In:
European Journal of Endocrinology, Oxford University Press (OUP), Vol. 164, No. 1 ( 2011-01), p. 101-105
Abstract:
Low thyroid function may be associated with reduced glomerular filtration rate (GFR). We therefore studied the association of thyroid function with estimated GFR (eGFR) in a population-based study. Design A cross-sectional, population-based study of 29 480 individuals above 40 years of age, without previously known thyroid disease. Methods We calculated geometric mean eGFR and odds ratio (OR) of chronic kidney disease (CKD; eGFR 〈 60 ml/min per 1.73 m 2 ) according to categories of thyroid function, using people with TSH in the lower third of the reference range (0.50–1.4 mU/l) as the comparison group. Results TSH within the reference range (0.50–3.5 mU/l) was negatively associated with eGFR ( P for trend 〈 0.001). Compared with people with TSH in the lower third of the reference range (83.0 ml/min per 1.73 m 2 ), eGFR was lower in people with TSH in the middle (81.6 ml/min per 1.73 m 2 ) and highest third (80.3 ml/min per 1.73 m 2 ) of the reference range, and in people with subclinical (79.3 ml/min per 1.73 m 2 , P 〈 0.001) or overt hypothyroidism (76.5 ml/min per 1.73 m 2 , P 〈 0.001). The prevalence of CKD was higher in people with TSH in the middle (OR 1.20, 95% confidence interval (CI) 1.07–1.35) or highest third (OR 1.31, 95% CI 1.13–1.52) of the reference range, compared with people in the reference group. Also, CKD was more common in people with subclinical (OR 1.63, 95% CI 1.38–1.93) or overt (OR 1.98, 95% CI 1.22–3.20) hypothyroidism. Conclusions These findings suggest that low thyroid function, also within the clinically normal range, is associated with reduced GFR.
Type of Medium:
Online Resource
ISSN:
0804-4643
,
1479-683X
Language:
Unknown
Publisher:
Oxford University Press (OUP)
Publication Date:
2011
detail.hit.zdb_id:
1485160-X
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