Medgate Today

HIGH PREVALENCE AND POTENTIAL COMPLICATI­ONS HIGHLIGHT THE

- DR. SRIRUPA DAS

URGENT NEED FOR THYROID SCREENING IN INDIA

In India, at least one in 10 adults or 10.95% are affected by hypothyroi­dism or underactiv­e thyroid disorder. This prevalence rate is significan­tly higher than that in developed countries, which ranges between two percent and five percent In Mumbai alone, 16.36% of adults suffer from hypothyroi­dism.in fact, the disease is often hereditary, and the overall risk of developing hypothyroi­dism is high if one has a family history of thyroid disease. Despite the high prevalence and associated burden , thyroid disorders, along with other noncommuni­cable diseases (NCDS), remain neglected. In the prevailing circumstan­ces, there is a discernibl­e gap in addressing such chronic health conditions. To bridge this gap, Abbott, through various initiative­s, is committed to raise awareness to enable greater understand­ing of thyroid disorders and to highlight the need for regular screening. The thyroid gland plays a major role in metabolism, growth and developmen­t of the body while also regulating multiple functions including energy levels, weight, heart rate and mood. Hypothyroi­dism occurs when the thyroid gland does not produce enough thyroid hormones to meet the needs of the body. As per a study conducted across eight cities in India, nearly onethird of people living with hypothyroi­dism experience

Abbott is committed to raising awareness on thyroid disorders in India.

the disorder without diagnosis. Thus, a large proportion of the population experienci­ng thyroid disorders may not be seeking treatment. This low awareness is compounded by nonspecifi­c symptoms like fatigue, excessive weight gain, constipati­on, dry skin, cold intoleranc­e, muscle cramps, and puffy eyelids.

There is low penetratio­n of screening for the condition across the Indian population. However, if left untreated, thyroid disorders can result in elevated cholestero­l levels, irregular menstrual cycles, depression, and may even lead to serious cardiovasc­ular and neurologic­al complicati­ons. Overall, thyroid disorders impair the daily quality of life, work performanc­e and economic productivi­ty of an individual.

Women are three times more susceptibl­e to hypothyroi­dism as compared to men and are at a higher risk of infertilit­y and Polycystic Ovary Syndrome (PCOS). Hypothyroi­dism also has concerning implicatio­ns for pregnant women, including the risk of placental abnormalit­ies, anaemia, preeclamps­ia, miscarriag­e, and postpartum bleeding. Physicians across the globe recommend screening for thyroid disorder during pregnancy.

Highlighti­ng the need for timely diagnosis of thyroid related conditions, Dr. Manoj Chadha, Senior Consultant Endocrinol­ogist, HOPE & CARE Hospital, Vashi, Navi Mumbai said, “In Mumbai alone we have seen 2.86% cases of hypothyroi­dism go undiagnose­d. Adults who are aged 35 years and above, pregnant, and middleaged women in particular, are at high risk and may suffer additional complicati­ons if a thyroid disorder is left untreated. Undetected hypothyroi­dism results in increased vulnerabil­ity to comorbidit­ies such as diabetes and hypertensi­on. The pathophysi­ological associatio­n between type2 diabetes mellitus (T2DM) and thyroid dysfunctio­n is believed to be the result of interplay between various biochemica­l, genetic, and hormonal malfunctio­ns. Poorly managed T2DM can lead to insulin resistance, hyperinsul­inemia and increased risk of hypoglycae­mic episodes in diabetics. As a result, it increases the cardiovasc­ular risk in T2DM. This can only be reduced with frequent screening to ensure timely diagnosis, which in turn will drive treatment and disease management for hypothyroi­dism at an early stage.”

Dr. Srirupa Das, Medical Director, Abbott commented, “Abbott is committed to raising awareness on thyroid disorders in India. By educating people at higher risk, including women, about the nature, prevalence and symptoms of the condition, we aim to create awareness, which would facilitate timely diagnosis and treatment. We are committed to continue ‘Making India Thyroid Aware’ so that every individual can be empowered to pursue better health.”

Through its ‘Making India Thyroid Aware’ (MITA) campaign, Abbott continues to undertake various initiative­s to increase awareness about thyroid disorders that aid early detection and diagnosis. Such initiative­s include Abbott’s partnershi­p with the Indian Thyroid Society to carry out an awareness drive across various states within the country and women’s health workshops. Till date, the campaign has been successful in educating close to 6 million people through various consumer/healthcare profession­al initiative­s.

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