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Journal Article 2008; 29(1): 137-140 PubMed PMID: 18283245 Citation  Keywords:  Adult, Blood Glucose:metabolism, Female, Humans, Hypothyroidism:blood, Insulin:blood, Middle Aged, Severity of Illness Index, Thyroid Gland:physiopathology, Thyroidectomy, Thyrotropin:blood, Thyroxine:blood, Triiodothyronine:blood,.   

OBJECTIVES: Among the peripheral effects of thyroid hormone action, their influence on insulin is of great interest and conflicting data on this subject are available. Despite various studies already performed, of concern is whether insulin levels change in line with a deterioration of thyroid function. In this study, we investigated serum serum insulin levels and their correlations with thyroid-stimulating hormone (TSH), free thyroxine (FT4) and free triiodothyronine (FT3) in hypothyroid women.

DESIGN AND METHODS: Study group consisted of 22 women with a history of total thyroidectomy and radioiodine ablation performed for thyroid cancer, without diabetes or glucose intolerance. After six-weeks of thyroxine withdrawal, subjects were admitted to the Department of Endocrinology of the Poznan University of Medical Sciences to perform this study.

RESULTS: Plasma glucose and insulin were respectively: 4.76+/-0.47 mmol/L and 7.19+/-4.22 microU/mL. Serum TSH, FT4 and FT3 were respectively: 91.66+/-58.59 microU/mL, 2.65+/-2.19 pmol/L, and 1.53+/-1.00 pmol/L. Correlations were: r of -0. 4381 and P of 0.0414, r of -0.2368 and P of 0.2887, and r of 0.3954 and P of 0.0686 for insulin and FT4, insulin and FT3, and insulin and TSH, respectively. The only significant correlation was an inverse correlation between insulin and FT4.

CONCLUSIONS: In profound hypothyroidism insulin concentrations correlate with FT4 only, but not with FT3 or TSH....

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Case Reports 2007; 28(5): 545-546 PubMed PMID: 17984955 Citation  Keywords:  Adolescent, Angelman Syndrome:complications, Child, Preschool, Chromosomes, Human, Pair 15:genetics, Humans, Hypothyroidism:blood, Immunoglobulins, Thyroid-Stimulating:blood, Sequence Deletion, Thyroxine:therapeutic use,.   

: Angelman Syndrome (AS, MIM 105830), classified among neurogenetic disorders, occurs with estimated frequency of 1:10 000 to 1:40 000. The characteristics features apart from neurodevelopmental impairment and seizures include peculiar face traits, absent speech, outburst of laughter, ataxia, stereotyped jerky (puppet-like) movements. The authors report three children with Angelman syndrome who were also diagnosed with hypothyroidism....

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Clinical Trial 2007; 28(5): 681-685 PubMed PMID: 17984944 Citation  Keywords:  Administration, Oral, Adolescent, Adult, Dietary Supplements, Exercise:physiology, Exercise Test, Fatigue:blood, Humans, Male, Physical Exertion:physiology, Testosterone:blood, Thyroid Hormones:blood, Thyroxine:blood, Trace Elements:administration & dosag.   

OBJECTIVE: The aim of this study was to determine how exercise affects thyroid hormones and testosterone levels in sedentary men receiving oral zinc for 4 weeks.

METHODS: The study included 10 volunteers (mean age, 19.47+/-1.7 years) who did not exercise. All subjects received supplements of oral zinc sulfate (3 mg/kg/day) for 4 weeks and their normal diets. The thyroid hormone and testosterone levels of all subjects were determined at rest and after bicycle exercise before and after zinc supplementation.

RESULTS: TT3, TT4, FT3, and total and free testosterone levels decreased after exercise compared to resting levels before supplementation (p<0.01). Both the resting and fatigue hormone values were higher after 4 weeks of supplementation than the resting and fatigue values before supplementation (p<0.05).

CONCLUSION: The results indicate that exercise decreases thyroid hormones and testosterone in sedentary men; however, zinc supplementation prevents this decrease. Administration of a physiologic dose of zinc can be beneficial to performance....

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Journal Article 2007; 28(4): 417-421 PubMed PMID: 17693966 Citation  Keywords:  Adult, Body Mass Index, Case-Control Studies, Female, Humans, Hypothyroidism:blood, Leptin:blood, Middle Aged, Thyroid Gland:metabolism, Thyroidectomy:adverse effects, Thyrotropin:blood, Thyroxine:blood, Triiodothyronine:blood,.   

OBJECTIVES: Leptin regulates body weight by suppressing food intake and increasing energy expenditure. Alterations in thyroid hormone levels are also associated with changes in body weight but the effect of thyroid hormone deficiency on serum leptin in humans is unclear.

DESIGN AND METHODS: The aim of this study was to measure leptin levels and to investigate their associations with thyroid hormones in 22 women with severe hypothyroidism after total thyroidectomy, and in a group of 22 healthy euthyroid control female subjects matched for age and body mass index (BMI). Their plasma leptin, free thyroxine, triiodothyronine and TSH were measured.

RESULTS: Leptin levels in subjects and controls were (pg/mL) 18761.64+/-16973.96 and 18729.19+/-18014.05, respectively, p=0.9; leptin did not correlate with free thyroxine, triiodothyroinine and TSH: r=0.1039 and p=0.6453, r=0.0113 and p=0.9602, and r=-0.0525 and p=0.8165 for leptin and FT4, leptin and FT3, and leptin and TSH, respectively in subjects; r=-0.00056 and p=0.9980, r=0.248727 and p=0.2643, and r=-0.046919 and p=0.8357 for leptin and FT4, leptin and FT3, and leptin and TSH, respectively in controls. Leptin levels did not differ between subjects and controls and they did not correlate with thyroid hormones.

CONCLUSIONS: Leptin levels are not influenced by hypothyroidism and do not correlate with thyroid hormones in euthyroid and hypothyroid women....

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Journal Article 2007; 28(3): 259-266 PubMed PMID: 17627259 Citation  Keywords:  Adolescent, Adult, Aged, Autoantibodies:blood, Autoimmune Diseases:immunology, Female, Humans, Male, Middle Aged, Myoglobin:immunology, Myosins:immunology, Thyroid Diseases:immunology, Thyroxine:immunology, Triiodothyronine:immunology, Tropomyosin:immunol.   

OBJECTIVE: Anti-thyroglobulin, anti-thyroid-peroxidase and anti-TSH receptor antibodies have been observed with high frequency in autoimmune thyroid diseases. Thyroid hormone auto-antibodies (THAA): anti-thyroxine (T4) and anti-triiodothyronine (T3), conversely, have been reported rarely. In both hyperthyroidism and hypothyroidism, patients suffer from muscle weakness and function disorders. The aim of our study was the evaluation of the occurrence rate of autoantibodies targeting muscle proteins in a group of 24 patients with circulating anti-T3 and/or anti-T4 autoantibodies. The control group consisted of 41 healthy blood donors.

METHODS: In polyethylene tubes coated with muscle antigens: actin, myosin, myoglobin, troponin and tropomyosin solid-phase radioimmunoassay was performed to detect autoantibodies. A reaction with 125I-labelled staphylococcus protein A was used for the detection of antibodies bound to the antigens on the tubes.

RESULTS: We found a high occurrence of antibodies to muscle proteins in patients with THAA. Anti-myoglobin autoantibodies were most frequent (54.2% of subjects), the binding index values was very high and exceeded normal values two to four fold. Anti-myosin autoantibodies were detected in 50% of subjects; anti-troponin autoantibodies in 33.3%, and anti-tropomyosin autoantibody in 3 patients (12.5%). Differences between the patients and the controls were statistically significant. The antibody binding index to actin was low and statistically insignificant.

CONCLUSIONS: Our study indicates that muscle protein antibodies, especially to myoglobin, myosin and troponin, are very frequently present in patients with autoimmune thyroid disease and circulating anti-T3 and anti-T4 autoantibodies, as well as in most cases of chronic thyroiditis with clinical symptoms of hypothyroidisms....

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Case Reports 2007; 28(2): 141-144 PubMed PMID: 17435671 Citation  Keywords:  Child, Preschool, Congenital Hypothyroidism:complications, Down Syndrome:complications, Female, Follow-Up Studies, Humans, Infant, Male, Pericardial Effusion:diagnosis, Thyroid Function Tests, Thyroxine:therapeutic use,.   

: Pericardial effusion may be the first sign of congenital or acquired hypothyroidism and will completely resolve after thyroxin therapy. Hypothyroidism is more common in Down syndrome population than normal population. In this report we present four infants with Down syndrome who have pericardial effusion due to congenital hypothyroidism. All of these children with Down syndrome were admitted to our clinic with pericardial effusion. Pericardial effusion was completely resolved with thyroxin therapy without pericardiosentesis. Any child with Down syndrome who present with dyspnea and cardiomegaly should be suspected of having pericardial effusion due to hypothyroidism and echocardiography examination should be performed immediately. Pericardial effusion due to hypothyroidism will completely resolve with L-thyroxin therapy without pericardiosentesis. In conclusion, since a delayed diagnosis of hypothyroidism is likely and may favor the development of massive pericardial effusion and because of the difficult diagnosis of the hypothyroidism in Down syndrome, periodic follow-up of thyroid function tests are important....

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Journal Article 2006; 27(4): 535-537 PubMed PMID: 17136019 Citation  Keywords:  Aged, Aged, 80 and over, Alzheimer Disease:complications, Cognition Disorders:etiology, Depression:etiology, Female, Humans, Hypothyroidism:complications, Male, Middle Aged, Thyroxine:blood,.   

: The role of thyroid function in Alzheimer's disease (AD) has been subject to a number of studies during the last years. We investigated the possible relationship between plasma levels of the biologically active free form of thyroxin (fT4) and cognitive function in 227 outpatients with mild to moderate Alzheimer s disease (AD) in a cross-sectional study design. A significant negative correlation was found between plasma fT4-levels and Mini-Mental state examination (MMSE) score (Spearman Rho = -0.14, p=0.04). When the lowest quartile of fT4-levels (<15.1 pmol/l) was compared to the highest quartile (>19.0 pmol/l), statistically significant lower mean MMSE-scores were seen in the group with the highest fT4-levels (p<0.05, ANOVA). The mean difference between the 1st and the 4th quartile of fT4 was 2.6 MMSE-score points. No correlations were found between plasma total T4-levels, plasma total T3-levels, plasma TSH-levels and the MMSE score (p>0.05). When fT4 quartile groups were compared for depression measured in the Geriatric Depression Score (GDS 15), a slightly higher score was seen in the 1s and 2nd compared to the 3rd and 4th quartile groups without reaching statistical significance (1st quartile of fT4: GDS 5.2 +/- 3.8; 2nd: 5.3 +/- 4.0; 3rd: 4.4 +/- 3.4; 4th: 4.5 +/- 3.8) pointing to a reverse correlation of fT4 levels and depressive mood. This study leads to the conclusion that high levels of plasma fT4 might result in a worsening of cognitive impairment and a positive effect on depressive mood in AD....

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Journal Article 2006; 27(1-2): 247-252 PubMed PMID: 16648789 Citation  Keywords:  Adolescent, Adult, Exercise:physiology, Exercise Test, Humans, Testosterone:blood, Thyroid Hormones:blood, Thyrotropin:blood, Thyroxine:blood, Triiodothyronine:blood, Wrestling:physiology, Zinc:pharmacology,.   

OBJECTIVES: The present study aims to investigate how exhaustion exercise affects thyroid hormones and testosterone levels in elite athletes who are supplemented with oral zinc sulfate for 4 weeks.

METHODS: The study included 10 male wrestlers, who had been licensed wrestlers for at least 6 years. Mean age of the wrestlers who volunteered in the study was 18.70 +/- 2.4 years. All subjects were supplemented with oral zinc sulfate (3 mg/kg/day) for 4 weeks in addition to their normal diet. Thyroid hormone and testosterone levels of all subjects were determined as resting and exhaustion before and after zinc supplementation.

RESULTS: Resting TT3, TT4, FT3, FT4 and TSH levels of subjects were higher than the parameters measured after exhaustion exercise before zinc supplementation (p<0.05). Both resting and exhaustion TT3, TT4 and FT3 values after 4-week zinc supplementation were found significantly higher than both of the parameters (resting and exhaustion) measured before zinc supplementation (p<0.05). Resting total testosterone and free testosterone levels before zinc supplementation were significantly higher than exhaustion levels before zinc supplementation (p<0.05). Both resting and exhaustion total and free testosterone levels following 4-week zinc supplementation were found significantly higher than the levels (both resting and exhaustion) measured before zinc supplementation (p<0.05).

CONCLUSION: Findings of our study demonstrate that exhaustion exercise led to a significant inhibition of both thyroid hormones and testosterone concentrations, but that 4-week zinc supplementation prevented this inhibition in wrestlers. In conclusion, physiological doses of zinc administration may benefit performance....

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