Hyperthyroidism Influences Ultrasound Bone Measurement on the Os Calcis
Abstract
The objective of our study was to compare bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA) and quantitative ultrasound (QUS) parameters in women with hyperthyroidism and controls. In this cross-sectional study, QUS parameters and BMD values observed in untreated hyperthyroid patients were compared with data obtained from age-matched controls. Twenty-four women with Graves' disease were studied. Eight patients were postmenopausal. All patients had evidence of thyrotoxicosis as indicated by a raised total serum thyroxine and a suppressed serum thyroid stimulating hormone. BMD of the hip, lumbar spine and whole body, and body composition, were measured by DXA. Ultrasound evaluation on the os calcis was performed with an Achilles device. All measurements were performed before antithyroid therapy. The QUS parameters of BUA, SOS and Stiffness were significantly lower in hyperthyroid patients than in controls. Similar results were observed for the BMD of lumbar spine, femoral neck and total skeleton. Lean tissue and fat mass were also significantly decreased in hyperthyroid patients. In conclusion, these findings suggest that hyperthyroidism affects cortical and trabecular bone equally, as well as bone quality. QUS measurements may be helpful for assessing, using a simple and non-irradiating method, the bone effects of thyrotoxicosis.
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Iatrogenic hyperthyroidism can decrease bone quality and bone mineral density, leading to a higher risk of fracture.
“which can decrease bone quality22 and bone mineral density,60 leading to a higher risk of fracture.”
From Levothyroxine dose and risk of fractures in older adults: nested case-control study (2011) · cites this paper as [22]
Higher compared with lower doses of levothyroxine replacement are associated with lower bone density and bone quality, as measured by ultrasonography.
“Studies have found that higher compared with lower doses of levothyroxine replacement18 19 20 and subclinical hyperthyroidism21 are associated with a lower bone density and bone quality, as measured by ultrasonography.22”
From Levothyroxine dose and risk of fractures in older adults: nested case-control study (2011) · cites this paper as [22]
Subclinical hyperthyroidism is associated with lower bone density and bone quality, as measured by ultrasonography.
“Studies have found that higher compared with lower doses of levothyroxine replacement18 19 20 and subclinical hyperthyroidism21 are associated with a lower bone density and bone quality, as measured by ultrasonography.22”
From Levothyroxine dose and risk of fractures in older adults: nested case-control study (2011) · cites this paper as [22]
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- Authors
- Gómez Acotto, C., Schott, A. M., Hans, D., Niepomniszcze, H., Mautalen, C. A., & Meunier, P. J.
- Affiliations
- Hôpital Edouard Herriot (FR)
- Venue
- Osteoporosis International
- Published
- 1998-08-01
- Volume
- 8
- Issue
- 5
- Pages
- 455-459
- ISSN
- 0937-941X (ISSN-L)
- 1433-2965
- OpenAlex
- W1978227261
- Cited by
- 30
- References
- 18
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 2
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Osteoporosis International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Keywords
- hyperthyroidism, Graves' disease, quantitative ultrasound, bone mineral density, calcaneus, Achilles tendon, bone quality, bone stiffness, body composition, postmenopausal women, thyrotoxicosis, cortical and trabecular bone
- MeSH terms
- Adult, Aged, Aged, 80 and over, Body Composition, Calcaneus, Cross-Sectional Studies, Female, Femur Neck, Graves Disease, Humans, Lumbar Vertebrae, Middle Aged, Osteoporosis, Ultrasonography, Absorptiometry, Photon, Bone Density
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