Thyroid disease

Associations Between Subclinical Thyroid Dysfunction and Cardiovascular Risk Factors According to Age and Sex

J Clin Endocrinol MetabPublished Pooled individual participant data analysis of prospective cohort studies

An erratum to this article was published (J Clin Endocrinol Metab, 22 Apr 2025 ↗)

Authors' conclusion

Participants with ScTD and euthyroid participants have similar cvRFs and differences are arguably too small to explain the increased cardiovascular risk in ScTD observed in previous studies.

Study context

Population
Participants aged 18 to 103 years from 16 international cohorts; mean age 62 years, 55% women, 25% current smokers
Participants
69,006 participants16 cohorts
Exposure
Subclinical hypothyroidism (SHypo) and subclinical hyperthyroidism (SHyper) vs euthyroid
  • SHypon = 3,748
  • SHypern = 3,428
Outcome
Cardiovascular risk factors (BP, lipid levels, hs-CRP) by age and sex
Methodological detailsThyroid Studies Collaboration, 16 international cohorts
  • Thyroid Studies Collaboration
  • 16 international cohorts

Main finding

As reported in the abstract

Cardiovascular risk factors by sex
SHyper vs EuthyroidaMD, mmHg (95% CI)
Diastolic BP, women; lower with SHyper
−1.3(−2.0 to −0.5)
Systolic BP, men; lower with SHyper
−3.1(−4.8 to −1.4)
SHyper vs EuthyroidaMD, mmol/L (95% CI)
LDL-C, women; lower with SHyper
−0.17(−0.29 to −0.05)

Observational data: associations, not effects.

Original publication

Associations Between Subclinical Thyroid Dysfunction and Cardiovascular Risk Factors According to Age and Sex. J Clin Endocrinol Metab. Published 12 December 2024. doi:10.1210/clinem/dgae860

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