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European Journal of Physical Education and Sport Science ISSN: 2501 - 1235 ISSN-L: 2501 - 1235 Available on-line at: www.oapub.org/edu Volume 3 │ Issue 8 │ 2017 doi: 10.5281/zenodo.1035906 A STUDY ON EFFECT OF HYPOTHYROIDISM ON LIPID PROFILE Pooja Panchal1, Sonia Pawaria2i, Priyanka Rishi3 Intern, Faculty of Physiotherapy, 1 SGT University, Gurgaon, India Assistant Professor, 2, 3 Faculty of Physiotherapy, SGT University, Gurgaon, India Abstract: Design: Observational study design. Background: Hypothyroidism is the clinical syndrome and associated with slowing down the metabolic process in the body. Thyroid function significantly affects lipoprotein metabolism as well as some cardiovascular disease. Objectives: To assess the correlation between of thyroid functions and lipid abnormalities. . Methods: 20 Hypothyroidism patients were selected through convenience random sampling for the study. Blood sample was withdrawn from patients of hypothyroidism after overnight fasting and used for biochemical analysis. Results: Results of the study revealed that there was a statistically significant positive correlation between serum TSH, LDL, statistically significant negative correlation between serum TSH, and HDL. Conclusion: Thyroid dysfunction can have an important effect on lipid profile. Therefore, patients presenting with dyslipidemia are recommended to be investigated for hypothyroidism. Keywords: hypothyroidism, TSH, LDL, HDL Copyright © The Author(s). All Rights Reserved. © 2015 – 2017 Open Access Publishing Group 212 Pooja Panchal, Sonia Pawaria, Priyanka Rishi A STUDY ON EFFECT OF HYPOTHYROIDISM ON LIPID PROFILE 1. Introduction Hypothyroidism is reported as a common metabolic disorder in the general population. Hypothyroidism is the clinical syndrome which occurs due to deficiency of thyroid hormones, which leads to generalized slowing down of metabolic processes. Thyroid hormones perform a wide range of functions including regulation of lipids, carbohydrates, proteins and electrolytes. The most important effect on lipid metabolism includes mobilization of triglycerides from the adipose tissue causing increased concentration of free fatty acids in plasma. Thyroid hormones can influence HDL metabolism by increasing cholesteryl ester transfer protein [CETP] activity, which exchanges cholesteryl esters from HDL2 to the very low density lipoprotein [VLDL] and TGs to the opposite direction1. Decreased thyroid secretion reduces the rate of cholesterol secretion in the bile and consequently leads to diminished loss in the feces due to decreased number of low density lipoprotein receptors on liver cells. Decreased activity of LDL receptors resulting in decreased receptor-mediated catabolism of LDL and IDL is the main cause of the hypercholesterolemia observed in hypothyroidism2. Thus hypothyroidism constitutes a significant cause of secondary dyslipidemia. Decreased thyroid function not only increases the number of LDL particles, but also promotes LDL oxidability3. The abnormalities of lipid metabolism associated with hypothyroidism predispose to the development of atherosclerotic coronary artery disease (CAD)4 . Subjects with hypothyroidism also exhibit impaired endothelial function, increased uric acid and phosphate levels, all of which are associated with increased CVD risk5. Hypothyroidism is also accompanied by increased prevalence of metabolic syndrome and waist-to-hip ratio6. Early diagnosis and proper management can significantly reduce the mortality and morbidity of dyslipidemic cardiovascular diseases. It has been reported that lowering total cholesterol and LDL cholesterol reduces the risk of cardiovascular events like angina, myocardial infarction and stroke, and also reduces the need for revascularization. Therefore, this study was designed for evaluation of lipid profile in hypothyroid patients that might be helpful for clinical management of hypothyroid patients with dyslipidemia. For viewing / downloading the full article, please access the following link: https://oapub.org/edu/index.php/ejep/article/view/1136 European Journal of Physical Education and Sport Science - Volume 3 │ Issue 8 │ 2017 213