Startseite Thyrotropin and body mass index, are they related?
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Thyrotropin and body mass index, are they related?

  • Catarina R. Ivo ORCID logo EMAIL logo , Vitória Duarte , David Veríssimo , João Silva , Dolores Passos , Luís Lopes , João Jácome de Castro und Mafalda Marcelino
Veröffentlicht/Copyright: 1. September 2022
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Abstract

Objectives

It is well recognized that overt thyroid dysfunction is associated with changes in body mass index (BMI). However, there is ongoing debate regarding the influence of thyroid stimulating hormone (TSH) on BMI, in euthyroid subjects. The aim of this study is to examine the association of TSH with BMI in an outpatient population without evidence of thyroid disease.

Methods

Cross-sectional study conducted in an Endocrinology Department. We identified the latest TSH and BMI measurements in 923 patients from the reference euthyroid population. All patients with positive thyroid autoimmunity and nodules were excluded. We performed a linear regression analysis using SPSSv.025.

Results

923 adult patients were evaluated. 79.4% were males, with a mean age of 67.6 years old. Mean TSH level was 1.78 mIU/L and mean BMI was 29.2 kg/m2. A significant negative correlation between serum TSH concentration and BMI was evident (p=0.04; r=−0.067). Statistical significance was lost when performing subgroup analysis, for males and females (p=0.19 and p=0.075), elderly (≥65 years) and non-elderly (p=0.55 and p=0.32) and also obese (BMI ≥30 kg/m2) and non-obese (p=0.39 and p=0.13).

Conclusions

The relationship between BMI and TSH is not consensual in the literature. This study included a large cohort sample of euthyroid patients, majority men and with negative autoimmunity. Our results support the hypothesis that variation in thyroid status within the normal range, could have a negative effect on BMI, contrary to most published studies.


Corresponding author: Catarina R. Ivo, Endocrinology Department, Portuguese Armed Forces Hospital (HFAR), Azinhaga dos Ulmeiros, 1649-020, Lisboa, Portugal, Phone: +351 21 751 9777, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The study complied with all the relevant national regulations and institutional policies and was performed in accordance with the tenets of the Helsinki Declaration, and has been approved by the Health Ethics Committee at Armed Forces Hospital.

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Received: 2022-01-05
Accepted: 2022-07-17
Published Online: 2022-09-01

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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Heruntergeladen am 18.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/hmbci-2022-0002/html
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