Changes in Sleeping and Basal Energy Expenditure and Substrate Oxidation Induced by Short Term Thyroxin Administration in Man
Open accessAbstract
The present study was designed to explore the thermogenic effect of thyroid hormone administration and the resulting changes in nitrogen homeostasis. Normal male volunteers (n=7) received thyroxin during 6 weeks. The first 3‐week period served to suppress endogenous thyroid secretion (180μg T 4/day). This dose was doubled for the next 3 weeks. Sleeping energy expenditure (respiratory chamber) and BMR (hood) were measured by indirect calorimetry, under standardized conditions. Sleeping heart rate was continuously recorded and urine was collected during this 12‐hour period to assess nitrogen excretion. The changes in energy expenditure, heart rate and nitrogen balance were then related to the excess thyroxin administered. After 3 weeks of treatment, serum TSH level fell to 0.15 mU/L, indicating an almost complete inhibition of the pituitary‐thyroid axis. During this phase of treatment there was an increase in sleeping EE and sleeping heart rate, which increased further by doubling the T 4 dose (ΔEE: +8.5 ± 2.3%, Δ heart rate +16.1 ± 2.2%). The T 4 dose, which is currently used as a substitutive dose, lead to a borderline hyperthyroid state, with an increase in EE and heart rate. Exogenous T 4 administration provoked a significant increase in urinary nitrogen excretion averaging 40%. It is concluded that T 4 provokes an important stimulation of EE, which is mostly mediated by an excess protein oxidation.
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Short-term studies of supraphysiologic thyroid hormone doses uniformly showed increased resting and 24-hour energy expenditure, but were too brief to document changes in body composition.
“These studies uniformly showed increased resting and 24-hour energy expenditure, but were too brief to document changes in body composition.”
From Effects of levothyroxine replacement or suppressive therapy on energy expenditure and body composition (2016) · cites this paper as [5]
Most prior studies of supraphysiologic thyroid hormone doses utilized high doses of levotriiodothyronine (LT3), not minimally suppressive doses of LT4.
“In addition, most utilized high doses of levotriiodothyronine (LT3), not minimally suppressive doses of LT4.”
From Effects of levothyroxine replacement or suppressive therapy on energy expenditure and body composition (2016) · cites this paper as [5]
Past studies have reported increased resting or 24-hour energy expenditure and whole body oxygen consumption with exogenous administration of pharmacologic doses of LT4 or LT3 to healthy humans due to increased expression of uncoupling proteins and decreased mitochondrial efficiency.
“Past studies have reported increased resting or 24-hour energy expenditure and whole body oxygen consumption with exogenous administration of pharmacologic doses of LT4 or LT3 to healthy humans (3-7) due to increased expression of uncoupling proteins and decreased mitochondrial efficiency (3,4,7).”
From Effects of levothyroxine replacement or suppressive therapy on energy expenditure and body composition (2016) · cites this paper as [5]
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- Authors
- Bracco, D., Morin, O., Liang, H., Jéquier, E., Burger, A. G., & Schutz, Y.
- Affiliations
- University of Geneva (CH)
- Corresponding author
- Schutz, Yves
- Venue
- Obesity Research
- Publisher
- Wiley
- Published
- 1996-05
- Volume
- 4
- Issue
- 3
- Pages
- 213-219
- ISSN
- 1071-7323 (ISSN-L)
- 1550-8528
- OpenAlex
- W1989027119
- Cited by
- 11
- References
- 21
- Citations by year
- 2023: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 2 · 2012: 1
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Research (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- thyroxine, thyroid hormones, basal metabolic rate, substrate oxidation, nitrogen balance, urinary nitrogen excretion, heart rate, hyperthyroidism, TSH suppression, protein oxidation, thermogenesis, thyroid hormone replacement
- MeSH terms
- Adult, Body Composition, Calorimetry, Indirect, Dose-Response Relationship, Drug, Energy Metabolism, Heart Rate, Homeostasis, Humans, Hypothalamo-Hypophyseal System, Male, Nitrogen, Oxidation-Reduction, Sleep, Thyroid Gland, Thyrotropin, Thyroxine, Time Factors, Triiodothyronine, Carbohydrate Metabolism, Lipid Metabolism
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