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Serum TSH related to measures of body mass: longitudinal data from the HUNT Study, Norway: Serum TSH and body mass
Abstract
OBJECTIVE: Thyroid function and body mass are related, but the causal relationship remains unclear. Our objective was to investigate the longitudinal relationship between thyroid stimulating hormone (TSH) and body mass measures [body weight, body mass index (BMI), waist circumference (WC) and waist-hip-ratio (WHR)]. DESIGN: We used data from two waves of a population-based study: HUNT 2 (1995-1997) and 3 (2006-2008). Average follow-up time was 10·5 years. Multivariable general linear and logistic regression models were used to assess the relation between TSH and the body mass measures. PARTICIPANTS: In total 9954 women and 5066 men without self-reported thyroid disease and TSH within the reference range (0·5-3·5 mU/l) at baseline and <10 mU/l at follow-up. RESULTS: For each mU/l increase in TSH among women, weight increased 0·9 kg (95% CI 0·8, 1·1), BMI 0·3 kg/m(2) (95% CI 0·3, 0·4) and WC 0·6 cm (95% CI 0·3, 0·8). In men, the corresponding figures were 0·8 kg (95% CI 0·5, 1·0), 0·2 kg/m(2) (95% CI 0·2, 0·3) and 0·5 cm (95% CI 0·2, 0·8). In line with this, a weight gain of more than 5 kg was associated with a TSH increase of 0·08 mU/l (95% CI 0·06, 0·11) in women and 0·15 mU/l (95% CI 0·12, 0·18) in men. Women who lost more than 5 kg decreased their TSH by 0·12 mU/l (95% CI 0·09, 0·16) and men by 0·03 mU/l (95% CI -0.02, 0·09). CONCLUSION: Weight gain is accompanied by increasing TSH, and weight loss in women is related to decreasing TSH.
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“Higher TSH levels were associated with increased BMI [65, 66], and in longitudinal studies, individuals with rising TSH levels over time exhibited greater weight gain [67, 68].”
From Age-related variation in thyroid function – a narrative review highlighting important implications for research and clinical practice (2023) · cites this paper as [68]
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Metadata
- Authors
- Svare, A., Nilsen, T. I. L., Bjøro, T., Åsvold, B. O., & Langhammer, A.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Oslo University Hospital (NO)
- Corresponding author
- Svare, Anders
- Venue
- Clinical Endocrinology
- Publisher
- Wiley
- Published
- 2011-05-06
- Volume
- 74
- Issue
- 6
- Pages
- 769-775
- ISSN
- 0300-0664 (ISSN-L)
- OpenAlex
- W1535519742
- Cited by
- 113
- References
- 35
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 7 · 2021: 8 · 2020: 11 · 2019: 8 · 2018: 7 · 2017: 9 · 2016: 11 · 2015: 5 · 2014: 8 · 2013: 14 · 2012: 5
- FWCI
- 7.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- 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 › Surgery › Thyroid and Parathyroid Surgery
- Keywords
- thyroid-stimulating hormone, body mass index, body weight, waist circumference, waist-to-hip ratio, weight gain, weight loss, sex differences, thyroid function, obesity
- MeSH terms
- Adult, Body Weight, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Norway, Surveys and Questionnaires, Thyroid Diseases, Thyrotropin, Weight Gain, Weight Loss, Body Mass Index, Linear Models, Logistic Models, Waist-Hip Ratio, Waist Circumference, Young Adult
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