Thyroid disease

Thyroid response to cold activation of brown adipose tissue in Greenlanders and Danes

Eur J EndocrinolPublished Mechanistic study

Authors' conclusion

Serial measurements of thyroid hormones and thyroglobulin with gold-standard detection of BAT activity documented distinct thyroid responses to cooling. The findings suggested a physiological preparedness to acute cold exposure in individuals with cold adaptation, irrespective of origin.

Study context

Population
Greenlanders and Danes undergoing cooling and thermal comfort sessionscross-over
Participants
21 participants
Comparison
Greenlanders vs Danes; cooling vs thermal comfort
  • Greenlandersn = 11
  • Danesn = 10reference
Outcome
Thyroid hormone response to cooling
Methodological detailscross-over, cooling vs thermal comfort sessions, [18F]FDG PET/CT
  • Cross-over
  • Cooling vs thermal comfort sessions
  • [18F]FDG PET/CT

Main finding

As reported in the abstract

TSH increase with cooling, Danes (P < .001)
0.24 mIU/L
TSH increase with cooling, Greenlanders (P = .009)
0.15 mIU/L
Total triiodothyronine (TT3) increase with cooling, Danes (Pboth < .001)
0.15 nmol/L
TT3 increase with cooling, Greenlanders (Pboth < .001)
0.09 nmol/L
Greenlanders had lower TSH and higher TT3 vs Danes; TT3 difference at baseline (P = .009)
0.27 nmol/L
Attenuated TT3 response to cooling in Greenlanders vs Danes (P = .009)
−0.07 nmol/L
T3/T4 ratio elevated during cold vs thermoneutral, Danes
P < .001
T3/T4 ratio elevated during cold vs thermoneutral, Greenlanders
P = .022
Greenlanders consistently higher T3/T4 ratios vs Danes: baseline
P = .001
Greenlanders consistently higher T3/T4 ratios vs Danes: after cooling
P = .023
Thyroglobulin (Tg) higher with low- vs high-BAT volume (P = .008)
7.27 µg/L

Original publication

Thyroid response to cold activation of brown adipose tissue in Greenlanders and Danes. Eur J Endocrinol. Published 10 February 2026. doi:10.1093/ejendo/lvag001

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