The Influence of Reducing Diets on Changes in Thyroid Parameters in Women Suffering from Obesity and Hashimoto's Disease

Hashimoto's disease is listed among the most common endocrine causes of obesity. As treatment of obesity in women with Hashimoto's disease is frequently unsuccessful, the aim of this study was to evaluate the effectiveness of two different reducing diets and their influence on changes in t...

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Veröffentlicht in:Nutrients 2021-03, Vol.13 (3), p.862
Hauptverfasser: Ostrowska, Lucyna, Gier, Dominika, Zyśk, Beata
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description Hashimoto's disease is listed among the most common endocrine causes of obesity. As treatment of obesity in women with Hashimoto's disease is frequently unsuccessful, the aim of this study was to evaluate the effectiveness of two different reducing diets and their influence on changes in thyroid parameters in female patients. A six-month observational/interventional study was performed on 100 women aged 18-65 years, previously diagnosed with Hashimoto's disease and obesity and receiving L-thyroxine. The women were randomly assigned to the test group (group A, = 50) following elimination/reducing diets, and the control group (group B, = 50) following reducing diets with the same caloric content (without elimination). Anthropometric and thyroid parameters were evaluated at the beginning, after 3 months and after 6 months of treatment. In both groups a significant decrease in BMI and body fat percentage was achieved, but in test group A the decrease in BMI and body fat percentage was significantly greater than in control group B ( < 0.002 and = 0.026, respectively). Serum TSH (thyroid stimulating hormon) levels decreased significantly more in group A than in group B ( < 0.001). Group A exhibited significantly greater increases in fT4 and fT3 levels than the control group ( < 0.001) as well as significantly greater decreases in the levels anti-TPO (thyroid peroxidase) ( < 0.001) and anti-TG (thyreoglobulin) antibodies ( = 0.048). The application of reducing diets with product elimination was found to be a more beneficial tool for changing anthropometric and thyroid parameters in women suffering from obesity and Hashimoto's disease than classic reducing diets with the same energy values and macronutrient content.
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subjects Adipose Tissue
Adolescent
Adult
Aged
Anthropometry
Antibodies
Autoantibodies - blood
Autoantigens - immunology
Body composition
Body fat
Body Mass Index
Diet
Diet, Reducing - methods
Dietitians
Disease
Energy value
Female
Food
Hashimoto Disease - blood
Hashimoto Disease - diet therapy
Hashimoto Disease - immunology
Humans
Hypothyroidism
Inflammation
Iodide peroxidase
Iodide Peroxidase - immunology
Iron-Binding Proteins - immunology
Medical laboratories
Middle Aged
Obesity
Obesity - blood
Obesity - diet therapy
Obesity - immunology
Overweight
Peroxidase
Thyroglobulin - immunology
Thyroid
Thyroid Function Tests
Thyroid gland
Thyroid Gland - immunology
Thyroid-stimulating hormone
Thyrotropin - blood
Thyroxine
Thyroxine - therapeutic use
Treatment Outcome
Variables
Womens health
Young Adult
title The Influence of Reducing Diets on Changes in Thyroid Parameters in Women Suffering from Obesity and Hashimoto's Disease
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