Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Serum TSH is positively associated with BMI

Abstract

Objective:

To investigate whether there is an association between serum thyroid-stimulating hormone (TSH) within the normal range and body mass index (BMI).

Design and subjects:

The study was performed in 6164 subjects (2813 males) who attended the fifth Tromsø study in 2001, and in 1867 subjects (873 males) that attended both the fourth Tromsø study in 1994/1995 as well as the fifth Tromsø study.

Measurements:

Height, weight, and serum TSH were measured in all subjects, and smoking status was recorded.

Results:

Smokers and nonsmokers were analyzed separately. In the fifth Tromsø study, serum TSH was positively and significantly associated with BMI in the nonsmokers. Within the normal TSH range (defined as the 2.5–97.5 percentile), nonsmoking males in the highest TSH quartile had a mean BMI 0.4 kg/m2 higher compared to those in the lower quartile, whereas the difference for nonsmoking women was 1.4 kg/m2. Similarly, in nonsmokers in the longitudinal study, there was a significant and positive association between delta serum TSH (serum TSH in 2001 minus serum TSH in 1994) and delta BMI in those with serum TSH within the normal range both in 1994 and 2001. In these subjects, the quartile with the highest delta serum TSH had a mean increase in BMI from 1994 to 2001 that was 0.3 kg/m2 higher compared to those in the quartile with the lowest delta serum TSH. For the smokers, relations between serum TSH and BMI were not statistically significant.

Conclusion:

In nonsmokers there is a positive association between serum TSH within the normal range and BMI.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Hoogwerf BJ, Nuttall FQ . Long-term weight regulation in treated hyperthyroid and hypothyroid subjects. Am J Med 1984; 76: 963–970.

    Article  CAS  Google Scholar 

  2. Baron DN . Hypothyroidism; its aetiology and relation to hypometabolism, hypercholesterolaemia, and increase in body weight. Lancet 1956; 271: 277–281.

    Article  CAS  Google Scholar 

  3. Canaris GJ, Manowitz NR, Mayor G, Ridgway EC . The Colorado thyroid disease prevalence study. Arch Intern Med 2000; 160: 526–534.

    Article  CAS  Google Scholar 

  4. Bjøro T, Holmen J, Kruger O, Midthjell K, Hunstad K, Schreiner T et al. Prevalence of thyroid disease, thyroid dysfunction and thyroid peroxidase antibodies in a large, unselected population. The Health Study of Nord-Trondelag (HUNT). Eur J Endocrinol 2000; 143: 639–647.

    Article  Google Scholar 

  5. Hollowell JG, Staehling NW, Flanders WD, Hannon WH, Gunter EW, Spencer CA et al. Serum TSH, T4, and thyroid antibodies in the United States population (1988–1994): National Health and Nutrition Examination Survey (NHANES III). J Clin Endocrinol Metab 2002; 87: 489–499.

    Article  CAS  Google Scholar 

  6. Sawin CT, Geller A, Wolf PA, Belanger AJ, Baker E, Bacharach P et al. Low serum thyrotropin concentrations as a risk factor for atrial fibrillation in older persons. N Engl J Med 1994; 331: 1249–1252.

    Article  CAS  Google Scholar 

  7. Auer J, Scheibner P, Mische T, Langsteger W, Eber O, Eber B . Subclinical hyperthyroidism as a risk factor for atrial fibrillation. Am Heart J 2001; 142: 838–842.

    Article  CAS  Google Scholar 

  8. Danese MD, Ladenson PW, Meinert CL, Powe NR . Effect of thyroxine therapy on serum lipoproteins in patients with mild thyroid failure: a quantitative review of the literature. J Clin Endocrinol Metab 2000; 85: 2993–3001.

    CAS  PubMed  Google Scholar 

  9. Imaizumi M, Akahoshi M, Ichimaru S, Nakashima E, Hida A, Soda M et al. Risk for ischemic heart disease and all-cause mortality in subclinical hypothyroidism. J Clin Endocrinol Metab 2004; 89: 3365–3370.

    Article  CAS  Google Scholar 

  10. Hak AE, Pols HAP, Visser TJ, Drexhage HA, Hofman A, Witteman JCM . Subclinical hypothyroidism is an independent risk factor for atherosclerosis and myocardial infarction in elderly women: The Rotterdam Study. Ann Intern Med 2000; 132: 270–278.

    Article  CAS  Google Scholar 

  11. Chu JW, Crapo LM . The treatment of subclinical hypothyroidism is seldom necessary. J Clin Endocrinol Metab 2001; 86: 4591–4599.

    Article  CAS  Google Scholar 

  12. McDermott MT, Ridgway EC . Subclinical hypothyroidism is mild thyroid failure and should be treated. J Clin Endocrinol Metab 2001; 86: 4585–4590.

    Article  CAS  Google Scholar 

  13. Visscher TLS, Seidell JC . The public health impact of obesity. Ann Rev Public Health 2001; 22: 355–375.

    Article  CAS  Google Scholar 

  14. Johansen K, Hansen JM, Skovsted L . Myxoedema and thyrotoxicosis: relations between clinical state and concentrations of thyroxine and triiodothyronine in blood. Acta Med Scand 1978; 204: 361–364.

    Article  CAS  Google Scholar 

  15. Duntas LH . Thyroid disease and lipids. Thyroid 2002; 12: 287–293.

    Article  CAS  Google Scholar 

  16. Sestoft L . Metabolic aspects of the calorigenic effect of thyroid hormone in mammals. Clin Endocrinol 1980; 13: 489–506.

    Article  CAS  Google Scholar 

  17. Kershaw EE, Flier JS . Adipose tissue as an endocrine organ. J Clin Endocrinol Metab 2004; 89: 2548–2556.

    Article  CAS  Google Scholar 

  18. Diamant S, Gorin E, Shafrir E . Enzyme activities related to fatty-acid synthesis in liver and adipose tissue of rats treated with triiodothyronine. Eur J Biochem 1972; 26: 553–559.

    Article  CAS  Google Scholar 

  19. Haluzik M, Nedvidkova J, Bartak V, Dostalova I, Vlcek P, Racek P et al. Effects of hypo- or hyperthyroidism on noradrenergic activity and glycerol concentrations in human subcutaneous abdominal adipose tissue assessed with microdialysis. J Clin Endocrinol Metab 2003; 88: 5605–5608.

    Article  CAS  Google Scholar 

  20. Sari R, Balci MK, Altunbas H, Karayalcin U . The effect of body weight and weight loss on thyroid volume and function in obese women. Clin Endocrinol 2003; 59: 258–262.

    Article  Google Scholar 

  21. Rosenbaum M, Hirsch J, Murphy E, Leibel RL . Effects of changes in body weight on carbohydrate metabolism, catecholamine excretion, and thyroid function. Am J Clin Nutr 2000; 71: 1421–1432.

    Article  CAS  Google Scholar 

  22. Auwerx J, Staels B . Leptin. Lancet 1998; 351: 737–742.

    Article  CAS  Google Scholar 

  23. Ortiga-Carvalho TM, Oliveira KJ, Soares BA, Pazos-Moura CC . The role of leptin in the regulation of TSH secretion in the fed state: in vivo and in vitro studies. J Endocrinol 2002; 174: 121–125.

    Article  CAS  Google Scholar 

  24. Ghizzoni L, Mastorakos G, Ziveri M, Furlini M, Solazzi A, Vottero A et al. Interactions of leptin and thyrotropin 24-h secretory profiles in short normal children. J Clin Endocrinol Metab 2001; 86: 2065–2072.

    Article  CAS  Google Scholar 

  25. Mantzoros CS, Ozata M, Negrao AB, Suchard MA, Ziotopoulou M, Caglayan S et al. Synchronicity of frequently sampled thyrotropin (TSH) and leptin concentrations in healthy adults and leptin-deficient subjects: evidence for possible partial TSH regulation by leptin in humans. J Clin Endocrinol Metab 2001; 86: 3284–3291.

    Article  CAS  Google Scholar 

  26. Sceenan S, Caro JF, Refetoff S . Thyroid dysfunction is not associated with alterations in serum leptin levels. Thyroid 1997; 7: 407–409.

    Article  Google Scholar 

  27. Gomez JM, Maravall FJ, Gomez N, Guma A, Casamitjana R, Soler J . Pituitary–thyroid axis, thyroid volume and leptin in healthy adults. Horm Metab Res 2002; 34: 67–71.

    Article  CAS  Google Scholar 

  28. Christensen SB, Ericsson UB, Janzon L, Tibblin S, Melander A . Influence of cigarette smoking on goiter formation, thyroglobulin, and thyroid hormone levels in women. J Clin Endocrinol Metab 1984; 58: 615–618.

    Article  CAS  Google Scholar 

  29. Fehily AM, Phillips KM, Yarnell JW . Diet, smoking, social class, and body mass index in the Caerphilly heart Disease Study. Am J Clin Nutr 1984; 40: 827–833.

    Article  CAS  Google Scholar 

  30. Santini F, Pinchera A, Marsili A, Ceccarini G, Castagna MG, Valeriano R et al. Lean body mass is a major determinat of levothyroxine dosage in the treatment of thyroid diseases. J Clin Endocrinol Metab 2005; 90: 124–127.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The present study was supported by a grant from The Norwegian Research Council and The Northern Norway Regional Health Authority. The superb technical assistance by Astrid Lindvall and Inger Myrnes is gratefully acknowledged.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A Nyrnes.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nyrnes, A., Jorde, R. & Sundsfjord, J. Serum TSH is positively associated with BMI. Int J Obes 30, 100–105 (2006). https://doi.org/10.1038/sj.ijo.0803112

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0803112

Keywords

This article is cited by

Search

Quick links