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Obstructive Sleep Apnea in Hypothyroidism
Abstract
To determine the incidence and frequency of sleep apnea in persons with hypothyroidism, 11 consecutive patients with newly diagnosed disease were studied before and during thyroid hormone replacement therapy. Nine patients had episodes of apnea, with the number of episodes per hour of sleep ranging from 17 to 176 (mean, 71.8). Six of the nine patients were obese and had 99.5 episodes per hour compared with 16.3 episodes per hour in the 3 nonobese patients (p less than 0.02). After 3 to 12 months of thyroxine replacement therapy, mean apnea frequency decreased from 71.8 +/- 18.0 (SE) to 12.7 +/- 6.1 episodes per hour, without reduction in body weight. There were fewer changes in sleep stage per hour during treatment (22.1 +/- 4.9) than pretreatment (57.6 +/- 14.5). Carbon dioxide response tests done under non-loaded and flow-resistive loaded conditions before and during thyroxine replacement therapy showed increases in the loaded respiratory effort and ventilation during thyroxine treatment. Sleep apnea episodes are common in persons with untreated hypothyroidism, even with normal lung function. Thyroxine replacement therapy decreases apnea frequency, even without change in body weight.
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“In patients with overt hypothyroidism, thyroid replacement hormone may, over time, completely reverse OSA.”
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Metadata
- Authors
- RAJAGOPAL, K. R., ABBRECHT, P. H., DERDERIAN, S. S., PICKETT, C., HOFELDT, F., TELLIS, C. J., & ZWILLICH, C. W.
- Affiliations
- Washington, D.C.; Bethesda, Maryland; and Denver, Colorado
- Corresponding author
- RAJAGOPAL, KRISHNAN R.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1984-10-01
- Volume
- 101
- Issue
- 4
- Pages
- 491-494
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2012436441
- Cited by
- 188
- References
- 16
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 4 · 2016: 9 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 6
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Keywords
- obstructive sleep apnea, hypothyroidism, thyroxine replacement, apnea frequency, obesity, sleep stages, thyroid hormone replacement
- MeSH terms
- Adult, Humans, Hypothyroidism, Middle Aged, Obesity, Respiratory Function Tests, Sleep Apnea Syndromes, Sleep Stages, Thyroxine
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 ›
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