Thyroid disease

The Free Triiodothyronine/Free Thyroxine Ratio Is Associated with Frailty in Older Adults: A Longitudinal Multisetting Study

ThyroidPublished Secondary analysis of three observational cohort studies

Authors' conclusion

The fT3/fT4 ratio value was inversely correlated with frailty degree and mortality risk in a large cohort of older individuals, including centenarians, regardless of their sex and clinical condition.

Study context

Population
Older individuals (aged 86.4 ± 8.9 years; 55.1% females): acutely ill hospitalized patients, nursing-home (NH) residents and home-dwelling centenarians
Participants
615 individuals3 cohorts
Comparison
Association of free triiodothyronine (fT3)/free thyroxine (fT4) ratio with Frailty Index
  • GAUn = 298
  • NHn = 250
  • Centenarians (CENT)n = 67
Primary endpoint
Relationship between fT3/fT4 ratio and degree of frailty (30-item Frailty Index)
Methodological detailsmultisetting, longitudinal, patient-level data
  • Multisetting
  • Longitudinal
  • Patient-level data

Primary result

As reported in the abstract

fT3/fT4 ratio vs Frailty Index

Inverse correlation, fT3/fT4 ratio vs Frailty Index (FI)

−0.17

ρs; CI −0.092 to 0.252p < 0.001

Logistic multivariate analysis, adjusted for age, sex, cohorts: OR

0.64

CI 0.47–0.87; β = −0.44p < 0.001

Further findings

Mortality risk with rising fT3/fT4 ratio

OR
0.60 (CI 0.44-0.80; β = −0.51; p < 0.001)

Original publication

The Free Triiodothyronine/Free Thyroxine Ratio Is Associated with Frailty in Older Adults: A Longitudinal Multisetting Study. Thyroid. Published 14 February 2023. doi:10.1089/thy.2022.0422

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