The skeletal consequences of thyrotoxicosis
Open accessAbstract
Euthyroid status is essential for normal skeletal development and the maintenance of adult bone structure and strength. Established thyrotoxicosis has long been recognised as a cause of high bone turnover osteoporosis and fracture but more recent studies have suggested that subclinical hyperthyroidism and long-term suppressive doses of thyroxine (T4) may also result in decreased bone mineral density (BMD) and an increased risk of fragility fracture, particularly in postmenopausal women. Furthermore, large population studies of euthyroid individuals have demonstrated that a hypothalamic-pituitary-thyroid axis set point at the upper end of the normal reference range is associated with reduced BMD and increased fracture susceptibility. Despite these findings, the cellular and molecular mechanisms of thyroid hormone action in bone remain controversial and incompletely understood. In this review, we discuss the role of thyroid hormones in bone and the skeletal consequences of hyperthyroidism.
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Most studies have found hyperthyroidism in the elderly to be accompanied by increased osteoporotic fracture risk.
“Although most studies have found hyperthyroidism in the elderly to be accompanied by increased risk of osteoporotic fractures, (10)”
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Subclinical Thyroid Dysfunction and Fracture Risk: A Meta-analysis
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- Authors
- Nicholls, J. J., Brassill, M. J., Williams, G. R., & Bassett, J. H. D.
- Affiliations
- Imperial College London (GB)
- Venue
- Journal of Endocrinology
- Publisher
- Bioscientifica
- Published
- 2012-03-27
- Volume
- 213
- Issue
- 3
- Pages
- 209-221
- ISSN
- 0022-0795 (ISSN-L)
- 1479-6805
- OpenAlex
- W2147323739
- Cited by
- 138
- References
- 124
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 10 · 2023: 11 · 2022: 9 · 2021: 9 · 2020: 11 · 2019: 5 · 2018: 6 · 2017: 14 · 2016: 7 · 2015: 7 · 2014: 19 · 2013: 12 · 2012: 1
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Medical Research Council
- 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
- thyrotoxicosis, hyperthyroidism, bone mineral density, fragility fractures, subclinical hyperthyroidism, bone turnover, hypothalamic-pituitary-thyroid axis, postmenopausal women, skeletal development
- MeSH terms
- Humans, Hyperthyroidism, Hypothalamo-Hypophyseal System, Models, Biological, Osteoporosis, Thyroid Gland, Thyrotoxicosis, Thyroxine, Bone Density, Fractures, Bone
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.
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