Obesity

Alterations in Thyroid Hormones in Obese Patients Are Associated With Body Composition Changes After Bariatric Surgery

J Clin Endocrinol MetabPublished Cross-sectional and longitudinal cohort study

Authors' conclusion

MBS significantly affects thyroid function and TH resistance, with notable correlations to changes in body composition.

Study context

Population
Obese euthyroid individuals and controls; obese patients undergoing metabolic/bariatric surgery (MBS)
Participants
470 / 118 / 125
Exposure
Obese individuals vs controls at baseline; before vs after MBS
  • Obesen = 470
  • Controlsn = 118reference
  • MBSn = 125
Outcome
Correlations of thyroid function with body composition

Main finding

As reported in the abstract

Preoperative TSH vs visceral fat area (VFA) (partial correlation, adjusted for age and sex)
r = 0.109; P = .019
Preoperative TSH vs body fat percentage
r = 0.114; P = .013
Preoperative TSH vs skeletal muscle mass (SMM) percentage
r = −0.104; P = .024
Post MBS: decreased TSH vs decreased VFA
r = 0.251; P = .006
Post MBS: decreased TSH vs increased SMM percentage
r = 0.233; P = .011

Observational data: associations, not effects.

Further findings

Thyroid function and body composition after MBS

In obese, TSH, free triiodothyronine (fT3) and TFQI elevated and significantly decreased post MBS, with VFA and body fat percentages; SMM percentage increased

Original publication

Alterations in Thyroid Hormones in Obese Patients Are Associated With Body Composition Changes After Bariatric Surgery. J Clin Endocrinol Metab. Published 2 September 2024. doi:10.1210/clinem/dgae605

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