The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Small Differences in Thyroid Function May Be Important for Body Mass Index and the Occurrence of Obesity in the Population
Abstract
CONTEXT: Increasing prevalence of overweight in the population is a major concern globally; and in the United States, nearly one third of adults were classified as obese at the end of the 20th century. Few data have been presented regarding an association between variations in thyroid function seen in the general population and body weight. OBJECTIVE: The aim of this study was to investigate the association between thyroid function and body mass index (BMI) or obesity in a normal population. DESIGN: A cross-sectional population study (The DanThyr Study) was conducted. PARTICIPANTS: In all, 4649 participants were investigated, and 4082 were eligible for these analyses after exclusion of subjects with previous or present overt thyroid dysfunction. MAIN OUTCOME MEASURES: The study examined the association between category of serum TSH or serum thyroid hormones and BMI or obesity in multivariate models, adjusting for possible confounding. RESULTS: We found a positive association between BMI and category of serum TSH (P < 0.001) and a negative association between BMI and category of serum free T(4) (P < 0.001). No association was found between BMI and serum free T(3) levels. The difference in BMI between the groups with the highest and lowest serum TSH levels was 1.9 kg/m(2), corresponding to a difference in body weight of 5.5 kg among women. Similarly, the category of serum TSH correlated positively with weight gain during 5 yr (P = 0.04), but no statistically significant association was found with weight gain during 6 months (P = 0.17). There was an association between obesity (BMI > 30 kg/m(2)) and serum TSH levels (P = 0.001). CONCLUSIONS: Our results suggest that thyroid function (also within the normal range) could be one of several factors acting in concert to determine body weight in a population. Even slightly elevated serum TSH levels are associated with an increase in the occurrence of obesity.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
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?
In the citing paper
“In contrast FT4 was strongly negatively associated with BMI [65].”
From Age-related variation in thyroid function – a narrative review highlighting important implications for research and clinical practice (2023) · cites this paper as [65]
In the citing paper
“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 [65]
In the citing paper
“None have shown significant differences in these parameters compared to control subjects (47,48) or when LT4 doses were altered to lower TSH within the reference range (14,41).”
From Effects of levothyroxine replacement or suppressive therapy on energy expenditure and body composition (2016) · cites this paper as [41]
Citations
Cites
Prevalence and trends in obesity among US adults, 1999–2000
Flegal, K. M. (2002) · JAMA · doi:10.1001/jama.288.14.1723 · Cited by 6,190
The incidence of thyroid disorders in the community: a twenty-year follow-up of the Whickham Survey
Vanderpump, M. P. J., Tunbrldge, W. M. G., French, J. M., Appleton, D., Bates, D., Clark, F., Evans, J. G., Hasan, D. M., Rodgers, H., Tunbridge, F., et al. (1995) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1995.tb01894.x · Cited by 2,432
Subclinical Thyroid Disease: Scientific Review and Guidelines for Diagnosis and Management
Surks, M. I., Ortiz, E., Daniels, G. H., Sawin, C. T., Col, N. F., Cobin, R. H., Franklyn, J. A., Hershman, J. M., Burman, K. D., Denke, M. A., et al. (2004) · JAMA · doi:10.1001/jama.291.2.228 · Cited by 1,800
Hak, A. E., Pols, H. A. P., Visser, T. J., Drexhage, H. A., Hofman, A., & Witteman, J. C. M. (2000) · Annals of Internal Medicine · doi:10.7326/0003-4819-132-4-200002150-00004 · Cited by 1,336
Recombinant human leptin in women with hypothalamic amenorrhea
Welt, C. K., Chan, J. L., Bullen, J., Murphy, R., Smith, P., DePaoli, A. M., Karalis, A., & Mantzoros, C. S. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040388 · Cited by 908
Thyroid Status, Disability and Cognitive Function, and Survival in Old Age
Gussekloo, J. (2004) · JAMA · doi:10.1001/jama.292.21.2591 · Cited by 899
Chan, J. L., Heist, K., DePaoli, A. M., Veldhuis, J. D., & Mantzoros, C. S. (2003) · Journal of Clinical Investigation · doi:10.1172/jci17490 · Cited by 697
Andersen, S., Pedersen, K. M., Bruun, N. H., & Laurberg, P. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.3.8165 · Cited by 686
Self-citationZulewski, 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 391
Subclinical hyperthyroidism and the risk of dementia. The Rotterdam study
Kalmijn, S., Mehta, K. M., Pols, H. A. P., Albert Hofman, D., Drexhage, H. A., & Breteler, M. M. B. (2000) · Clinical Endocrinology · doi:10.1046/j.1365-2265.2000.01146.x · Cited by 319
Rosenbaum, M., Hirsch, J., Murphy, E., & Leibel, R. L. (2000) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.6.1421 · Cited by 315
Environmental Iodine Intake Affects the Type of Nonmalignant Thyroid Disease
Laurberg, P., Pedersen, I. B., Knudsen, N., Ovesen, L., & Andersen, S. (2001) · Thyroid · doi:10.1089/105072501300176417 · Cited by 307
Self-citationCaraccio, N., Ferrannini, E., & Monzani, F. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.4.8378 · Cited by 294
Hansen, P. S., Brix, T. H., Sørensen, T. I. A., Kyvik, K. O., & Hegedüs, L. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031641 · Cited by 257
Health Care–Associated Bloodstream Infections
Kaye, K. S., Friedman, N. D., & Sexton, D. J. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-139-3-200308050-00018 · Cited by 232
Al-Adsani, H. (1997) · Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.82.4.1118 · Cited by 193
The effect of body weight and weight loss on thyroid volume and function in obese women
Sarı, R., Balcı, M. K., Altunbaş, H., & Karayalçın, Ü. (2003) · Clinical Endocrinology · doi:10.1046/j.1365-2265.2003.01836.x · Cited by 190
Knudsen, N., Bülow, I., Jørgensen, T., Laurberg, P., Ovesen, L., & Perrild, H. (2000) · European Journal of Endocrinology · doi:10.1530/eje.0.1430485 · Cited by 181
Self-citationCirculating leptin and thyroid dysfunction
Zimmermann‐Belsing, T., Brabant, G. E., Holst, J. J., & Feldt‐Rasmussen, U. (2003) · European Journal of Endocrinology · doi:10.1530/eje.0.1490257 · Cited by 170
Knudsen, N. J., Bülow, I., Jørgensen, T., Laurberg, P., Ovesen, L., & Perrild, H. (2000) · Clinical Endocrinology · doi:10.1046/j.1365-2265.2000.01121.x · Cited by 165
Self-citationThyroid 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
METABOLIC ASPECTS OF THE CALORIGENIC EFFECT OF THYROID HORMONE IN MAMMALS
Sestoft, L. (1980) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1980.tb03415.x · Cited by 141
Astrup, A. V., Buemann, B., Christensen, N. J., Madsen, J., Gluud, C. N., Bennett, P. H., & Svenstrup, B. (1992) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.74.2.1530952 · Cited by 115
Neuroregulation of adipose tissue: molecular and hormonal mechanisms.
Duntas, L., Hauner, H., Rosenthal, J. H., & Pfeiffer, E. F. (1991) · PubMed · Cited by 101
Lindeman, R. D., Romero, L. J., Schade, D. S., Wayne, S., Baumgartner, R. N., & Garry, P. J. (2003) · Thyroid · doi:10.1089/105072503322238863 · Cited by 100
Schwartz, M. W., & Niswender, K. D. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-0906 · Cited by 93
Relationship of ovesity and disease in 73,532 weight-conscious women.
Rimm, A. A., Werner, L. H., Yserloo, B. V., & Bernstein, R. A. (1975) · PubMed Central · Cited by 74
Näslund, E. B., Andersson, I., Degerblad, M., Kogner, P., Kral, J. G., Rössner, S., & Hellström, P. M. (2000) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2000.00737.x · Cited by 71
Toni, R., Malaguti, A., Castorina, S., Roti, E., & Lechan, R. M. (2004) · Journal of Endocrinological Investigation · doi:10.1007/bf03346266 · Cited by 56
Pérez, A., Cubero, J. M., Sucunza, N., Ortega, E., Arcelús, R., Rodrı́guez-Espinosa, J., Ordóñez‐Llanos, J., & Blanco‐Vaca, F. (2004) · Metabolism · doi:10.1016/j.metabol.2004.05.016 · Cited by 52
Boivin, M., Camirand, A., Carli, F., Hoffer, L. J., & Silva, J. E. (2000) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.85.5.6585 · Cited by 39
2-Methoxyestradiol, an endogenous estrogen metabolite, induces thyroid cell apoptosis
Wang, S. (2000) · Molecular and Cellular Endocrinology · doi:10.1016/s0303-7207(00)00249-5 · Cited by 39
Buscemi, S., Verga, S., Maneri, R., Blunda, G., & Galluzzo, A. (1997) · Journal of Endocrinological Investigation · doi:10.1007/bf03350300 · Cited by 38
Some Hormonal Changes Before and After Vertical Banded Gastroplasty for Severe Obesity
Yashkov, Y. I., Vinnitsky, L. I., Poroykova, M. V., & Vorobyova, N. T. (2000) · Obesity Surgery · doi:10.1381/09608920060674111 · Cited by 28
Matzen, L. H., Kvetny, J., & PEDERSEN, K. K. (1989) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/00365518909089090 · Cited by 25
Thyroid and obesity: survey of some function tests in a large obese population.
Strata, A., Ugolotti, G., Contini, C., Magnati, G., Pugnoli, C., Tirelli, F., & Zuliani, U. (1978) · PubMed · Cited by 23
Papavramidis, T. S., Zisiadis, A., Karamouzis, M. N., Kessissoglou, I. I., Antoniadou, H., & Aidonopoulos, A. P. (1995) · Obesity Surgery · doi:10.1381/096089295765557674 · Cited by 12
Matzen, L. E., & Kvetny, J. (1989) · Metabolism · doi:10.1016/0026-0495(89)90216-3 · Cited by 12
Ireton-Jones, C. S. (1992) · Nutrition in Clinical Practice · doi:10.1177/088453369200700414 · Cited by 4
Cited by
Sorted by citations
Thyroid Hormone Regulation of Metabolism
Mullur, R., Liu, Y.-Y., & Brent, G. A. (2014) · Physiological Reviews · doi:10.1152/physrev.00030.2013 · Cited by 2,421
“In healthy individuals, variations in serum TSH, even within the reference range, are associated with body weight and body weight change in both men and women (80, 143).”
BackgroundJonklaas, J., Bianco, A. C., Bauer, A. J., Burman, K. D., Cappola, A. R., Celi, F. S., Cooper, D. S., Kim, B. W., Peeters, R. P., Rosenthal, M. S., et al. (2014) · Thyroid® · doi:10.1089/thy.2014.0028 · Cited by 1,928
Garber, J. R., Cobin, R. H., Gharib, H., Hennessey, J. V., Klein, I., Mechanick, J. I., Pessah-Pollack, R., Singer, P. A., & Woeber, K. A. (2012) · Endocrine Practice · doi:10.4158/ep12280.gl · Cited by 1,567
The Clinical Significance of Subclinical Thyroid Dysfunction
Biondi, B., & Cooper, D. S. (2008) · Endocrine Reviews · doi:10.1210/er.2006-0043 · Cited by 1,418
“The results of this study suggest that even slightly elevated serum TSH levels are important in determining body weight in the population (34).”
BackgroundGarber, 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
“Some observational studies correlate TSH levels with body mass index (243–245) while others do not (246).”
Metadata
- Authors
- Knudsen, N., Laurberg, P., Rasmussen, L. B., Bülow, I., Perrild, H., Ovesen, L., & Jørgensen, T.
- Affiliations
- Bispebjerg Hospital (DK)
- Aalborg University Hospital (DK)
- Corresponding author
- Knudsen, Nils
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2005-07
- Volume
- 90
- Issue
- 7
- Pages
- 4019-4024
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2133682334
- Semantic Scholar
- 20e3a19b8599c2b8587d25dfab6ed083b7ff3e0f
- Cited by
- 753
- References
- 39
- Citations by year
- 2026: 15 · 2025: 28 · 2024: 35 · 2023: 33 · 2022: 41 · 2021: 38 · 2020: 50 · 2019: 49 · 2018: 38 · 2017: 43 · 2016: 46 · 2015: 47 · 2014: 56 · 2013: 47 · 2012: 41
- FWCI
- 10.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion)
- 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 › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- thyroid function, body mass index, obesity, serum TSH, free thyroxine, free triiodothyronine, weight gain, subclinical thyroid dysfunction, healthy population
- MeSH terms
- Adolescent, Adult, Aged, Cross-Sectional Studies, Humans, Middle Aged, Obesity, Thyroid Hormones, Thyrotropin, Body Mass Index
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