Thyroid function and body weight: a community-based longitudinal study

Body weight and overt thyroid dysfunction are associated. Cross-sectional population-based studies have repeatedly found that thyroid hormone levels, even within the normal reference range, might be associated with body weight. However, for longitudinal data, the association is less clear. Thus, we...

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Veröffentlicht in:PloS one 2014-04, Vol.9 (4), p.e93515-e93515
Hauptverfasser: Bjergved, Lena, Jørgensen, Torben, Perrild, Hans, Laurberg, Peter, Krejbjerg, Anne, Ovesen, Lars, Rasmussen, Lone Banke, Knudsen, Nils
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creator Bjergved, Lena
Jørgensen, Torben
Perrild, Hans
Laurberg, Peter
Krejbjerg, Anne
Ovesen, Lars
Rasmussen, Lone Banke
Knudsen, Nils
description Body weight and overt thyroid dysfunction are associated. Cross-sectional population-based studies have repeatedly found that thyroid hormone levels, even within the normal reference range, might be associated with body weight. However, for longitudinal data, the association is less clear. Thus, we tested the association between serum thyrotropin (TSH) and body weight in a community-based sample of adult persons followed for 11 years. A random sample of 4,649 persons aged 18-65 years from a general population participated in the DanThyr study in 1997-8. We included 2,102 individuals who participated at 11-year follow-up, without current or former treatment for thyroid disease and with measurements of TSH and weight at both examinations. Multiple linear regression models were used, stratified by sex and adjusted for age, smoking status, and leisure time physical activity. Baseline TSH concentration was not associated with change in weight (women, P = 0.17; men, P = 0.72), and baseline body mass index (BMI) was not associated with change in TSH (women, P = 0.21; men, P = 0.85). Change in serum TSH and change in weight were significantly associated in both sexes. Weight increased by 0.3 kg (95% confidence interval [CI] 0.1, 0.4, P = 0.005) in women and 0.8 kg (95% CI 0.1, 1.4, P = 0.02) in men for every one unit TSH (mU/L) increase. TSH levels were not a determinant of future weight changes, and BMI was not a determinant for TSH changes, but an association between weight change and TSH change was present.
doi_str_mv 10.1371/journal.pone.0093515
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Cross-sectional population-based studies have repeatedly found that thyroid hormone levels, even within the normal reference range, might be associated with body weight. However, for longitudinal data, the association is less clear. Thus, we tested the association between serum thyrotropin (TSH) and body weight in a community-based sample of adult persons followed for 11 years. A random sample of 4,649 persons aged 18-65 years from a general population participated in the DanThyr study in 1997-8. We included 2,102 individuals who participated at 11-year follow-up, without current or former treatment for thyroid disease and with measurements of TSH and weight at both examinations. Multiple linear regression models were used, stratified by sex and adjusted for age, smoking status, and leisure time physical activity. Baseline TSH concentration was not associated with change in weight (women, P = 0.17; men, P = 0.72), and baseline body mass index (BMI) was not associated with change in TSH (women, P = 0.21; men, P = 0.85). Change in serum TSH and change in weight were significantly associated in both sexes. Weight increased by 0.3 kg (95% confidence interval [CI] 0.1, 0.4, P = 0.005) in women and 0.8 kg (95% CI 0.1, 1.4, P = 0.02) in men for every one unit TSH (mU/L) increase. TSH levels were not a determinant of future weight changes, and BMI was not a determinant for TSH changes, but an association between weight change and TSH change was present.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24728291</pmid><doi>10.1371/journal.pone.0093515</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Analysis
Biology and Life Sciences
Body mass
Body mass index
Body size
Body weight
Body Weight - physiology
Care and treatment
Communities
Confidence intervals
Correlation analysis
Cross-Sectional Studies
Diagnosis
Drug dosages
Endocrinology
Exercise
Female
Gastrointestinal surgery
Health aspects
Hormones
Hospitals
Humans
Hyperthyroidism
Hypothyroidism
Iodine
Longitudinal Studies
Male
Medical treatment
Medicine and Health Sciences
Men
Metabolism
Middle Aged
Nutrition research
Physical activity
Population studies
Regression analysis
Regression models
Research and Analysis Methods
Risk factors
Smoking
Statistical analysis
Studies
Thermogenesis
Thyroid
Thyroid diseases
Thyroid Gland - metabolism
Thyroid-stimulating hormone
Thyrotropin
Thyrotropin - blood
Urine
Weight control
Young Adult
title Thyroid function and body weight: a community-based longitudinal study
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