Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya population

Introduction. Autoimmune thyroiditis (AIT) is the most prevalent among the autoimmune pathologies and multifactorial thyroid diseases; accordingly, remaining a pressing issue for investigation.Aim: to study AIT profile in different age groups of the female population in the western region of Georgia...

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Main Authors: N. G. Tchelidze, S. Z. Glonti, D. Sh. Baratashvili, N. O. Kedelidze, J. Yu. Ungiadze, I. I. Nakashidze
Format: Article
Language:Russian
Published: IRBIS LLC 2022-03-01
Series:Акушерство, гинекология и репродукция
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Online Access:https://www.gynecology.su/jour/article/view/1236
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author N. G. Tchelidze
S. Z. Glonti
D. Sh. Baratashvili
N. O. Kedelidze
J. Yu. Ungiadze
I. I. Nakashidze
author_facet N. G. Tchelidze
S. Z. Glonti
D. Sh. Baratashvili
N. O. Kedelidze
J. Yu. Ungiadze
I. I. Nakashidze
author_sort N. G. Tchelidze
collection DOAJ
description Introduction. Autoimmune thyroiditis (AIT) is the most prevalent among the autoimmune pathologies and multifactorial thyroid diseases; accordingly, remaining a pressing issue for investigation.Aim: to study AIT profile in different age groups of the female population in the western region of Georgia – Adzhariya.Materials and Methods. A prospective comparative study in parallel groups was carried out. There were examined 405 samples of venous blood obtained at «Health» Clinic from women of two groups: group 1 – 159 patients with AIT, group 2 (control) – 246 women without AIT. Blood samples were collected between the years 2017 and 2020. There were analyzed serum antibodies against thyroperoxidase (TPOAb), thyroid stimulating hormone (TSH) as well as level of free thyroxine (FT4) by using enzyme immunoassay.Results. Patients with AIT from different age groups vs. control group were found to have decreased level of FT4, but increased amount of TSH and TPOAb. At the reproductive age (18–45 years), a significant increase in the level of TSH was found (6.12 times) compared with the control group (p < 0.0001). The level of FT4 and TSH in AIT women aged 51 to 60 years was 0.7880 ± 0.3584 ng/ml and 4.754 ± 2.433 U/ml that significantly differed from those in the control group – 1.314 ± 0.4044 ng/ml (p < 0.0001) and 2.276 ± 1.409 U/ml (p < 0.0001), respectively.Conclusion. AIT occurs in women of all age groups, but is more common in women aged 51 to 60 years. In a number of cases, TPOAb was detected in the control group, which, apparently, is associated with increased intake of dietary iodized salt since 2005 in Georgia (the adoption of the law on universal salt iodization). A significant increase in the level of TSH, in AIT women aged 18–45 years, strongly suggests to perform diagnostics of and screening for AIT not only in females of menopausal period, but also in reproductive age.
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spelling doaj-art-698fb4613ff64607802f2541b4c69ed62025-08-20T03:39:36ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942022-03-0116181510.17749/2313-7347/ob.gyn.rep.2022.251702Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya populationN. G. Tchelidze0S. Z. Glonti1D. Sh. Baratashvili2N. O. Kedelidze3J. Yu. Ungiadze4I. I. Nakashidze5Shota Rustaveli Batumi State UniversityShota Rustaveli Batumi State University; «Health» Clinic LTDShota Rustaveli Batumi State UniversityShota Rustaveli Batumi State UniversityShota Rustaveli Batumi State University; Iris Borchashvili Health Center «Medina»Shota Rustaveli Batumi State UniversityIntroduction. Autoimmune thyroiditis (AIT) is the most prevalent among the autoimmune pathologies and multifactorial thyroid diseases; accordingly, remaining a pressing issue for investigation.Aim: to study AIT profile in different age groups of the female population in the western region of Georgia – Adzhariya.Materials and Methods. A prospective comparative study in parallel groups was carried out. There were examined 405 samples of venous blood obtained at «Health» Clinic from women of two groups: group 1 – 159 patients with AIT, group 2 (control) – 246 women without AIT. Blood samples were collected between the years 2017 and 2020. There were analyzed serum antibodies against thyroperoxidase (TPOAb), thyroid stimulating hormone (TSH) as well as level of free thyroxine (FT4) by using enzyme immunoassay.Results. Patients with AIT from different age groups vs. control group were found to have decreased level of FT4, but increased amount of TSH and TPOAb. At the reproductive age (18–45 years), a significant increase in the level of TSH was found (6.12 times) compared with the control group (p < 0.0001). The level of FT4 and TSH in AIT women aged 51 to 60 years was 0.7880 ± 0.3584 ng/ml and 4.754 ± 2.433 U/ml that significantly differed from those in the control group – 1.314 ± 0.4044 ng/ml (p < 0.0001) and 2.276 ± 1.409 U/ml (p < 0.0001), respectively.Conclusion. AIT occurs in women of all age groups, but is more common in women aged 51 to 60 years. In a number of cases, TPOAb was detected in the control group, which, apparently, is associated with increased intake of dietary iodized salt since 2005 in Georgia (the adoption of the law on universal salt iodization). A significant increase in the level of TSH, in AIT women aged 18–45 years, strongly suggests to perform diagnostics of and screening for AIT not only in females of menopausal period, but also in reproductive age.https://www.gynecology.su/jour/article/view/1236autoimmune thyroiditishypothyroidismantibodies to thyroperoxidasetpoabthyroid stimulating hormonetshfree thyroxineft4
spellingShingle N. G. Tchelidze
S. Z. Glonti
D. Sh. Baratashvili
N. O. Kedelidze
J. Yu. Ungiadze
I. I. Nakashidze
Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya population
Акушерство, гинекология и репродукция
autoimmune thyroiditis
hypothyroidism
antibodies to thyroperoxidase
tpoab
thyroid stimulating hormone
tsh
free thyroxine
ft4
title Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya population
title_full Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya population
title_fullStr Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya population
title_full_unstemmed Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya population
title_short Autoimmune thyroiditis in different age groups and subjects of reproductive age in Adzhariya population
title_sort autoimmune thyroiditis in different age groups and subjects of reproductive age in adzhariya population
topic autoimmune thyroiditis
hypothyroidism
antibodies to thyroperoxidase
tpoab
thyroid stimulating hormone
tsh
free thyroxine
ft4
url https://www.gynecology.su/jour/article/view/1236
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AT dshbaratashvili autoimmunethyroiditisindifferentagegroupsandsubjectsofreproductiveageinadzhariyapopulation
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