L. Adeyemo, Taiwo O. Afe
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2018/3540256
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author Ayotunde O. Ale
Anthonia O. Ogbera
Henry O. Ebili
Olusola L. Adeyemo
Taiwo O. Afe
author_facet Ayotunde O. Ale
Anthonia O. Ogbera
Henry O. Ebili
Olusola L. Adeyemo
Taiwo O. Afe
author_sort Ayotunde O. Ale
collection DOAJ
description Objective. The osteoporosis in thyroid disorder has the lowest report especially in sub-Saharan Africa. This study aims to determine the prevalence, predictive factors, and characteristics of osteoporosis in hyperthyroid patients. Method. Forty (40) hyperthyroid patients and healthy controls ages 21–50 years were recruited in this study. Questionnaires were administered to capture bio- and clinical data. Biochemical tests included blood, thyroid functions, intact parathyroid hormone, corrected calcium, and 25-hydroxyvitamin D tests. Bone mineral density (BMD) was also evaluated. Data were analyzed using the SPSS 21. A p value < 0.05 was regarded as significant. Results. Osteoporosis was observed in 18 (45%) of study subjects, 13 (72.2%) females and 5 (27.8%) males, respectively. The BMD of the hyperthyroid patients had a negative correlation with free triiodothyronine, FT3 (r=−0.49, p=0.005), FT4 (r=−0.33, p=0.009), corrected calcium (r=−0.31, p=0.039), alkaline phosphatase (r=−0.53, p<0.001), and osteocalcin (r=−0.61, p<0.001). Conversely, a positive association with thyroid-stimulating hormone (TSH) (r=0.54, p<0.001) was observed. Multiple regression showed osteocalcin (p<0.001) and TSH (p=0.015) as independent predictors of osteoporosis. Conclusion. Thyrotoxicosis is a risk factor for osteoporosis occurrence, and we recommend routine screening for this bone disease in persons over 20 years old with this disorder.
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spelling doaj-art-2da499d8cb314efbad0ba78d10c9db712025-08-20T02:24:07ZengWileyInternational Journal of Endocrinology1687-83371687-83452018-01-01201810.1155/2018/35402563540256Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid PatientsAyotunde O. Ale0Anthonia O. Ogbera1Henry O. Ebili2Olusola L. Adeyemo3Taiwo O. Afe4Department of Medicine, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, NigeriaDepartment of Medicine, College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos State, NigeriaDepartment of Morbid Anatomy and Histopathology, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, NigeriaObafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ago-Iwoye, Ogun State, NigeriaDepartment of Medicine, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, NigeriaObjective. The osteoporosis in thyroid disorder has the lowest report especially in sub-Saharan Africa. This study aims to determine the prevalence, predictive factors, and characteristics of osteoporosis in hyperthyroid patients. Method. Forty (40) hyperthyroid patients and healthy controls ages 21–50 years were recruited in this study. Questionnaires were administered to capture bio- and clinical data. Biochemical tests included blood, thyroid functions, intact parathyroid hormone, corrected calcium, and 25-hydroxyvitamin D tests. Bone mineral density (BMD) was also evaluated. Data were analyzed using the SPSS 21. A p value < 0.05 was regarded as significant. Results. Osteoporosis was observed in 18 (45%) of study subjects, 13 (72.2%) females and 5 (27.8%) males, respectively. The BMD of the hyperthyroid patients had a negative correlation with free triiodothyronine, FT3 (r=−0.49, p=0.005), FT4 (r=−0.33, p=0.009), corrected calcium (r=−0.31, p=0.039), alkaline phosphatase (r=−0.53, p<0.001), and osteocalcin (r=−0.61, p<0.001). Conversely, a positive association with thyroid-stimulating hormone (TSH) (r=0.54, p<0.001) was observed. Multiple regression showed osteocalcin (p<0.001) and TSH (p=0.015) as independent predictors of osteoporosis. Conclusion. Thyrotoxicosis is a risk factor for osteoporosis occurrence, and we recommend routine screening for this bone disease in persons over 20 years old with this disorder.http://dx.doi.org/10.1155/2018/3540256
spellingShingle Ayotunde O. Ale
Anthonia O. Ogbera
Henry O. Ebili
Olusola L. Adeyemo
Taiwo O. Afe
Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid Patients
International Journal of Endocrinology
title Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid Patients
title_full Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid Patients
title_fullStr Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid Patients
title_full_unstemmed Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid Patients
title_short Prevalence, Predictive Factors, and Characteristics of Osteoporosis in Hyperthyroid Patients
title_sort prevalence predictive factors and characteristics of osteoporosis in hyperthyroid patients
url http://dx.doi.org/10.1155/2018/3540256
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