No abstract

As SUA is positively associated with AIP it can be used as a supplementary marker for atherosclerosis/CVD in upper-middle-aged men.

Introduction: Dysfunction of thyroid gland are among the most common disease of endocrine glands which affect a considerable portion of the population. Thyroid abnormalities are accompanied by changes in various intermediary metabolism which results in body weight alteration, insulin resistance, lipid profile and various biochemical parameters. Changes in dehydroepiandrosterone (DHEA) and its sulfated metabolite (Dehydroepiandrosterone sulfate) have been reported in patients with thyroid hypofunction but the evidence is controversial and not yet established. The present study planned to explore the association between thyroid function with DHEA and DHEAS levels in hypothyroid patients. Materials and Methods: An observational case control study was conducted in OPD patients of Rajshree Medical College of Rohilkhand region. RMRI, Bareilly.70 newly diagnosed hypothyroid patients were selected and all the biochemical parameters (plasma glucose, thyroid profile, DHEA and DHEAS) were compared with 70 age and sex matched healthy euthyroid controls. Statistical analysis was done using SPSS 22.0. version. Results: We found that serum DHEA and DHEAS levels were significantly reduced in hypothyroid patients as compared to control (p<0.0001). Significant negative correlation was observed between DHEA and its sulfated form with TSH and positive association with thyroid hormones (T3, T4, fT3, fT4). Conclusion:The present study demonstrated that hypothyroidism is associated with significantly low levels of DHEA and DHEAS concentration. Alteration of these sterols in hypothyroidism clearly indicates that thyroid hormone may stimulate the synthesis of these androgen precursors, though more elaborate study with increased sample size may provide more insights.

Introduction: Adiponectin is the most abundant adipocytokines secreted from adipose tissues and circulates in considerably high concentration in human plasma. Circulating adiponectin levels are decreased in obese subjects and this decrease has been thought to play a crucial role in the early development of atherosclerosis and cardiovascular diseases. Changes in adiponectin concentration has been reported in dyslipidemic subjects, but the evidence is controversial and no study conducted in north Indian population. Moreover, low molecular adiponectin seems to be linked with a worse lipid profile leading to dyslipidaemic through an association with triglyceride but the exact role of adiponectin in modulating lipid fraction is not well established. Aim: To correlate the level of serum adiponectin with lipid fractions in dyslipidemic male subjects and also to compare them with apparently healthy individuals. Materials and Methods: This case control study was conducted from April 2015 to November 2016 in the Biochemistry department of Rajshree Medical Research institute, Bareilly, Uttar Pradesh, India. A total of 70 non diabetic dyslipidemic male subjects between the age group 35 years to 55 years were selected and all the biochemical parameters (adiponectin, fasting plasma glucose, lipid profile) were evaluated and compared with 70 apparently healthy controls. Statistical analysis was performed by licensed version of Statistical Package for Social Sciences (SPSS) 16.0 software. All the data were expressed in “mean±SD”. Student ‘t’ test was also applied to see statistical significance in adiponectin levels between dyslipidemic subjects and healthy controls. Results: The study shows mean±SD of age in dyslipidemic group was 43.61±4.85 years and for control group was 43.53±5.53 years. The mean±SD of BMI in dyslipidemic group 25.72±2.43 was significantly higher than control group 23.42±1.56 with p-value <0.0001. The serum adiponectin concentration was significantly reduced in dyslipidemic subjects 5.11±2.04 μg/mL as compared to healthy control 6.79±1.37 μg/mL with p-value <0.0001. Serum total cholesterol, triglyceride and Low Density Lipoprotein (LDL)- cholesterol were found to be negatively correlated with serum adiponectin (r= -0.89, -0.76 and -0.74) and positively correlated with High Density Lipoprotein (HDL)-cholesterol (r= 0.70). Conclusion: The present study revealed that hypoadiponectinemia is associated with dyslipidaemic in men. The main observation of our present study, however, is that in dyslipidemic subjects, lower levels of adiponectin were associated with high total cholesterol, triglyceride, LDL-cholesterol and reduced HDL cholesterol, though more extensive, multicentric, prospective research with increase sample size could obtain wider insights.