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      Prevalence and Determinant Factors for Overweight and Obesity and Degenerative Diseases Among Young Adults in Indonesia

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      Journal of the ASEAN Federation of Endocrine Societies

      Journal of the ASEAN Federation of Endocrine Societies (JAFES)

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          Abstract

          The elderly are a peculiar group in terms of health management, as they often present with non-specific complaints which are challenging to interpret and may not present with the usual clinical picture of a disease. Objective. The study aims to determine the prevalence of thyroid dysfunction among asymptomatic, elderly Filipinos seen at the Philippine General Hospital (PGH). Methodology. Subjects aged 60 years and older seeking out-patient medical consult for non-thyroidal illness at the PGH were recruited. Patients with known thyroid or pituitary disease, previous thyroid or pituitary surgery, intake of medications known to affect thyroid hormone levels and critical illness were excluded. Fasting blood sugar (FBS), lipid profile, free thyroxine (FT4), thyroid-stimulating hormone (TSH), and anti-thyroperoxidase (anti-TPO) levels were taken. Based on FT4 and TSH levels, subjects were classified as overt hypothyroid, subclinical hypothyroid, euthyroid, subclinical hyperthyroid, or overt hyperthyroid. Results. One hundred eighty subjects were recruited, of whom 152 (84%) were female. Hypertension was the most common comorbidity (58.33%), followed by diabetes (36.67%). One hundred sixty-two (90%) were euthyroid, 12 (6.7%) subclinical hypothyroid, 4 (2.22%) subclinical hyperthyroid, and two (1.11%) overtly hyperthyroid. No one was overtly hypothyroid. There was a trend toward increasing prevalence of diabetes, hypertension, low HDL, obesity and overall cardiovascular risk among those with subclinical hypothyroidism. Conclusion. Subclinical hypothyroidism was the most prevalent thyroid dysfunction among asymptomatic elderly included in the study.

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          Author and article information

          Affiliations
          [1 ]National Institute Health Research and Development of Indonesia
          Journal
          Journal of the ASEAN Federation of Endocrine Societies
          JAFES
          Journal of the ASEAN Federation of Endocrine Societies (JAFES)
          08571074
          2308118X
          May 31 2012
          May 31 2012
          : 27
          : 1
          : 77-81
          10.15605/jafes.027.01.12
          © 2012

          CC BY 3.0

          Endocrinology & Diabetes, Medicine, Internal medicine

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