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. 2021 Jun 2;13(2):152-159.
doi: 10.4274/jcrpe.galenos.2020.2020.0170. Epub 2020 Oct 2.

Is Waist-height Ratio Associated with Thyroid Antibody Levels in Children with Obesity?

Bahar Özcabı  1 , Gürkan Tarçın  1 , Esma Şengenç  1 , Feride Tahmiscioğlu Bucak  1 , Oya Ercan  1 , İbrahim Murat Bolayırlı  2 , Olcay Evliyaoğlu  1
Affiliations

Is Waist-height Ratio Associated with Thyroid Antibody Levels in Children with Obesity?

Bahar Özcabı et al. J Clin Res Pediatr Endocrinol. .

Abstract

Objective: Obesity is known to affect thyroid function. Recently, waist-height ratio (WHtR) has been considered as a useful marker of subclinical hypothyroidism in obese cases, but its relation with thyroid autoimmunity still remains unclear. We evaluated the effect of body fat mass, WHtR, and metabolic parameters on thyroid autoantibody levels in children with obesity.

Methods: This was a cross-sectional study carried out with an obese [n=56, male/female (M/F): 29/26] and a healthy group (n=38, M/F: 19/19). All subjects underwent anthropometric measurements, laboratory investigations for thyroid function tests, thyroid peroxidase (TPO-ab) and thyroglobulin-antibodies (Tg-ab), transaminases, blood glucose, insulin levels, and lipids after overnight fasting; homeostatic model assessment for insulin resistance (HOMA-IR) was calculated for assessment of insulin resistance. Fat mass was estimated by multiple frequency bioimpedance analysis in the obese group, which was further divided into two subgroups according to the median of WHtR. All parameters were compared between the groups/subgroups.

Results: In the obese group, weight, height, body mass index (BMI), free triiodothyronine, thyrotropin, TPO-ab, insulin, low density lipoprotein-cholesterol, total cholesterol, alanine aminotransferase levels, and HOMA-IR were significantly higher than the controls group (p<0.05 for all). Median of WHtR was 0.6 in the obese group. In the “WHtR >0.6” subgroup (n=28), weight, BMI, fat mass, TPO-ab, Tg-ab, insulin and triglyceride levels were higher than WHtR ≤0.6 subgroup (p<0.05). A positive correlation was obtained between Tg-ab and WHtR (rho=0.28, p=0.041).

Conclusion: Euthyroid children with obesity and a WHtR >0.6 are likely to have higher thyroid antibody levels, and Tg-ab levels have a positive correlation with WHtR, which reveals an association of central adiposity with thyroid autoantibody levels in these cases.

Keywords: Free thyroxine; free triiodothyronine; thyroglobulin antibody; thyroid peroxidase antibody; thyroid stimulating hormone; waist-height ratio.

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Figures

Figure 1. a. b. c. d
Figure 1. a. b. c. d
Waist/height ratio associated with thyroid antibody levels in obese children WHtR: waist/height ratio, Tg-ab: thyroglobulin antibody, FMI: fat mass index
See this image and copyright information in PMC

References

    1. Kumar S, Kelly AS. Review of Childhood Obesity: From Epidemiology, Etiology, and Comorbidities to Clinical Assessment and Treatment. Mayo Clin Proc. 2017;92:251–265. - PubMed
    1. Reinehr T. Obesity and thyroid function. Mol Cell Endocrinol. 2010;316:165–171. - PubMed
    1. Eliakim A, Barzilai M, Wolach B, Nemet D. Should we treat elevated thyroid stimulating hormone levels in obese children and adolescents? Int J Pediatr Obes. 2006;1:217–221. - PubMed
    1. Grandone A, Santoro N, Coppola F, Calabrò P, Perrone L, Del Giudice EM. Thyroid function derangement and childhood obesity: an Italian experience. BMC Endocr Disord. 2010;10:8. - PMC - PubMed
    1. Dahl M, Ohrt JD, Fonvig CE, Kloppenborg JT, Pedersen O, Hansen T, Holm JC. Subclinical hypothyroidism in Danish lean and obese children and adolescents. J Clin Res Pediatr Endocrinol. 2017;9:8–16. - PMC - PubMed

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