Obesity

Thyroid axis adaptations to moderate short-term energy restriction in healthy, young women

Eur J EndocrinolPublished Randomised crossover study

Authors' conclusion

Adaptive central and peripheral changes in thyroid hormones occur after short-term, moderate dieting in young women without obesity.

Study context

Population
Healthy women aged 23.36 ± 2.08 yr (mean ± SD) without obesity or thyroidal diseaseeach underwent both diets
Participants
19 women
Comparison
Deficient energy availability diet vs neutral energy availability diet
Primary endpoint
Thyroid hormone change after short-term, moderate energy restriction
Follow-up
After 5 days
Methodological details5-day diets in early follicular phases of successive menstrual cycles, LC-MS/MS thyroid hormone assays, Blood sampled every 10 min between 8 AM and 4 PM
  • 5-day diets in early follicular phases of successive menstrual cycles
  • LC-MS/MS thyroid hormone assays
  • Blood sampled every 10 min between 8 AM and 4 PM

Primary result

As reported in the abstract

TT3

P < 0.0001

Further findings

TSH · after 5 days · declined after DEA

P < 0.0001

TT4 · after 5 days · increased after DEA

P = 0.005

FT4 · after 5 days · increased after DEA

P = 0.0052

rT3 · after 5 days · increased after DEA

P < 0.0001

BMI and body weight after DEA · after 5 days

Decrease in BMI after DEA (mean difference ± SEM), P < .001
0.4 ± 0.08 kg/m²
Decrease in body weight after DEA (mean difference ± SEM), P < .001
1.1 ± 0.21 kg
Fat mass unchanged

TBG, GH and cortisol · after 5 days

No change in TBG, GH and cortisol after DEA

Original publication

Thyroid axis adaptations to moderate short-term energy restriction in healthy, young women. Eur J Endocrinol. Published 23 April 2025. doi:10.1093/ejendo/lvaf083

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