Effects of thyroid hormones on bone and mineral metabolism
Abstract
Because of pronounced symptoms and early detection, severe hyperthyroidism is usually treated before skeletal symptoms are evident. However, previous hyperthyroidism may involve a risk of later postmenopausal or senile osteoporosis, since some of the bone loss apparently is irreversible. Borderline hyperthyroidism in clinically euthyroid patients may induce accelerated bone loss and thereby increase the risk of low-energy fractures. Moreover, it is unknown whether interindividual differences exist in skeletal sensitivity to circulating thyroid hormones and thereby in the rate of bone loss. From these considerations it appears that disturbed thyroid function may be involved in the pathogenesis of osteoporosis, one of the major health problems in the western hemisphere.
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Hyperthyroidism causes high bone turnover with increased frequency of initiation of bone remodelling sites together with increased bone resorption and formation rates.
“Hyperthyroidism, in contrast, causes high bone turnover with an increased frequency of initiation of bone remodelling sites together with increased bone resorption and formation rates.”
From Thyroid diseases and bone health (2018) · cites this paper as [23]
Thyroid hormones increase bone turnover and decrease bone mass, which is essentially reversible if trabecular thickness is sufficient to prevent lasting structural damage from trabecular perforations.
“In the adult skeleton, thyroid hormones increase bone turnover and bring about a decrease in bone mass that is essentially reversible, as long as trabecular thickness is sufficient to prevent the increased bone remodeling from leading to lasting structural damage due to trabecular perforations.(7)”
Loss of gonadal steroids leads to increased activation frequency and osteoclastic hyperactivity with increased resorption depth and increased likelihood of trabecular perforations, ultimately creating irreversible bone loss.
“Loss of gonadal steroids leads to an increase in activation frequency and osteoclastic hyperactivity with increased resorption depth with an increased likelihood of trabecular perforations, ultimately creating irreversible bone loss.(7,42)”
Previous studies show increased susceptibility of postmenopausal women to accelerated bone loss in hyperthyroid states due to estrogen deficiency.
“This is in agreement with previous studies demonstrating the increased susceptibility of postmenopausal women to the accelerated bone loss in hyperthyroid states brought about by estrogen deficiency.(7,36,37)”
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- Authors
- Mosekilde, L., Eriksen, E. F., & Charles, P.
- Affiliations
- Aarhus University (DK)
- Corresponding author
- Mosekilde, Leif
- Venue
- Endocrinology and Metabolism Clinics of North America
- Publisher
- Elsevier BV
- Published
- 1990-03
- Volume
- 19
- Issue
- 1
- Pages
- 35-63
- ISSN
- 0889-8529 (ISSN-L)
- OpenAlex
- W178768211
- Cited by
- 423
- References
- 116
- Citations by year
- 2026: 8 · 2025: 2 · 2024: 4 · 2023: 10 · 2022: 16 · 2021: 7 · 2020: 6 · 2019: 13 · 2018: 13 · 2017: 8 · 2016: 12 · 2015: 12 · 2014: 16 · 2013: 19 · 2012: 25
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrinology and Metabolism Clinics of North America (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
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- thyroid hormones, bone metabolism, mineral metabolism, hyperthyroidism, osteoporosis, bone loss, fragility fractures, postmenopausal osteoporosis, senile osteoporosis, interindividual variability
- MeSH terms
- Bone and Bones, Calcium, Homeostasis, Humans, Thyroid Diseases, Thyroid Hormones
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