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[Functional thyroid pathology in the elderly].

M J Sender Palacios¹, M Vernet Vernet, S Pérez López

¹Unidad Docente de MFyC, Consorcio Sanitario de Terrassa, Terrassa, Barcelona, Spain. sdireccioctn@csdt

Atencion Primaria

|September 25, 2004

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Functional thyroid pathology (FTP) is common in the elderly, particularly hypothyroidism in women. Early detection by primary care physicians is crucial for managing associated health issues in this demographic.

Area of Science:

Gerontology
Endocrinology
Primary Care Medicine

Background:

Functional thyroid pathology (FTP) affects a significant portion of the elderly population.
Associated conditions like anxiety, depression, and cardiovascular issues are common in elderly individuals with FTP.

Purpose of the Study:

To determine the prevalence of functional thyroid pathology (FTP) in individuals aged 60 and above.
To investigate associated pathologies in this elderly cohort.

Main Methods:

A descriptive, cross-sectional study was conducted in an urban primary care setting.
A representative sample of 192 elderly patients (≥60 years) was analyzed.
Data collected included demographics, medical history, BMI, mental health assessments, ECG, and thyroid function tests.

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Main Results:

The prevalence of active FTP was 13%, with subclinical hypothyroidism being most common.
New FTP diagnoses occurred in 4.1% of the participants.
Associated conditions in hypothyroidism patients included anxiety (43%), depression (38%), cognitive decline (28.5%), obesity (47.6%), and dyslipidemia (28.5%).

Conclusions:

Functional thyroid pathology (FTP) is more prevalent in the elderly, especially hypothyroidism in women, often subclinical.
Few differences in traditionally linked pathologies were observed between FTP-affected and unaffected groups.
Primary care physicians play a vital role in reducing the under-diagnosis of FTP in the elderly.