Hormonal contraception, nutritional status and thyroid function-s women in an iodine replete area
Yusi Dwi Nurcahyani (a*), Suryati Kumorowulan (a), Leny Latifah (a), Asih Setyani (a)
a) Balai Litbangkes Magelang
Jl Kapling Jayan Borobudur Magelang 56553
* youseedn[at]gmail.com
Abstract
Hormonal contraception is one of the most popular method to prevent the pregnancy. Several studies have reported a significant increase in body weight during hormonal contraception. It can also affect thyroid hormone which plays a role in basal metabolism, energy expenditure and weight. This study aims to analyze the relationship between hormonal contraception and nutritional status with thyroid function in child bearing ages women in an iodine replete area. 171 CBAW (47 taking hormonal contraception (HC), 124 non HC) in Bener Purworejo were examined serum TSH and fT4 levels. Interviews conducted for the characteristics of the subjects and measurement of nutritional status. The body weight (49,2 ± 8,88 vs 51,7 ± 8,86, p=0,096) and BMI (22,9 ± 3,42 vs 23,6 ± 3,73, p=0,220) were lower in women taking hormonal contraception, but statistically not significant. There were no difference in TSH (2,99 ± 3,73 vs 3,03 ± 3,73 mIU/ml, p=0,752) and free T4 (1,36 ± 0,32 vs 1,30 ± 0,34 ng/L, p=0,068). Women who taking hormonal contraception has significantly increased BMI (1,266) compared the non hormonal contraception group after controlling years of age, level ot TSH and level of fT4. In this study, hormonal contraception is not related to thyroid functions.
Keywords: hormonal contraceptive, nutritional status, thyroid functions
Topic: Public Health