A Systematic Review and Meta-analysis for Association of Celiac Disease and Thyroid Disorders

Fatemeh Hasani, Zahra Norouzi, Sima Besharat, Hesamaddin Shirzad-Aski, Somayeh Ghorbani, Masoud Mohammadi, Anahita Yadegari, Ali Kalhori
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Abstract

It is probable that people who have celiac disease (CD) are more likely to have thyroid disorders. A comprehensive systematic review and meta-analysis were conducted to assess the link between thyroid disorders and CD. Articles were selected from PubMed, Web of Science, Scopus, Ovid, Embase, Cochrane, ProQuest, and Wiley from February 2022 and earlier. A meta-analysis was conducted to evaluate the outcomes, using odds ratios (ORs) and corresponding 95% confidence intervals (95% CIs). The meta-analysis comprised 31 articles with 3310256 participants including 101253 individuals with thyroid disorders. Overall, the frequency of thyroid disease was notably higher in patients with CD compared to the control groups (OR: 3.06, 95% CI: 2.51 – 3.72, P<0.001). The findings of our meta-analysis support the notion that patients with CD are more likely to have autoimmune thyroid disease (ATD) and other thyroid disorders than the control group, thus indicating that regular screening for thyroid disease is necessary for CD patients. Further cohort research is required to investigate the relationship between thyroid disorders and CD.
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乳糜泻与甲状腺疾病关系的系统回顾和元分析
患有乳糜泻(CD)的人更有可能患有甲状腺疾病。为了评估甲状腺疾病与乳糜泻之间的联系,我们进行了一项全面的系统综述和荟萃分析。文章选自2022年2月及以前的PubMed、Web of Science、Scopus、Ovid、Embase、Cochrane、ProQuest和Wiley。采用几率比(OR)和相应的 95% 置信区间(95% CI)进行荟萃分析,以评估结果。荟萃分析包括31篇文章,3310256名参与者,其中101253人患有甲状腺疾病。总体而言,与对照组相比,CD患者患甲状腺疾病的频率明显更高(OR:3.06,95% CI:2.51 - 3.72,P<0.001)。我们的荟萃分析结果支持了这样一种观点,即与对照组相比,CD患者更有可能患有自身免疫性甲状腺疾病(ATD)和其他甲状腺疾病,从而表明有必要对CD患者进行定期的甲状腺疾病筛查。要进一步研究甲状腺疾病与CD之间的关系,还需要进一步的队列研究。
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