Relationship between subclinical thyroid dysfunction and the risk of fracture: a meta-analysis of prospective cohort studies
Abstract
Unlabelled To identify the relationship between subclinical thyroid dysfunction and the risk of fracture, we conducted a meta-analysis of prospective cohort studies. Results showed that subclinical hyperthyroidism is associated with an increased risk of fracture, especially in elder. Introduction There are conflicting data on the association between subclinical thyroid dysfunction and the risk of fracture. This study is aimed at providing a summary of prospective evidence of the relationship between subclinical thyroid dysfunction and the risk of fracture. Methods We systematically searched the MEDLINE, EMBASE, and the Chinese Biomedical literature database (CBM) from 1974 to August 2014 to identify prospective cohort studies which have studied the risk of fracture in patients with subclinical thyroid dysfunction. Various fractures were reported as the sole outcome. Results Five population-based cohort studies including 314,146 participants with relationship of endogenous or exogenous subclinical thyroid dysfunction or euthyroidism and fractures were identified as eligible for the meta-analysis. In an unadjusted model, the relative risk (RR) of subclinical hypothyroidism for fracture was 1.30 (CI 1.08-1.56). Risk estimates were lower in a multivariable-adjusted model (RR = 1.20, CI 0.70-2.04) and when higher quality studies (RR = 0.95, CI 0.58-1.57) were analyzed. For subclinical hyperthyroidism, the RR was 1.52 (CI 1.33-1.73) in unadjusted model and 1.25 (CI 1.11-1.41) in a…
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In one meta-analysis, endogenous subclinical hyperthyroidism increased the risk of osteoporotic fractures by 78%, whereas exogenous TSH suppression did not show a high risk of bone deterioration.
“In 1 meta-analysis, endogenous subclinical hyperthyroidism increased the risk of osteoporotic fractures by 78%, whereas exogenous TSH suppression did not show a high risk of bone deterioration (40).”
From Effect of TSH Suppression Therapy on Bone Mineral Density in Differentiated Thyroid Cancer: A Systematic Review and Meta-analysis (2021) · cites this paper as [40]
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- Authors
- Yan, Z., Huang, H., Li, J., & Wang, J.
- Affiliations
- Sichuan University (CN)
- Corresponding author
- Huang, H.
- Li, J.
- Venue
- Osteoporosis International
- Published
- 2015-07-30
- Volume
- 27
- Issue
- 1
- Pages
- 115-125
- ISSN
- 0937-941X (ISSN-L)
- 1433-2965
- OpenAlex
- W1042835121
- Cited by
- 43
- References
- 41
- Citations by year
- 2026: 3 · 2025: 1 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 3
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Osteoporosis International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Keywords
- subclinical thyroid dysfunction, fracture risk, subclinical hyperthyroidism, subclinical hypothyroidism, older adults, bone fragility
- MeSH terms
- Hip Fractures, Humans, Hyperthyroidism, Hypothyroidism, Prospective Studies, Risk Factors, Thyroid Diseases, Fractures, Bone, Osteoporotic Fractures
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