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Cited by 170Bone health and osteoporosis researchThyroid Disorders and TreatmentsThyroid and Parathyroid Surgery

Bone mineral density in patients with endogenous subclinical hyperthyroidism: Is this thyroid status a risk factor for osteoporosis?

Földes, J., Tarján, G., Szathmari, M., Varga, F., Krasznai, I., Horvath, Cs.·1993·Clinical Endocrinology
DOI 10.1111/j.1365-2265.1993.tb02403.x
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Abstract

Summary: OBJECTIVE The aim of the present study was to elucidate whether endogenous subclinical hyperthyroidism due to a solitary autonomously functioning thyroid nodule affects bone metabolism and is a risk factor for osteoporosis. DESIGN In a cross‐sectional study measurements of bone mineral density were performed in premenopausal and post‐menopausal women. Patients were categorized into non‐toxic nodular goitre (n= 32), subclinical hyperthyroid (n= 37) and toxic solitary autonomous thyroid nodule (n= 22) subgroups and the results were compared with those of sex and age‐matched control reference population (n= 68). MEASUREMENTS Lumbar spine and femoral neck bone mineral densities were measured by dual energy X‐ray absorptiometry. Single‐photon absorptiometry was applied to the measurement of bone mineral content in the midshaft of the radius. RESULTS In the non‐toxic nodular goitre group, bone densities for all the scanned sites did not differ from the sex and age‐matched reference population. At the L2–4 scanning site a significant decrease in the bone mineral density could be observed only in the toxic nodular goitre group and this decrease was more marked in the postmenopausal (P<0 001) than in the premenopausal females (P < 0 05). At the femoral neck and midshaft radius the mean densitometric values were slightly, but significantly, lower only in the post‐menopausal subclinical hyperthyroid group compared with the reference population (P < 0 01). The bone mineral density of the femoral neck, as well as the bone mineral content of the midshaft radius, was significantly decreased in both the premenopausal and post‐menopausal patients with a toxic solitary nodule. CONCLUSION This study indicates that the bone mineral density of the lumbar spine, femoral neck and the midshaft of the radius are not significantly decreased in premenopausal patients with endogenous subclinical hyperthyroidism resulting from a solitary autonomously functioning thyroid nodule. Conversely, findings hint at the possibility that long‐lasting endogenous subclinical hyperthyroidism may be a contributing factor to the development of osteoporosis in some post‐menopausal women, mostly at sites where cortical bone preponderates.

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Crossref · 10.1111/j.1365-2265.1993.tb02403.x

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Authors
Földes, J., Tarján, G., Szathmari, M., Varga, F., Krasznai, I., & Horvath, C.
Affiliations
Semmelweis University (HU)
Corresponding author
Földes, J.
Venue
Clinical Endocrinology
Publisher
Wiley
Published
1993-11
Volume
39
Issue
5
Pages
521-527
ISSN
  • 0300-0664 (ISSN-L)
  • 1365-2265
DOI
10.1111/j.1365-2265.1993.tb02403.x
OpenAlex
W2056889736
Cited by
170
References
32
Citations by year
2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 6 · 2016: 1 · 2015: 6 · 2014: 7 · 2013: 5 · 2012: 14
FWCI
5.28
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 5250 d)
Locations
  • Clinical Endocrinology (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 › Surgery › Thyroid and Parathyroid Surgery
Keywords
subclinical hyperthyroidism, bone mineral density, osteoporosis, autonomously functioning thyroid nodules, toxic nodular goiter, postmenopausal women, lumbar spine, femoral neck, bone metabolism, cortical bone
MeSH terms
Adult, Aged, Cross-Sectional Studies, Female, Femur Neck, Goiter, Nodular, Humans, Hyperthyroidism, Menopause, Middle Aged, Osteoporosis, Risk Factors, Spine, Thyrotropin, Thyroxine, Triiodothyronine, Bone Density, Osteocalcin

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