Evidence map›Paper›PMID 41133662›Full record

ArticleClocks & sleep2025

Exploring the Cross-Sectional Association Between Hypothyroidism and Circadian Syndrome: Insights from NHANES 2007-2012.

Ahmed Arabi, Humam Emad Rajha, Osama Alkeilani, Ahmad Hamdan, Dima Nasrallah, Giridhara R Babu

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Article in Clocks & sleep, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ahmed ArabiCollege of Medicine, Qatar University (QU) Health, Qatar University, Doha P.O. Box 2713, Qatar.ORCID 0009-0009-1543-8287
Humam Emad RajhaCollege of Medicine, Qatar University (QU) Health, Qatar University, Doha P.O. Box 2713, Qatar.ORCID 0009-0000-3621-0518
Osama AlkeilaniCollege of Medicine, Qatar University (QU) Health, Qatar University, Doha P.O. Box 2713, Qatar.
Ahmad HamdanCollege of Medicine, Qatar University (QU) Health, Qatar University, Doha P.O. Box 2713, Qatar.ORCID 0000-0001-5655-7367
Dima NasrallahCollege of Medicine, Qatar University (QU) Health, Qatar University, Doha P.O. Box 2713, Qatar.
Giridhara R BabuDepartment of Population Medicine, College of Medicine, Qatar University (QU) Health, Qatar University, Doha P.O. Box 2713, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCircadian Syndrome (CircS) encompasses a range of cardiometabolic risk factors that contribute to an increased susceptibility to cardiovascular diseases and type 2 diabetes. Understanding the factors that underpin CircS is essential. This study primarily aims to examine the association between hypothyroidism and CircS in adults. A secondary analysis compares this association with that between hypothyroidism and Metabolic Syndrome (MetS). Additionally, the dose-response relationship between serum free thyroxine (FT4) levels and CircS probability is explored.

methodsThis cross-sectional study includes 4050 National Health and Nutrition Examination Survey (NHANES) participants (2007-2012). Hypothyroidism was classified into (1) drug-managed, (2) non-drug-managed (NDM) primary, and (3) NDM central hypothyroidism, based on self-reported medication use and serum TSH/FT4 levels. CircS was defined as having ≥5 of its eight components, including MetS criteria, depression, short sleep, and non-alcoholic fatty liver disease.

resultsOur results showed that hypothyroidism was significantly associated with CircS (OR: 1.58, 95% CI 1.26-1.98) and MetS (OR: 1.19, 95% CI 1.01-1.42). An inverse, non-linear relationship between serum FT4 levels and the probability of CircS was observed.

conclusionsThe results underscore a significant association between hypothyroidism and CircS and MetS, with FT4 levels inversely related to CircS probability. These findings highlight hypothyroidism's potential role in CircS pathogenesis and prevention.

Indexed as

cardiovascular diseasecircadian syndrome (CircS)hypothyroidismmetabolic syndrome (MetS)NHANESthyroid dysfunctiontype 2 diabetes

Identifiers

PMID41133662
PMCPMC12550944

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.