Assessment of Hematological and Biochemical Indicators in Relation to Thyroid Function in Hemodialysis Patients in Al Khums City, Libya

Authors

  • Amnnah A. Ihreebish Department of Biology, Faculty of Science, El-Mergib University, Alkhums, Libya.
  • Younis Muftah Al-Zaidi Department of Zoology, Faculty of Education, El-Mergib University, Alkhums, Libya.
  • Fadia A. Abdulsadiq Department of Biology, Faculty of Science, El-Mergib University, Alkhums, Libya.

DOI:

https://doi.org/10.59743/

Keywords:

Biochemical parameters , Blood parameters, Chronic kidney disease, Thyroid hormones, Dialysis

Abstract

Abstract

Chronic kidney disease (CKD) is a major global health problem often accompanied by disturbances in calcium–phosphorus balance and dysregulation of parathyroid hormone (PTH). Secondary hyperparathyroidism is common in hemodialysis patients, contributing to bone disorders and vascular calcifications. This case–control study, conducted at Al Khums Kidney Hospital, Libya (July–December 2024), included 150 participants: 100 hemodialysis patients (50 males, 50 females) and 50 healthy controls (25 males, 25 females). Hematological parameters (HGB, RBC) and biochemical indicators (Urea, Creatinine, TSH, T3, T4) were measured using standard laboratory methods. Patients showed significantly higher Creatinine (9.55 ± 2.55mg/dL), Urea (148.88 ± 34.61mg/dL) and TSH (3.56 ± 0.62 μIU/mL), and lower T3 (0.96 ± 0.19 ng/ml), T4(6.56 ± 0.62 μg/dl) and HGB (10.92 ± 1.87 g/dL) compared to controls. Pearson correlation analysis revealed significant negative associations between Urea and T3, Creatinine and T3, as well as between HGB and both Urea and Creatinine. In contrast, significant positive associations were observed between Urea and Creatinine, RBC and T3, and Urea and TSH. These findings underscore the importance of regular monitoring of thyroid function and hematological parameters in hemodialysis patients to mitigate potential complications.

Keywords: Biochemical indicators, Chronic Kidney Disease, Hematological parameters, Hemodialysis, Thyroid Hormones.

 

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Author Biographies

  • Amnnah A. Ihreebish, Department of Biology, Faculty of Science, El-Mergib University, Alkhums, Libya.

    Department of Biology, Faculty of Science, El-Mergib University, Alkhums, Libya.

  • Younis Muftah Al-Zaidi, Department of Zoology, Faculty of Education, El-Mergib University, Alkhums, Libya.

    Department of Zoology, Faculty of Education, El-Mergib University, Alkhums, Libya.

References

Al-Salmi, F., Al-Khabori, M., Al-Mawali, A., et al. (2022). Thyroid dysfunction and kidney dysfunction. Oman Medical Journal, 37(1), e290.

Anemia in Chronic Kidney Disease: From Pathophysiology and Diagnosis to Clinical Practice. (2021). Frontiers in Medicine. Retrieved from

Babitt, J. L., & Lin, H. Y. (2012). Mechanisms of anemia in CKD. Journal of the American Society of Nephrology, 23(10), 1631–1634.

Bendsen, J., Carstensen, P. E., Reenberg, A. T., Ritschel, T. K. S., & Jørgensen, J. B. (2023). Quantitative modeling and simulation of biochemical processes in the human body. arXiv.

Bhuwania, P. (2023). Relationships of chronic kidney disease and thyroid dysfunction in patients with stage 4 and 5 chronic kidney disease: A cross-sectional study. EMJ, 33, 40–45.

Chen, Y., Fry, B. C., & Layton, A. T. (2016). Modeling glucose metabolism in the kidney. Bulletin of Mathematical Biology, 78(7), 1318–1336.

Erlinger, T. P., Muntner, P., Helman, R., & Coresh, J. (2012). WBC count and risk of incident chronic kidney disease. American Journal of Kidney Diseases, 59(6), 687–694.

Evans, M., Bower, H., Cockburn, E., Jacobson, S. H., Barany, P., & Carrero, J. J. (2020). Contemporary management of anemia, erythropoietin resistance and cardiovascular risk in patients with advanced chronic kidney disease: a nationwide analysis. Clinical Kidney Journal, 13(5), 821–827.

Goicoechea, M., et al. (2015). Relationship between kidney function decline and hemoglobin levels in chronic kidney disease patients. Nephrology Dialysis Transplantation, 30(5), 789–795.

Hafed, A., et al. (2024). Assessment of thyroid function in chronic kidney disease patients. Journal of Clinical and Diagnostic Research, 18(3), BC01–BC05.

Hashmi, M. F., Shaikh, H., & Rout, P. (2024). Anemia of Chronic Kidney Disease. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O’Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. R. (2016). Global prevalence of chronic kidney disease—a systematic review and meta-analysis. PLoS One, 11(7), e0158765.

Kang, H., & Yoon, Y. (2022). Chronic inflammation in CKD. Nephron, 148(3), 143–150.

Kaptein, E. M., Quion-Verde, H., Chooljian, C. J., et al. (1988). The thyroid in end-stage renal disease. Medicine (Baltimore), 67(3), 187–197.

Khatiwada, S., Shrestha, S., & Sharma, S. (2024). Interrelationship between thyroid hormones and reduced renal function in chronic kidney disease. BMC Journal of Medical Sciences, 4(2), 38–41.

Kidney Disease: Improving Global Outcomes (KDIGO) 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney International Supplements.

Kidney Disease: Improving Global Outcomes (KDIGO) 2025 Clinical Practice Guideline for Anemia in Chronic Kidney Disease. (2024). Retrieved from https://kdigo.org/guidelines/ckd-anemia

Lin, H., et al. (2023). Urea levels and cardiovascular disease in patients with chronic kidney disease. PMC.

Mukherjee, N., Borphukan, S., & Gogoi, G. N. (2024). A study on thyroid function assessment in patients with chronic kidney disease: An investigative analysis. Thyroid Research and Practice, 20(1), 34–38.

Obasuyi, J. O., & Emokpae, M. A. (2023). Spectrum of thyroid dysfunction in patients with chronic kidney disease in Benin City, Nigeria. Medicines, 10(8), 47.

Rhee, C. M., Molnar, M. Z., & Kovesdy, C. P. (2015). Updates on thyroid dysfunction in chronic kidney disease. Current Opinion in Nephrology and Hypertension, 24(6), 525–531.

Stauffer, M. E., & Fan, T. (2014). Prevalence of anemia in chronic kidney disease in the United States. PLoS One, 9(1), e84943.

Stauffer, M. E., & Fan, T. (2014). Prevalence of hypothyroidism in patients with chronic kidney disease. American Journal of Kidney Diseases, 63(4), 609–619.

Swathi, P., et al. (2024). Assessment of thyroid function in chronic kidney disease patients. Journal of Clinical and Diagnostic Research, 18(3), BC01–BC05.

Swathi, P., et al. (2024). Assessment of thyroid function in chronic kidney disease patients: Impact of inflammation and renal impairment. Thyroid Research Journal, 18(3), BC01–BC05. https://doi.org/10.1186/s13044-024-00201-y

Tucker, B. J., et al. (2017). An isolated elevation in blood urea level is not 'uraemia' and not an indication for renal replacement therapy. Nephrology Dialysis Transplantation, 32(5), 834–840.

Xu, J., Jia, X., Zhang, X., Jiao, X., Zhang, S., Zhao, Y., Wu, X., Li, Y., Liu, X., & Yu, Q. (2024). Correlation between serum biomarkers and disease progression of chronic kidney disease. British Journal of Hospital Medicine. Published online December 27, 2024.

Xu, Y., Wang, X., Wang, G., Wei, W., & Li, N. (2024). Relationship between hypothyroidism and chronic kidney disease: Results from the National Health and Nutrition Examination Survey 2007 to 2012 and Mendelian randomization study. Medicine, 103(51), e40925.

Zhang, J., et al. (2024). Decrease in platelet count in patients with acute kidney injury and its clinical implications. Journal of Clinical Laboratory Analysis, 38(1), e23819.

Zhou, P., et al. (2024). Platelet count has a nonlinear association with 30-day in-hospital mortality in ICU end-stage kidney disease patients: A multicenter retrospective cohort study. Scientific Reports, 14, 22535.

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Published

2026-01-06

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How to Cite

Assessment of Hematological and Biochemical Indicators in Relation to Thyroid Function in Hemodialysis Patients in Al Khums City, Libya. (2026). Journal of Marine Sciences and Environmental Technologies, 10(2). https://doi.org/10.59743/

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