Display options
Share it on

Eur Thyroid J. 2012 Oct;1(3):159-67. doi: 10.1159/000342994. Epub 2012 Sep 22.

Thyroid function and obesity.

European thyroid journal

Peter Laurberg, Nils Knudsen, Stig Andersen, Allan Carlé, Inge Bülow Pedersen, Jesper Karmisholt

Affiliations

  1. Department of Endocrinology, Aalborg Hospital, Aalborg, Denmark.
  2. Medical Clinic I, Bispebjerg Hospital, Copenhagen, Denmark.

PMID: 24783015 PMCID: PMC3821486 DOI: 10.1159/000342994

Abstract

Important interaction exists between thyroid function, weight control, and obesity. Several mechanisms seem to be involved, and in studies of groups of people the pattern of thyroid function tests depends on the balance of obesity and underlying thyroid disease in the cohort studied. Obese people with a normal thyroid gland tend to have activation of the hypothalamic-pituitary-thyroid axis with higher serum TSH and thyroid hormones in serum. On the other hand, small differences in thyroid function are associated with up to 5 kg difference in body weight. The weight loss after therapy of overt hypothyroidism is caused by excretion of water bound in tissues (myxoedema). Many patients treated for hyperthyroidism experience a gain of more weight than they lost during the active phase of the disease. The mechanism for this excessive weight gain has not been fully elucidated. New studies on the relation between L-T3 therapy and weight control are discussed. The interaction between weight control and therapy of thyroid disease is important to many patients and it should be studied in more detail.

Keywords: Graves’ disease; Hyperthyroidism; Hypothyroidism; Levothyroxine therapy; Liothyronine therapy; Obesity; Thyroid function; Weight control

References

  1. J Clin Endocrinol Metab. 2011 Jan;96(1):E99-103 - PubMed
  2. Obesity (Silver Spring). 2010 Apr;18(4):854-7 - PubMed
  3. Clin Endocrinol (Oxf). 2007 Aug;67(2):265-9 - PubMed
  4. Eur J Endocrinol. 2006 Aug;155(2):219-28 - PubMed
  5. Clin Endocrinol (Oxf). 1998 Nov;49(5):589-95 - PubMed
  6. Am J Med. 1984 Jun;76(6):963-70 - PubMed
  7. Eur J Endocrinol. 2010 Aug;163(2):273-8 - PubMed
  8. Curr Opin Clin Nutr Metab Care. 1999 Nov;2(6):445-51 - PubMed
  9. Thyroid. 2003 Jan;13(1):3-126 - PubMed
  10. Thyroid. 2011 Dec;21(12):1339-42 - PubMed
  11. Thyroid. 2008 Feb;18(2):141-4 - PubMed
  12. J Clin Endocrinol Metab. 2006 Jul;91(7):2592-9 - PubMed
  13. Mol Cell Endocrinol. 2010 Mar 25;316(2):165-71 - PubMed
  14. Eur J Endocrinol. 2011 Jul;165(1):11-5 - PubMed
  15. Arch Dis Child. 2002 Oct;87(4):320-3 - PubMed
  16. J Clin Endocrinol Metab. 2002 Mar;87(3):1068-72 - PubMed
  17. Am J Psychiatry. 2006 Sep;163(9):1492 - PubMed
  18. Thyroid. 2011 Dec;21(12):1343-51 - PubMed
  19. J Clin Endocrinol Metab. 2009 Oct;94(10):3663-75 - PubMed
  20. Clin Endocrinol (Oxf). 2011 Jun;74(6):769-75 - PubMed
  21. Int J Cancer. 2012 Sep 15;131(6):E1004-14 - PubMed
  22. Epidemiol Rev. 2007;29:1-5 - PubMed
  23. J Clin Endocrinol Metab. 2005 Jul;90(7):4019-24 - PubMed
  24. Eur J Endocrinol. 2009 Sep;161(3):459-65 - PubMed
  25. J Clin Endocrinol Metab. 2011 Oct;96(10):3257-63 - PubMed
  26. Postgrad Med J. 1993 Feb;69(808):107-11 - PubMed
  27. J Clin Endocrinol Metab. 2007 Jun;92(6):2149-56 - PubMed
  28. J Clin Endocrinol Metab. 2011 Feb;96(2):333-43 - PubMed
  29. Psychol Rev. 1972 Nov;79(6):433-53 - PubMed
  30. Lancet. 2008 Feb 16;371(9612):569-78 - PubMed
  31. Clin Endocrinol (Oxf). 2012 Nov;77(5):764-72 - PubMed
  32. Korean J Intern Med. 2008 Jun;23(2):53-7 - PubMed
  33. Endocrinology. 2004 Nov;145(11):5252-8 - PubMed
  34. J Clin Endocrinol Metab. 2005 May;90(5):2666-74 - PubMed
  35. J Intern Med. 1996 Feb;239(2):165-71 - PubMed
  36. Dan Med Bull. 2011 Dec;58(12):A4344 - PubMed
  37. J Clin Endocrinol Metab. 2011 Feb;96(2):344-6 - PubMed
  38. Arch Intern Med. 2008 Mar 24;168(6):587-92 - PubMed
  39. Clin Endocrinol (Oxf). 2008 Oct;69(4):648-52 - PubMed
  40. J Clin Endocrinol Metab. 2011 Nov;96(11):3466-74 - PubMed
  41. Cochrane Database Syst Rev. 2009 Jan 21;(1):CD006219 - PubMed
  42. Public Health Nutr. 2010 Jun;13(6):806-11 - PubMed
  43. Obes Surg. 2012 Mar;22(3):460-4 - PubMed
  44. J Clin Endocrinol Metab. 1998 Dec;83(12):4269-73 - PubMed
  45. Thyroid. 2008 Feb;18(2):123-9 - PubMed
  46. Thyroid. 2009 Feb;19(2):103-10 - PubMed
  47. Diabetes Obes Metab. 2007 May;9(3):435-7 - PubMed
  48. Obes Surg. 2008 Jun;18(6):644-7 - PubMed
  49. J Clin Endocrinol Metab. 1997 Apr;82(4):1118-25 - PubMed
  50. J Clin Endocrinol Metab. 2009 Jun;94(6):1853-78 - PubMed
  51. Thyroid. 1997 Jun;7(3):401-5 - PubMed
  52. Scott Med J. 1990 Dec;35(6):180-2 - PubMed
  53. Eur J Endocrinol. 2009 Mar;160(3):403-8 - PubMed
  54. Nat Med. 2010 Sep;16(9):1001-8 - PubMed
  55. Thyroid. 2008 Feb;18(2):185-95 - PubMed
  56. Obes Rev. 2012 Mar;13(3):234-57 - PubMed
  57. Int J Obes (Lond). 2006 Jan;30(1):100-5 - PubMed
  58. J Clin Endocrinol Metab. 2006 Aug;91(8):3088-91 - PubMed
  59. Endocrinology. 2012 Jan;153(1):101-12 - PubMed
  60. Eur Thyroid J. 2012 Jul;1(2):55-71 - PubMed
  61. J Clin Endocrinol Metab. 2010 Aug;95(8):3614-7 - PubMed
  62. S Afr Med J. 2003 Jul;93(7):529-31 - PubMed
  63. N Engl J Med. 1995 Nov 2;333(18):1165-70 - PubMed
  64. Am J Physiol Endocrinol Metab. 2012 Jun 15;302(12):E1569-75 - PubMed
  65. Br Med J. 1891 Oct 10;2(1606):798-9 - PubMed
  66. Clin Endocrinol (Oxf). 2001 Aug;55(2):233-9 - PubMed
  67. Clin Endocrinol (Oxf). 2013 Jan;78(1):134-40 - PubMed
  68. PLoS One. 2012;7(4):e34979 - PubMed
  69. Diabetes Obes Metab. 2006 Mar;8(2):220-7 - PubMed
  70. Clin Endocrinol (Oxf). 1985 Nov;23(5):517-20 - PubMed
  71. Endocr Pract. 2010 Jul-Aug;16(4):609-16 - PubMed
  72. Thyroid. 2007 May;17(5):413-9 - PubMed

Publication Types