Isolated vitamin D deficiency is not associated with nonthyroidal illness syndrome, but with thyroid autoimmunity

ScientificWorldJournal. 2015:2015:239815. doi: 10.1155/2015/239815. Epub 2015 Jan 12.

Abstract

Aim: This study aimed to compare thyroid functions, thyroid autoantibodies, and the existence of nonthyroidal illness syndrome (NTIS) according to vitamin D level.

Materials and methods: The study included age- and BMI-matched healthy volunteers with and without vitamin D deficiency. In addition, the nonthyroidal illness syndrome status was evaluated.

Results: Anti-TPO positivity was significantly more common in those with severe and moderate vitamin D deficiency, as compared to those with a normal 25(OH)D level. Furthermore, TSH levels were significantly lower in those with severe and moderate vitamin D deficiency than in those with a normal 25(OH)D level. In addition, there was a significant weak inverse correlation between anti-TPO positivity and the 25(OH)D level and a positive correlation between the TSH level and 25(OH)D level. Only 1 thyroid function test result was compatible with NTIS among the participants with moderate vitamin D deficiency; therefore the difference was not significant.

Conclusions: The prevalence of thyroid autoantibody positivity was higher in those with severe and moderate vitamin D deficiency than in those with a normal 25(OH)D level. Additional large-scale studies must be conducted to determine if vitamin D deficiency plays a causal role in the pathogenesis of Hashimoto's thyroiditis and NTIS.

MeSH terms

  • Adult
  • Autoantibodies / immunology
  • Case-Control Studies
  • Euthyroid Sick Syndromes / etiology*
  • Female
  • Humans
  • Male
  • Syndrome
  • Thyroid Gland / immunology
  • Thyroid Hormones / blood
  • Thyroiditis, Autoimmune / etiology*
  • Thyrotropin / blood
  • Vitamin D / blood
  • Vitamin D Deficiency / complications*

Substances

  • Autoantibodies
  • Thyroid Hormones
  • Vitamin D
  • Thyrotropin