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Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study

Background: Non-T2 asthma and hypothyroidism share several inflammatory mechanisms in common. However, large-scale, real-world studies evaluating the association between asthma and hypothyroidism are lacking. The objective of this study was to evaluate the risk for asthma patients of developing hypo...

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Autores principales: Huang, Shih-Cheng, Gau, Shuo-Yan, Huang, Jing-Yang, Wu, Wen-Jun, Wei, James Cheng-Chung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9146804/
https://www.ncbi.nlm.nih.gov/pubmed/35628903
http://dx.doi.org/10.3390/jcm11102776
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author Huang, Shih-Cheng
Gau, Shuo-Yan
Huang, Jing-Yang
Wu, Wen-Jun
Wei, James Cheng-Chung
author_facet Huang, Shih-Cheng
Gau, Shuo-Yan
Huang, Jing-Yang
Wu, Wen-Jun
Wei, James Cheng-Chung
author_sort Huang, Shih-Cheng
collection PubMed
description Background: Non-T2 asthma and hypothyroidism share several inflammatory mechanisms in common. However, large-scale, real-world studies evaluating the association between asthma and hypothyroidism are lacking. The objective of this study was to evaluate the risk for asthma patients of developing hypothyroidism. Methods: In the retrospective cohort study, people with asthma were recruited from the Longitudinal Health Insurance Database in Taiwan. After excluding ineligible patients with a previous history of hypothyroidism, 1:1 propensity matching was conducted to select a non-asthma control group. Based on the multivariate Cox regression model, the adjusted hazard ratio of asthma patients developing hypothyroidism was calculated. Results: In total, 95,321 asthma patients were selected as the asthma group and the same amount of people without asthma were selected as the control group. The incidence levels of new-onset hypothyroidism in asthma and non-asthma groups were 8.13 and 6.83 per 100,000 people per year, respectively. Compared with the non-asthma group, the adjusted hazard ratio of the asthma group developing hypothyroidism was 1.217 (95% confidence interval, 1.091–1.357). Conclusions: We found having asthma to be associated with an increased risk of hypothyroidism. Clinicians should be concerned regarding the endocrinological and inflammatory interaction between the two diseases while caring for people with asthma.
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spelling pubmed-91468042022-05-29 Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study Huang, Shih-Cheng Gau, Shuo-Yan Huang, Jing-Yang Wu, Wen-Jun Wei, James Cheng-Chung J Clin Med Article Background: Non-T2 asthma and hypothyroidism share several inflammatory mechanisms in common. However, large-scale, real-world studies evaluating the association between asthma and hypothyroidism are lacking. The objective of this study was to evaluate the risk for asthma patients of developing hypothyroidism. Methods: In the retrospective cohort study, people with asthma were recruited from the Longitudinal Health Insurance Database in Taiwan. After excluding ineligible patients with a previous history of hypothyroidism, 1:1 propensity matching was conducted to select a non-asthma control group. Based on the multivariate Cox regression model, the adjusted hazard ratio of asthma patients developing hypothyroidism was calculated. Results: In total, 95,321 asthma patients were selected as the asthma group and the same amount of people without asthma were selected as the control group. The incidence levels of new-onset hypothyroidism in asthma and non-asthma groups were 8.13 and 6.83 per 100,000 people per year, respectively. Compared with the non-asthma group, the adjusted hazard ratio of the asthma group developing hypothyroidism was 1.217 (95% confidence interval, 1.091–1.357). Conclusions: We found having asthma to be associated with an increased risk of hypothyroidism. Clinicians should be concerned regarding the endocrinological and inflammatory interaction between the two diseases while caring for people with asthma. MDPI 2022-05-14 /pmc/articles/PMC9146804/ /pubmed/35628903 http://dx.doi.org/10.3390/jcm11102776 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Huang, Shih-Cheng
Gau, Shuo-Yan
Huang, Jing-Yang
Wu, Wen-Jun
Wei, James Cheng-Chung
Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study
title Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study
title_full Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study
title_fullStr Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study
title_full_unstemmed Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study
title_short Increased Risk of Hypothyroidism in People with Asthma: Evidence from a Real-World Population-Based Study
title_sort increased risk of hypothyroidism in people with asthma: evidence from a real-world population-based study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9146804/
https://www.ncbi.nlm.nih.gov/pubmed/35628903
http://dx.doi.org/10.3390/jcm11102776
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