Correction of Hypothyroidism Seems to Have No Effect on Body Fat
Open accessAbstract
Aim. We aimed to observe the effects of L-thyroxine replacement therapy on body fat content determined with various anthropometric methods and a bioelectrical impedance analysis method in patients with hypothyroidism.Methods. Forty-two women with naive autoimmune hypothyroidism were included. Also, 40 healthy participants were enrolled as a control group. Weight, body mass index, waist circumference, and subscapulary, suprailiac, femur, biceps, and triceps skin fold thicknesses were measured. Body fat percentages were calculated and body fat measurements were performed. Euthyroidism was maintained with L-thyroxine. At the 6th and 18th month, of therapy, measurements were reperformed.Results. Mean TSH levels were mIU/L in hypothyroid group and mIU/L in control subjects at admission. In hypothyroid patients, calculated body fat percentages were greater than those of the control subjects during follow-up. Body fat percentage of each hypothyroid case decreased at 6- and 18-month controls, but the decrements were statistically insignificant. Although skin fold thicknesses measured from all sites were observed to decline, only those obtained from femur and biceps showed a significant decrease ( and , resp.).Discussion. Correction of hypothyroidism did not cause any improvement in body weight and body fat percentage. The decrease in skin fold thicknesses might probably result from the reduction in subcutaneous mucopolysaccharide deposits.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Normalisation of TSH with LT4 did not affect body fat percentage significantly in women with hypothyroidism.
“A study in women with hypothyroidism showed that normalisation of TSH with LT4 did not affect body fat percentage significantly”
From Pharmacodynamic and Therapeutic Actions of Levothyroxine (2021) · cites this paper as [49]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
(2000) · PubMed · Cited by 13,173 · see citing works
Durnin, J. V. G. A., & Womersley, J. (1974) · British Journal Of Nutrition · doi:10.1079/bjn19740060 · Cited by 6,343 · see citing works
Body-Mass Index and Mortality in a Prospective Cohort of U.S. Adults
Calle, E. E., Thun, M. J., Petrelli, J. M., Rodriguez, C., & Heath, C. W. (1999) · New England Journal of Medicine · doi:10.1056/nejm199910073411501 · Cited by 3,643 · see citing works
Body mass index as a measure of body fatness: age- and sex-specific prediction formulas
Deurenberg, P., Weststrate, J., & Seidell, J. C. (1991) · British Journal of Nutrition · doi:10.1079/bjn19910073 · Cited by 1,397 · see citing works
Garber, J. R., Cobin, R. H., Gharib, H., Hennessey, J. V., Klein, I., Mechanick, J. I., Pessah-Pollack, R., Singer, P. A., & Woeber for the American Association, K. A. (2012) · Thyroid · doi:10.1089/thy.2012.0205 · Cited by 1,053 · see citing works
Han, T. S., Leer, E. M. V., Seidell, J. C., & Lean, M. E. J. (1995) · BMJ · doi:10.1136/bmj.311.7017.1401 · Cited by 974 · see citing works
Zulewski, H., Müller, B., Exer, P., Miserez, A. R., & Staub, J.-J. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.3.3810 · Cited by 389 · see citing works
Predicting body composition by densitometry from simple anthropometric measurements
Lean, M., Han, T. S., & Deurenberg, P. (1996) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/63.1.4 · Cited by 362 · see citing works
Connective Tissue, Glycosaminoglycans, and Diseases the Thyroid*
Smith, T. J., Bahn, R. S., & Gorman, C. A. (1989) · Endocrine Reviews · doi:10.1210/edrv-10-3-366 · Cited by 320 · see citing works
Rössner, S., Bo, W. J., Hiltbrandt, E., Hinson, W. H., Karstaedt, N., Santago, P., Sobol, W. T., & Crouse, J. R. (1990) · PubMed · Cited by 242 · see citing works
Thyroid hormones in the pathogenesis and treatment of obesity
Krotkiewski, M. (2002) · European Journal of Pharmacology · doi:10.1016/s0014-2999(02)01420-6 · Cited by 142 · see citing works
Iglesias, P., Fidalgo, P. A., Codoceo, R., & Díez, J. J. (2003) · Clinical Endocrinology · doi:10.1046/j.1365-2265.2003.01897.x · Cited by 135 · see citing works
Karmisholt, J., Andersen, S., & Laurberg, P. (2010) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2010-1521 · Cited by 103 · see citing works
Seidell, J. C., CIGOLINI, M., Charzewska, J., Ellsinger, B. M., Deslypère, J. P., & Cruz, A. R. (1992) · PubMed · Cited by 91 · see citing works
Wolf, M., Weigert, A., & Kreymann, G. (1996) · European Journal of Endocrinology · doi:10.1530/eje.0.1340168 · Cited by 69 · cited 1× · see citing works
“Nevertheless, the expected decrease in body fat content is not observed with replacement therapy in a few studies [5, 6].”
BackgroundBioelectrical impedance assessment of body composition in thyroid disease
Seppel, T., Kosel, A., & Schlaghecke, R. (1997) · European Journal of Endocrinology · doi:10.1530/eje.0.1360493 · Cited by 67 · see citing works
Treatment of obesity: An overview
Bray, G. A., & Gray, D. S. (1988) · Diabetes/Metabolism Reviews · doi:10.1002/dmr.5610040704 · Cited by 67 · see citing works
Effect of Thyroid Hormone on Body Composition in Myxedema and Obesity
Kyle, L. H., Ball, M. F., & Doolan, P. D. (1966) · New England Journal of Medicine · doi:10.1056/nejm196607072750103 · Cited by 46 · see citing works
Swartz, A. M., Evans, M. J., King, G. A., & Thompson, D. L. (2002) · British Journal Of Nutrition · doi:10.1079/bjnbjn2002612 · Cited by 45 · see citing works
Langdahl, B. L., Loft, A. G. R., Eriksen, E. F., Mosekilde, L., & Charles, P. (1996) · European Journal of Endocrinology · doi:10.1530/eje.0.1340702 · Cited by 42 · cited 1× · see citing works
“Nevertheless, the expected decrease in body fat content is not observed with replacement therapy in a few studies [5, 6].”
BackgroundMiyakawa, M., Tsushima, T., Murakami, H., Isozaki, O., & Takano, K. (1999) · Endocrine Journal · doi:10.1507/endocrj.46.665 · Cited by 31 · see citing works
Krassas, G. E., Pontikides, N., Loustis, K., Koliakos, G., Constantinidis, T. C., & Kaltsas, T. (2006) · Journal of Endocrinological Investigation · doi:10.1007/bf03344159 · Cited by 22 · see citing works
Karakoç, A., Ayvaz, G., Taneri, F., Törüner, F. B., Yılmaz, M., Çakır, N., & Arslan, M. (2004) · Endocrine Research · doi:10.1081/erc-120039569 · Cited by 12 · see citing works
Levothyroxine Medication is Associated with Adiposity Independent of TSH
Ruhla, S., Arafat, A. M., Osterhoff, M. A., Weickert, M. O., Mai, K., Spranger, J., Schöfl, C., Pfeiffer, A. F. H., & Möhlig, M. (2012) · Experimental and Clinical Endocrinology & Diabetes · doi:10.1055/s-0032-1312599 · Cited by 10 · see citing works
Flagged first, then by citations
1 of the 25 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Kim, H., Jung, D. Y., Lee, S., Cho, J., Yim, H. W., & Kim, H. (2022) · Journal of Diabetes · doi:10.1111/1753-0407.13315 · Cited by 7 · see citing works
Romero-Ibarguengoitia, M. E., Garza‐Silva, A., Rivera-Cavazos, A., Morales-Rodríguez, D. P., Peña, O. I. G., Barco-Flores, I. A., Manilla-Muñoz, E., Villarreal-Leal, E., & González‐Cantú, A. (2024) · Journal of the Endocrine Society · doi:10.1210/jendso/bvad175 · Cited by 6 · see citing works
Prashanth, A., Kothari, R., Yogesh, S., Mittal, G. K., Gheewala, S., Bokariya, P., Palande, A., Devupriya, M. S., Tamrakar, S., & Vemparala, S. S. (2023) · Cureus · doi:10.7759/cureus.42023 · Cited by 6 · see citing works
The effect of subclinical hypothyroidism on body composition parameters in children
Güneş, S. O., Ergür, A. T., & Kılınç, F. N. (2020) · International Journal of Clinical Practice · doi:10.1111/ijcp.13554 · Cited by 5 · see citing works
Kretli-Souza, D., Paulino, N. E., Asevedo, R. A., Lemos, S. C. L., Meireles-Oliveira, G., Alves-Silva, Y., Hortêncio-Medeiros, I. R., Coimbra, C. C., Garcia, R. A. P., Drummond, L. R., et al. (2025) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-025-09988-z · Cited by 4 · see citing works
Pharmacodynamic and Therapeutic Actions of Levothyroxine
Hennessey, J. V. (2021) · 70 Years of Levothyroxine · doi:10.1007/978-3-030-63277-9_3 · Cited by 4 · see citing works
Prescription Thyroid Replacement Does Not Affect Outcomes in an Intensive Weight Reduction Program
Dembrowski, G. C., & Barnes, J. W. (2019) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000092 · Cited by 3 · see citing works
Prevalence of metabolic syndrome in hypothyroid patients under Levothyroxine therapy
Takır, M., & Kızılgül, M. (2018) · Medeniyet Medical Journal · doi:10.5222/mmj.2018.02700 · Cited by 3 · see citing works
Assessment of Metabolic Parameters in Female Triathletes with Hashimoto’s Thyroiditis in Poland
Gierach, M., & Junik, R. (2023) · Biomedicines · doi:10.3390/biomedicines11030769 · Cited by 4 · see citing works
Antoniou, S., Michaelides, M., Tymvios, C., Ellina, E., & Parpa, K. (2025) · Science & Sports · doi:10.1016/j.scispo.2025.03.002 · Cited by 1 · see citing works
Tekin, E., Tüzün, S., Çeti̇n, H., & Şimşek, E. E. (2020) · Ankara Medical Journal · doi:10.5505/amj.2020.35492
Sellasie, S. W., Ossola, N., Piticchio, T., Uccioli, L., & Trimboli, P. (2026) · International Journal of Obesity · doi:10.1038/s41366-026-02224-x
Kretli-Souza, D., Meireles-Oliveira, G., Asevedo, R. A., Paulino, N. E., Alves-Silva, Y., Hortêncio-Medeiros, I. R., de Jesus, D. S., Lemos, S. C. L., Coimbra, C. C., Drummond, L. R., et al. (2026) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-026-10093-y
- Authors
- Bakiner, O., Bozkirli, E., Ersozlu Bozkirli, E. D., & Ozsahin, K.
- Affiliations
- Department of Endocrinology and Metabolism Diseases, School of Medicine, Başkent University, 01250 Adana, Turkey
- Department of Internal Medicine, School of Medicine, Başkent University, 01250 Adana, Turkey
- Department of Family Medicine, School of Medicine, Başkent University, 01250 Adana, Turkey
- ORCID
- Ozsahin, Kursat
- Venue
- International Journal of Endocrinology
- Publisher
- Wiley
- Published
- 2013
- Volume
- 2013
- Pages
- 1-5
- ISSN
- 1687-8337 (ISSN-L)
- 1687-8345
- PMC
- PMC3789500
- OpenAlex
- W2127920367
- Cited by
- 14
- References
- 25
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Endocrinology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- hypothyroidism, fat mass, body fat percentage, skinfold thickness, autoimmune hypothyroidism, thyroid-stimulating hormone, body mass index, women
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review