Endogenous subclinical hyperthyroidism may not lead to bone loss in premenopausal women


SALER T., AHBAB S., SAĞLAM Z. A., Keşkek Ş. Ö., Kurnaz S.

Hippokratia, cilt.18, sa.3, ss.240-244, 2014 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 3
  • Basım Tarihi: 2014
  • Dergi Adı: Hippokratia
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.240-244
  • Anahtar Kelimeler: Bone mineral density, Premenopausal women, Subclinical hyperthyroidism
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Osteoporosis is defined as the decrease in bone mineral density. It is a serious health problem showing the predisposed person with increased bone fracture risk. Hyperthyroidism is one of the major causes of secondary oste- oporosis. The aim of this study was to assess bone mineral density in premenopausal women with endogenous subclini- cal hyperthyroidism. Methods: A total of 168 subjects were included in this case-control study, of whom 86 and 82 participants were premenopausal women with subclinical hyperthyroidism and healthy premenopausal subjects, respectively. The patients with subclinical hyperthyroidism who were not receiving L-thyroxine treatment were included. The women in postmenopausal state or having chronic disease were excluded. The bone mineral densities of all subjects with dual energy X-ray absorptiometry were examined. Results: The Z scores (femur and L1-4) of the study group were -0.15 ± 1.15 and -0.23 ± 1.03, respectively. The Z scores of the control group were -0.39 ± 1.08 and -0.55 ± 0.98, respectively. The differences between the groups were not statistically significant (p=0.14, 0.34, respectively). Conclusion: Our data suggest that contrary to exogenous subclinical hyperthyroidism, endogenous subclinical hyperthyroidism may not decrease bone mineral density in premenopausal women and it may not a risk factor for osteopenia or osteoporosis.