The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
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.
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 patients with overt hypothyroidism, thyroid replacement hormone may, over time, completely reverse OSA.”
Citations
Cites
Multiple Range and Multiple F Tests
Duncan, D. B. (1955) · Biometrics · doi:10.2307/3001478 · Cited by 23,446
Pathogenesis of upper airway occlusion during sleep
Remmers, J. E., deGroot, W. J., Sauerland, E. K., & Anch, A. M. (1978) · Journal of Applied Physiology · doi:10.1152/jappl.1978.44.6.931 · Cited by 1,883
Guilleminault, C., Tilkian, A., & Dement, W. C. (1976) · Annual Review of Medicine · doi:10.1146/annurev.me.27.020176.002341 · Cited by 1,812
A CLINICAL METHOD FOR ASSESSING THE VENTILATORY RESPONSE TO CARBON DIOXIDE
READ, D. C. (1967) · Australasian Annals of Medicine · doi:10.1111/imj.1967.16.1.20 · Cited by 1,142
Occlusion pressure as a measure of respiratory center output cm conscious man
Whitelaw, W. A., Derenne, J., & Milic‐Emili, J. (1975) · Respiration Physiology · doi:10.1016/0034-5687(75)90059-6 · Cited by 739
Clinical overview of the sleep apnea syndromes
Guilleminault, C. (1978) · Medical Entomology and Zoology · Cited by 437
Ventilatory Control in Myxedema and Hypothyroidism
Zwillich, C. W., Pierson, D. J., Hofeldt, F. D., Lufkin, E. G., & Weil, J. V. (1975) · New England Journal of Medicine · doi:10.1056/nejm197503272921302 · Cited by 292
Self-citationMass loading, sleep apnea, and the pathogenesis of obesity hypoventilation.
Lopata, M., & Önal, E. (1982) · PubMed · doi:10.1164/arrd.1982.126.4.640 · Cited by 182
Myxedema and obstructive sleep apnea
Orr, W. C., Males, J. L., & Imes, N. K. (1981) · The American Journal of Medicine · doi:10.1016/0002-9343(81)90867-6 · Cited by 136
Upper Airway Obstruction in Obese Patients with Sleep Disturbance and Somnolence
Walsh, R. E., MICHAELSON, E. D., HARKLEROAD, L. E., ZIGHELBOIM, A., & SACKNER, M. A. (1972) · Annals of Internal Medicine · doi:10.7326/0003-4819-76-2-185 · Cited by 125
Research works printed but not linked: 5
- GUILLEMINAULT C, 1978, Conference on Sleep Apnea Syndromes., 1
- RECHTSHAFFEN A, 1968, A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects.
- WINER B . Statistical Principles in Experimental Design. New York: McGraw Hill Book Co.; 1971:514-603.
- LOPATA M, 1982, Am Rev Respir Dis., 126, 640
- MCNICHOLAS W, 1984, Am Rev Respir Dis., 129, 45
Cited by
Sorted by citations
Items 101–187 of 187
Xanthopoulos, M. S., Nelson, M. N., Eriksen, W., Barg, F. K., Byars, K. C., Ishman, S. L., Esbensen, A. J., Meinzen‐Derr, J. K., Heubi, C. H., Gurbani, N. S., et al. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.04.022 · Cited by 10
Review: Pharmacotherapy of obstructive sleep apnea
Jayaraman, G., Sharafkhaneh, H., Hirshkowitz, M., & Sharafkhaneh, A. (2008) · Therapeutic Advances in Respiratory Disease · doi:10.1177/1753465808098225 · Cited by 10
Obstructive sleep apnea: therapies other than CPAP.
Chhajed, P. N., Chhajed, T. P., Tamm, M., & Strobel, W. M. (2004) · PubMed · Cited by 10
Varney, A. A., & Schlenker, E. H. (2007) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00495.2007 · Cited by 10
Medical Therapy for Obstructive Sleep Apnea
Atwood, C. W., Strollo, P. J., & Givelber, R. J. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-6645-3.00106-7 · Cited by 9
Prevalence of Hypothyroidism in a Large Sample of Patients with Obesity Hypoventilation Syndrome
BaHammam, A. S., Aleissi, S. A., Olaish, A. H., Almeneessier, A. S., & Jammah, A. A. (2020) · Nature and Science of Sleep · doi:10.2147/nss.s263959 · Cited by 8
Obstructive Sleep Apnea: A Cardiopulmonary Perspective and Medical Therapeutics
Jalandhara, N., Patel, A. N., Arora, R. R., & Jalandhara, P. (2009) · American Journal of Therapeutics · doi:10.1097/mjt.0b013e3181788cdf · Cited by 8
Treatment of the obstructive sleep apnea syndrome.
Wiggins, R. V., & Schmidt-Nowara, W. W. (1987) · PubMed Central · Cited by 8
Respiratory dysfunction in hypothyroidism
Suresh, V., Chaitanya, P. S. K., Mohan, A., & Sachan, A. (2019) · The Journal of Clinical and Scientific Research · doi:10.4103/jcsr.jcsr_54_19 · Cited by 9
Mazzaferri, E. L. (1986) · Postgraduate Medicine · doi:10.1080/00325481.1986.11699409 · Cited by 8
Pickering, T. G., & Yacoub, M. (2004) · Humana Press eBooks · doi:10.1007/978-1-59259-757-4_17 · Cited by 8
Treatment of obstructive sleep apnoea.
Veasey, S. C. (2010) · PubMed · Cited by 7
Laryngeal myxoedema: a literature review of an uncommon complication of hypothyroidism
Iftikhar, M. H., Raziq, F. I., Coll, P. P., & Dar, A. Y. (2021) · BMJ Case Reports · doi:10.1136/bcr-2020-241313 · Cited by 7
Extreme Bradycardia During Sleep Apnea Caused by Myxedema
Abouganem, D. (1987) · Archives of Internal Medicine · doi:10.1001/archinte.147.8.1497 · Cited by 7
Grunstein, R. R. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50112-9 · Cited by 7
What are the nonsurgical treatment options for obstructive sleep apnea syndrome?
Bradshaw, D. A. (2001) · American Journal of Otolaryngology · doi:10.1053/ajot.2001.22573 · Cited by 6
A 96-Year-Old Woman With Insomnia
Mendelson, W. B. (1997) · JAMA · doi:10.1001/jama.1997.03540360058032 · Cited by 6
Obstructive sleep apnea: An unrecognized but prevalent condition
Khawaja, I. T., Sayyed, R., & Jaouni, H. (2000) · Comprehensive Therapy · doi:10.1007/s12019-000-0032-7 · Cited by 5
Sleep Disturbances in General Medical Disorders
Chokroverty, S. (2017) · Springer eBooks · doi:10.1007/978-1-4939-6578-6_47 · Cited by 5
Extrapulmonary Causes of Respiratory Failure
Pratter, M. R., & Irwin, R. S. (1986) · Journal of Intensive Care Medicine · doi:10.1177/088506668600100405 · Cited by 5
Sleep apnoea syndrome in Ramathibodi Hospital: Clinical and polysomnographic baseline data
Charoenpan, P., Thanakitcharu, S., Muntarbhorn, K., Kunachak, S., Boongird, P., Likittanasombat, K., & Suwansathit, W. (1999) · Respirology · doi:10.1046/j.1440-1843.1999.00207.x · Cited by 4
Sindrom obstruktivnykh apnoe vo sne: sovremennye predstavleniya i rol'
Poluektov, M. G. (2005) · Obesity and metabolism · doi:10.14341/2071-8713-4797 · Cited by 4
Pickering, T. G. (2002) · Journal of Clinical Hypertension · doi:10.1111/j.1524-6175.2002.01513.x · Cited by 4
Sériès, F., Cormier, Y. F., & Forge, J. L. (1989) · Thorax · doi:10.1136/thx.44.6.521 · Cited by 4
(1986) · Elsevier eBooks · doi:10.1016/b978-0-409-90016-3.50033-9 · Cited by 4
Gross, P. T. (1986) · Medical Clinics of North America · doi:10.1016/s0025-7125(16)30903-8 · Cited by 3
Gencer, A., Atahan, E., Kadıoğlu, P., & Mutlu, B. (2022) · ERJ Open Research · doi:10.1183/23120541.00186-2022 · Cited by 3
Hypothyroidism and Obstructive Sleep Apnea
Suhaila, E., & Ahmed, S. (2012) · InTech eBooks · doi:10.5772/32710 · Cited by 3
Elmasry, A. (2001) · Upsala Journal of Medical Sciences · doi:10.3109/2000-1967-170 · Cited by 3
Manifestaciones dento-orofaciales de los trastornos del sueño
Iglesias, H. V., & Ribé, A. (2001) · FMC - Formación Médica Continuada en Atención Primaria · doi:10.1016/s1134-2072(01)75380-7 · Cited by 3
Snoring as the presenting feature of hypothyroidism
Gledhill, R. F. (1990) · Postgraduate Medical Journal · doi:10.1136/pgmj.66.779.788-a · Cited by 3
Clinical Assessment of Medical, Neurological, and Psychiatric Conditions Associated with Fatigue
Ahmed, I., & Thorpy, M. J. (2018) · Springer eBooks · doi:10.1007/978-1-4939-8607-1_7 · Cited by 2
Victoria Novik, A., O, M. E. P., & Gabriel Anwandter, Z. (2004) · Revista médica de Chile · doi:10.4067/s0034-98872004000100013 · Cited by 2
Prevalence of hypothyroidism in obstructive sleep apnea
Polu, S., & Reddy, M. (2015) · International Journal of Advances in Medicine · doi:10.18203/2349-3933.ijam20151383 · Cited by 2
McDermott, M., & Ridgway, E. C. (2009) · CRC Press eBooks · doi:10.3109/9781420070651-5 · Cited by 2
Adler, S. M., & Burman, K. D. (2009) · Elsevier eBooks · doi:10.1016/b978-1-4160-4745-2.00017-1 · Cited by 2
Pathophysiology of Obstructive Sleep Apnea
Koo, S. K. (2001) · Journal of Clinical Otolaryngology Head and Neck Surgery · doi:10.35420/jcohns.2001.12.1.15 · Cited by 2
Billiard, M. M., & Carlander, B. (2003) · Springer eBooks · doi:10.1007/978-1-4615-0217-3_34 · Cited by 2
Apnées du sommeil révélant une hypothyroïdie
Boussen, K., Ziza, J.-M., Wechsler, B., Lamas, G., Chapelon-Abric, C., Bécour, L., Mrad, S. B., & Godeau, P. (1987) · La Revue de Médecine Interne · doi:10.1016/s0248-8663(87)80200-x · Cited by 2
Sleep State and Periodic Respiration
Pack, A. I., Gottschalk, A., Cola, M., & Goldszmidt, A. (1989) · Springer eBooks · doi:10.1007/978-1-4613-0621-4_19 · Cited by 2
The sleep apnea syndrome: A review.
Takasaki, Y., & Ohta, Y. (1989) · Nihon Kikan Shokudoka Gakkai Kaiho · doi:10.2468/jbes.40.369 · Cited by 2
Pharmacotherapeutic trials for sleep-disordered breathing
Hedner, J. A., Grote, L., & Zou, D. (2016) · CRC Press eBooks · doi:10.3109/9781420020885-29 · Cited by 2
Bajpai, J., Saxena, M., Agarwal, U., & Pradhan, A. (2025) · World Journal of Experimental Medicine · doi:10.5493/wjem.v15.i4.109762 · Cited by 1
Management of Obstructive Sleep Apnea
Vijayan, V. K. (2014) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 1
Clinical evaluation of the patient with excessive sleepiness
Ahmed, I. M., & Thorpy, M. J. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511762697.006 · Cited by 1
Wissler, R. N. (2009) · Elsevier eBooks · doi:10.1016/b978-0-323-05541-3.00042-9 · Cited by 1
Respiratory Failure Induced by Severe Hypothyroidism in a Korean Woman
Kwon, H., Kim, B. R., Han, S., & Hong, Y. (2016) · Soonchunhyang Medical Science · doi:10.15746/sms.16.007 · Cited by 1
Sleep-Disordered Breathing and Hormones
Saaresranta, T., & Polo, O. J. (2006) · Springer eBooks · doi:10.1007/0-387-23692-9_23 · Cited by 1
Alteraciones del sueño en las enfermedades médicas generales
Chokroverty, S. (2011) · Elsevier eBooks · doi:10.1016/b978-84-8086-733-7.00033-4 · Cited by 1
Breathing Easier: Respiratory Disease in the Older Adult
Mahmudi‐Azer, S. (2010) · Wiley eBooks · doi:10.1002/9781118281796.ch4 · Cited by 1
Continuous Positive Airway Pressure
Rapoport, D. M., & Leder, R. S. (2006) · Encyclopedia of Medical Devices and Instrumentation · doi:10.1002/0471732877.emd329 · Cited by 1
Conservative treatment modalities for obstructive sleep apnea
Erman, M. K. (1991) · Operative Techniques in Otolaryngology-Head and Neck Surgery · doi:10.1016/s1043-1810(10)80210-6 · Cited by 1
Sleep Apnea Syndrome: A Report of 20 Saudi Patients
Khan, J. H., Bazarbashi, M., STIGSBY, B., & Al-Ohaly, Y. (1995) · Annals of Saudi Medicine · doi:10.5144/0256-4947.1995.443 · Cited by 1
Lung Function in Specific Respiratory and Systemic Diseases
Bourke, S. (2020) · doi:10.1002/9781118597309.ch38 · Cited by 1
Sleep and Other Medical Disorders
Chokroverty, S. (1994) · Elsevier eBooks · doi:10.1016/b978-0-7506-9002-7.50027-6 · Cited by 1
Obstructive Sleep Apnea Syndrome
EVLİCE, A. T. (2012) · DergiPark (Istanbul University)
Obstrüktif Uyku Sendromu Olan Hastalarda Hipotiroidi Taraması Yapılmalı mı
Karakaş, M. S., Altekin, R. E., Baktır, A. O., Er, A., Özbek, S. C., Yanıkoğlu, A., Akdemir, B., & Çilli, A. (2011) · DergiPark (Istanbul University)
Oral cavity and oropharyngeal cancers and sleep
Givi, B., & Higgins, K. M. (2013) · doi:10.3920/978-90-8686-763-9_25
Westhoff, M., & Litterst, P. (2006) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1111/j.1439-054x.2006.00079.x
Metabolic Causes and Consequences of Sleep Disorders
Taskar, V. S., Stocks, J. M., Shafer, D., & Hirshkowitz, M. (2008) · Clinical Pulmonary Medicine · doi:10.1097/cpm.0b013e318160b391
Attitudes of Pulmonologists about Obstructive Sleep Apnea Syndrome and its Treatment in İzmir
Tapan, Ö. O., Genç, S., Tapan, U., Alpaydın, A. Ö., & İtil, B. O. (2016) · Journal of Turkish Sleep Medicine · doi:10.4274/jtsm.2016.178
Uneaegsed hingamishäired ja hormoonid
Saaresranta, T. (2014) · Ajakirjad. Journals by UT · doi:10.15157/ea.v0i0.9829
Baron, H. L., & SINGER, P. A. (2009) · Elsevier eBooks · doi:10.1016/b978-1-4160-3291-5.50042-1
Adjunctive and Alternative Treatments of Sleep-Related Breathing Disorders
Mulgrew, A. T., Sigurdson, K., & Ayas, N. (2008) · CRC Press eBooks · doi:10.3109/9781420019926-35
Braithwaite, S. S. (2008) · Elsevier eBooks · doi:10.1016/b978-032304841-5.50063-7
Gulati, A. (2017) · University of Hertfordshire Research Archive (University of Hertfordshire) · doi:10.18745/th.17731
OBSTRUCTIVE SLEEP APNEA: PART II. TREATMENT MODALITIES.
IJAR, Babu, B., Mahesh, C. M., Rameshkumar, P. C., Arun, A. V., Mahendra, S. I., & Shetty., B. (2017) · International Journal of Advanced Research · doi:10.21474/ijar01/4352
Maurer, J. T., Juncker, M., Honig, M. P., Schubotz-Mitgau, C., & Hörmann, K. (1996) · Sleep And Breathing · doi:10.1007/bf03038943
Association of Hypothyroidism in Obstructive Sleep Apnea Syndrome
Kalamkar, S., & Desai, U. D. (2016) · Indian Journal of Sleep Medicine · doi:10.5958/0974-0155.2016.00021.8
Women in Childbearing Years: Sleep Disordered Breathing
Lovitz, L. E. (2020) · Current clinical neurology · doi:10.1007/978-3-030-40842-8_14
Jiang, X., Wu, L., Luo, D. M., & Huang, W. Z. (2019) · Research Square · doi:10.21203/rs.2.243/v1
de Oliveira, F. G. (2020) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.98.2020.tde-27072020-142426
Sowjanya, D. S., & Ravindranath, M. (2021) · IP Indian Journal of Immunology and Respiratory Medicine · doi:10.18231/j.ijirm.2021.035 · Cited by 1
Konservative Therapie der Schlafapnoe
Teschler, H., Wessendorf, T., & Konietzko, N. (1998) · Springer eBooks · doi:10.1007/978-3-642-58815-0_11
Medikamentöse therapie der Obstruktiven Schlaf-apnoe
Feuring, M., & Wehling, M. (1999) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-999-0007-6
Sleep Disturbances in General Medical Disorders
Chokroverty, S. (2009) · Elsevier eBooks · doi:10.1016/b978-0-7506-7584-0.00033-1
McDougall, I. R. (1992) · Springer eBooks · doi:10.1007/978-1-4899-2881-8_6
(2005) · Archivos de Bronconeumología · doi:10.1016/s0300-2896(05)70753-5
Pharmacotherapeutic trials for sleep-disordered breathing
Hedner, J. A., Grote, L., & Zou, D. (2011) · Informa Healthcare eBooks · doi:10.3109/9781420020885.026
Pulmonary Function in Hypothyroidism Before and After Restoration of Euthyroid Status
Mohan, A., Sachan, A., Chaitanya, P. S. K., Suresh, V., Divya, B. S., Raghavendra, K., & Manideepti, D. (2022) · The Indian Journal of Chest Diseases and Allied Sciences · doi:10.5005/ijcdas-62-2-51
Neurologic Manifestations of Acid–Base Derangements, Electrolyte Disorders, and Endocrine Crises
Wijdicks, E. F. M. (2023) · Oxford University Press eBooks · doi:10.1093/med/9780197585016.003.0014
Gothi, D., Malhotra, N., & Anand, S. (2023) · Indian Journal of Sleep Medicine · doi:10.5005/jp-journals-10069-0124
Sleep and Genetic Neurodevelopmental Disorders
Morse, A. M., & Strong, E. (2024) · Springer eBooks · doi:10.1007/978-3-031-62723-1_16
Volumetric Mass Flow Sensor for CPAP
Juvelekian, S. (2002) · D-Scholarship@Pitt (University of Pittsburgh)
Problems in the Management of Hypothyroidism
Ocampo, E. L., & Surks, M. I. (1997) · doi:10.1007/978-1-4757-2594-0_9
Non-Surgical Alternatives to Continuous Positive Airway Pressure
Epstein, L. J. (1998) · Respiratory Care · doi:10.1177/002013249804300503
Isolated oedema of the upper airways as a rare clinical manifestation of hypothyroidism
Bronisz, A., Feusette, M., Starczewska-Dymek, L., Poplicha, D., & Brzoza, Z. (2026) · Polski Przegląd Otorynolaryngologiczny · doi:10.5604/01.3001.0055.8071
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 ›
Are you an author, or do you see a problem with this page? Request a review