Occurrence of Thyroid Dysfunction and Associated Metabolic Abnormalities among Adults Attending a Tertiary Care Hospital in Kathmandu

  • Suman Pradhan Assistant Professor, Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Anisha Koirala Associate Professor, Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Ritesh Shrestha Lecturer, Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Keywords: Endocrine disorders, Thyroid dysfunction, Hypothyroidism, Metabolic abnormalities

Abstract

Background

Endocrine disorders, particularly thyroid dysfunction, are increasingly prevalent worldwide and significantly contribute to metabolic disturbances and reduced quality of life. Early diagnosis and management are essential for preventing complications.

Objective

To assess the prevalence of thyroid dysfunction and associated metabolic abnormalities among adults attending a tertiary care hospital in Nepal.

Methods

A hospital-based cross-sectional study was conducted among 240 adults attending endocrine and general medicine outpatient departments. Thyroid function tests, fasting blood glucose, lipid profile, body mass index, and blood pressure were evaluated.

Results

Hypothyroidism was identified in 28.3% participants, while hyperthyroidism was observed in 11.7%. Thyroid dysfunction was significantly associated with obesity, dyslipidemia, hypertension, and impaired fasting glucose (p<0.05). Female participants demonstrated higher prevalence of thyroid abnormalities compared to males.

Conclusion

Thyroid dysfunction is highly prevalent among adults in Nepal and is significantly associated with metabolic abnormalities. Routine endocrine screening and lifestyle modification strategies are essential for early diagnosis and prevention of complications.

DOI: https://doi.org/10.24321/2349.2880.202615

How to cite this article:
Pradhan S, Koirala A, Shrestha R. Occurrence of Thyroid Dysfunction and Associated Metabolic Abnormalities Among Adults Attending a Tertiary Care Hospital in Kathmandu. J Adv Res Med 2026; 13(2): 1-8.

References

1. Melmed S, Polonsky KS, Larsen PR, Kronenberg HM. Williams textbook of endocrinology. 14th ed. Philadelphia: Elsevier; 2020.
2. Hall JE. Guyton and Hall textbook of medical physiology. 14th ed. Philadelphia: Elsevier; 2021.
3. Vanderpump MPJ. The epidemiology of thyroid disease. Br Med Bull. 2011;99(1):39-51.
4. Chaker L, Bianco AC, Jonklaas J, Peeters RP. Hypothyroidism. Lancet. 2017;390(10101):1550-1562.
5. Taylor PN, Albrecht D, Scholz A, Gutierrez-Buey G, Lazarus JH, Dayan CM, et al. Global epidemiology of hyperthyroidism and hypothyroidism. Nat Rev Endocrinol. 2018;14(5):301-316.
Published
2026-08-02