Thyroid disease

Thyroid Function and Anthropometric Measures: A Systematic Review and Meta-Analysis

Endocr PractPublished Systematic review and meta-analysis

Authors' conclusion

We showed a relation between higher TSH concentrations and higher BMI or weight, and between higher FT4 concentrations and lower BMI or weight, although effect sizes were modest. We highlight the need of more high-quality longitudinal studies. Despite the relevance of the association between thyroid (dys-)function and anthropometric measures, evidence is scarce.

Study context

Population
Adults; studies examining thyroid function or thyroid disease as exposure and anthropometric measures (eg, BMI, weight) as outcome; Embase, Medline (Ovid), Cochrane Central searched until June 28, 202364 studies
Outcome
Cross-sectional association of thyroid function with BMI
Methodological detailsrandom effect meta-analyses, population-based studies and randomized controlled trials (RCTs), Evidence limited and heterogeneous, particularly for longitudinal studies
  • Random effect meta-analyses
  • Population-based studies and RCTs
  • Evidence limited and heterogeneous, particularly for longitudinal studies

Pooled result

As reported in the abstract

Thyroid-stimulating hormone (TSH) and BMI: B per 1 mIU/L increase of TSH

0.21

95% CI 0.09–0.32

Free thyroxine (FT4) and BMI: B

−0.14

95% CI −0.23 to −0.05

Further pooled results

Longitudinal association of thyroid function with weight

Increasing TSH concentrations were related to weight gain and increasing FT4 concentrations to weight loss
  • Longitudinal studies n = 22 010

Original publication

Thyroid Function and Anthropometric Measures: A Systematic Review and Meta-Analysis. Endocr Pract. Published 2 December 2024. doi:10.1016/j.eprac.2024.11.011

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