Title POVEZANOST PREHRAMBENIH NAVIKA, TJELESNE MASE I FUNKCIJE ŠTITNJAČE
Title (english) RELATIONSHIP BETWEEN DIETARY HABITS, BODY WEIGHT AND THYROID FUNCTION
Author Jasmina Bradanović
Mentor Sanja Klobučar Majanović (mentor)
Mentor Tatjana Bogović Crnčić (komentor)
Committee member Neva Girotto (predsjednik povjerenstva)
Committee member Dijana Detel (član povjerenstva)
Committee member Sanja Klobučar Majanović (član povjerenstva)
Granter University of Rijeka Faculty of Health Studies (Department of Clinical Sciences 1) Rijeka
Defense date and country 2021-09-28, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Internal Medicine
Abstract Hashimotov tireoiditis (HT) kronična je autoimuna bolest štitnjače uzrokovana interakcijom
između genetskih i okolišnih čimbenika. Postoji širok spektar kliničkih manifestacija, a budući
da većina pacijenata s vremenom razvije hipotireozu, u većini slučajeva potrebna je doživotna
nadomjesna terapija levotiroksinom. Uloga prehrane u upravljanju HT-om obično je
zanemarena. Nutritivna terapija u osoba s HT-om temelji se na protuupalnoj prehrani koja može
pozitivno doprinijeti regulaciji imunološkog sustava i postizanju poželjne tjelesne mase.
U istraživanju je sudjelovalo 73 (5 M i 68 Ž) ispitanika s dijagnosticiranim HT-om koji su
regrutirani iz Endokrinološke ambulante ili Ambulante za bolesti štitnjače Zavoda za nuklearnu
medicinu KBC Rijeka. Prosječna dob ispitanika iznosi 48 godina, a prosječni indeks tjelesne
mase 33.1 kg/m2. Cilj istraživanja bio je utvrditi povezanost prehrambenih navika, tjelesne
mase i funkcije štitnjače u osoba s HT. Za procjenu dnevnog unosa mikronutrijenata korišten
je anketni model ispitivanja FFQ-a (food frequency questionnaire). Ispitivane su sljedeće
varijable: serumska koncentracija tireotropina (TSH), slobodnog tiroksina (fT4), C-reaktivnog
proteina (CRP), titar protutijela protiv tireoidne peroksidaze (anti-TPO), prosječni dnevni unos
selena i joda te indeks tjelesne mase (ITM).
Utvrđeno je da je prosječni dnevni unos joda bio za 55% niži, a unos selena za 40% niži od
preporučenog. Iako nije utvrđena značajna korelacija između unosa joda i selena sa serumskim
koncentracijama TSH, fT4 i CRP, zamijećen je rastući trend prosječnog dnevnog unosa joda i
prosječnog dnevnog unosa selena s porastom titra anti-TPO protutijela. Najveći unos ovih
mikronutrijenata zabilježen je u skupini ispitanika s najvećim titrom anti-TPO protutijela. Nije
utvrđena korelacija između ITM-a i serumske koncentracije TSH i fT4, ali je utvrđen srednje
visok stupanj korelacije ITM-a sa serumskom razinom CRP-a. U ispitanika s najvećim
stupnjem pretilosti utvrđen je i najveći titar anti-TPO protutijela.
Abstract (english) Hashimoto’s thyroiditis (HT) is a chronic autoimmune thyroid disease caused by the interaction
between genetic and environmental factors. There is a wide range of clinical manifestations,
and since most patients develop hypothyroidism over time, lifelong levothyroxine replacement
therapy is required in most cases. The role of nutrition in HT management is usually neglected.
Nutritional therapy in people with HT is based on an anti-inflammatory diet that can positively
contribute to the regulation of the immune system and the achievement of the desired body
weight.
The study involved 73 (5 M and 68 F) subjects diagnosed with HT who were recruited from the
Outpatient Endocrinology Clinic or the Outpatient Clinic for Thyroid Diseases of the Nuclear
Medicine Department at University Hospital Center Rijeka. The average age of the respondents
is 48 years, and the average body mass index is 33.1 kg/m2. The aim of the study was to
determine the relationship between eating habits, body weight and thyroid function in people
with HT. A FFQ (food frequency questionnaire) survey model was used to estimate daily
micronutrient intake. The following variables were tested: serum thyrotropin (TSH), free
thyroxine (fT4), C-reactive protein (CRP), anti-thyroid peroxidase antibody (anti-TPO) titer,
average daily selenium and iodine intake, and body mass index (BMI).
The average daily iodine intake was found to be 55% lower and the selenium intake 40% lower
than recommended. Although no significant correlation was found between iodine and
selenium intake with serum TSH, fT4, and CRP concentrations, a growing trend of average
daily iodine intake and average daily selenium intake was observed with increasing anti-TPO
antibody titers. The highest intake of these micronutrients was recorded in the group of subjects
with the highest anti-TPO antibodies titers. No correlation was found between BMI and TSH
and fT4 serum concentrations, but a moderately to high correlation between BMI and CRP
serum levels was found. The highest titer of anti-TPO antibodies was also found in the subjects
with the highest level of obesity.
Keywords
anti-TPO
indeks tjelesne mase
jod
selen
TSH
tiroksin
Keywords (english)
anti-TPO
body mass index
iodine
selenium
TSH
thyroxine
Language croatian
URN:NBN urn:nbn:hr:184:597302
Study programme Title: Graduate university Study of Clinical Nutrition Study programme type: university Study level: graduate Academic / professional title: magistar/magistra kliničkog nutricionizma (magistar/magistra kliničkog nutricionizma)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2022-04-28 13:23:21