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[Thyroid function and dysfunction in the elderly]

J L Schlienger1, B Goichot, F Grunenberger

  • 1Service de médecine interne, hôpital de Hautepierre, Strasbourgh, France.

La Revue De Medecine Interne
|January 1, 1996
PubMed
Summary
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Aging increases thyroid dysfunction (dysthyroidism) prevalence in the elderly, often presenting subtly. Screening thyroid-stimulating hormone (TSH) levels in older adults may aid early detection and management.

Area of Science:

  • Gerontology
  • Endocrinology
  • Thyroidology

Context:

  • Aging is associated with various functional changes.
  • Thyroid hormone abnormalities in the elderly are often secondary to other conditions or treatments.
  • Health and nutritional status are key determinants of thyroid function in older adults.

Purpose:

  • To highlight the increased prevalence and potential diagnostic challenges of dysthyroidism in the elderly.
  • To discuss the clinical significance of mild or occult dysthyroidism.
  • To advocate for systematic thyroid-stimulating hormone (TSH) screening in elderly patients.

Summary:

  • Dysthyroidism is more common in the elderly, with symptoms often misleading and potentially severe.
  • Mild or occult forms with abnormal TSH and normal free thyroid hormones are frequent but their prognosis is unclear.

Related Experiment Videos

  • Given the frequency and treatability, systematic TSH screening in the elderly is suggested.

    • Impact:

    • This study emphasizes the need for increased awareness of thyroid dysfunction in geriatric populations.
    • It suggests a practical approach for early detection of subclinical thyroid issues in older individuals.
    • Findings support the potential benefits of routine TSH screening for improved health outcomes in the elderly.