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KMID : 0191120100250081176
Journal of Korean Medical Science
2010 Volume.25 No. 8 p.1176 ~ p.1181
Subclinical Hypothyroidism has Little Influences on Muscle Mass or Strength in Elderly People
Moon Min-Kyong

Lee You-Jin
Choi Sung-Hee
Lim Soo
Yang Eun-Joo
Lim Jae-Young
Paik Nam-Jong
Kim Ki-Woong
Park Kyong-Soo
Jang Hak C.
Cho Bo-Youn
Park Young-Joo
Abstract
Sarcopenia, the age-related decline in muscle mass, affects the muscle strength and muscle quality, and these changes decrease functional capacity. The prevalence of thyroid dysfunction increases with age, and changes in thyroid hormone level lead to neuromuscular deficits. We investigated the effects of subclinical hypothyroidism on the muscle mass, strength or quality in elderly people. One thousand one hundred eighteen subjects aged ¡Ã65 yr were randomly selected from a local population and classified into a euthyroid (280 men and 358 women), subclinically hypothyroid (61 men and 75 women), or overtly hypothyroid (7 men and 16 women) group. Although women with subclinical hypothyroidism had a higher prevalence of sarcopenia, defined according to the ratio of appendicular skeletal muscle mass to the square of height, muscle mass, strength or quality did not differ in relation to thyroid status in men or in women. Multivariate analysis including age, diabetes, hypertension, acute coronary event, alcohol, smoking, presence of pain, physical activity score, and lipid profile, showed that thyroid-stimulating hormone level was not associated with muscle mass, strength or quality. In conclusion, subclinical hypothyroidism has little influences on muscle mass, strength or quality, and may not be associated with sarcopenia.
KEYWORD
Sarcopenia, Subclinical Hypothyroidism, Aged
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