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Association of thyroid hormones with the severity of chronic kidney disease: a cross-sectional observational study at Tabuk, Saudi Arabia

The interplay between chronic kidney disease (CKD) and thyroid dysfunction is becoming more evident in the biomedical community. However, the intricacies of their relationship warrant deeper investigation to understand the clinical implications fully. This study aims to systematically evaluate the c...

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Published in:PeerJ (San Francisco, CA) CA), 2024-10, Vol.12, p.e18338, Article e18338
Main Authors: Awwaadh, Basmah, Mohammed, Amal Hussain, Alharbi, Basmah F, Alruwetei, Abdulmohsen, Sarwar, Tarique, Alharbi, Hajed Obaid, Alhumaydhi, Fahad
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creator Awwaadh, Basmah
Mohammed, Amal Hussain
Alharbi, Basmah F
Alruwetei, Abdulmohsen
Sarwar, Tarique
Alharbi, Hajed Obaid
Alhumaydhi, Fahad
description The interplay between chronic kidney disease (CKD) and thyroid dysfunction is becoming more evident in the biomedical community. However, the intricacies of their relationship warrant deeper investigation to understand the clinical implications fully. This study aims to systematically evaluate the correlation between thyroid hormone levels, including thyroid-stimulating hormone (TSH), triiodothyronine (T3), and thyroxine (T4), and markers of renal disease severity. These markers include serum creatinine, urea, and parathyroid hormone (PTH) levels in individuals diagnosed with CK). We conducted a cross-sectional observational study involving a cohort of 86 participants with CKD recruited from the renal clinic at King Fahad Hospital in Tabuk. Biochemical parameters, encompassing plasma electrolytes and thyroid hormone concentrations, were quantitatively assessed. These measurements were performed with the aid of a Roche Cobas E411 analyzer. The Pearson correlation coefficient was employed to delineate the strength and direction of the associations between the thyroid function markers and renal disease indicators. The statistical analysis highlighted a generally weak correlation between the concentrations of thyroid hormones and the indicators of renal disease severity, with Pearson correlation coefficients between -0.319 and 0.815. Critically, no significant correlation was found between creatinine and thyroid hormones (TSH, T3, T4), nor was any substantial correlation between urea and thyroid hormones. Conversely, a robust positive correlation was noted between the levels of parathyroid hormone and serum creatinine (  = 0.718,  
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The statistical analysis highlighted a generally weak correlation between the concentrations of thyroid hormones and the indicators of renal disease severity, with Pearson correlation coefficients between -0.319 and 0.815. Critically, no significant correlation was found between creatinine and thyroid hormones (TSH, T3, T4), nor was any substantial correlation between urea and thyroid hormones. Conversely, a robust positive correlation was noted between the levels of parathyroid hormone and serum creatinine (  = 0.718,  &lt; 0.001). The data suggests that thyroid hormone levels have a minimal correlation with the severity of renal disease markers. In contrast, the pronounced correlation between PTH and creatinine underscores the importance of considering PTH as a significant factor in managing and therapeutic intervention of CKD complications. 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subjects Adult
Aged
Analysis
Biochemistry
Biomarkers - blood
Chronic kidney failure
Creatinine - blood
Cross-Sectional Studies
Development and progression
Diabetes and Endocrinology
Epidemiology
Ethylenediaminetetraacetic acid
Female
Health aspects
Hematology
Humans
Male
Middle Aged
Nephrology
Parathyroid hormone
Parathyroid Hormone - blood
Renal Insufficiency, Chronic - blood
Renal Insufficiency, Chronic - epidemiology
Renal Insufficiency, Chronic - physiopathology
Saudi Arabia
Saudi Arabia - epidemiology
Severity of Illness Index
Thyroid diseases
Thyroid gland
Thyroid hormones
Thyroid Hormones - blood
Thyrotropin
Thyrotropin - blood
Thyroxine
Thyroxine - blood
Triiodothyronine - blood
Urea
Urea - blood
title Association of thyroid hormones with the severity of chronic kidney disease: a cross-sectional observational study at Tabuk, Saudi Arabia
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