Carbohydrate metabolism in thyrotoxicosis, with special reference to its relation to calorie intake.

Sato, Tokutaro; Saito, Shintaro; Kokubun, Masaru; Saito, Tsuyoshi; Ito, Masaaki; Yamamoto, Makiko; Kaise, Kazuro; Kaise, Nobuko

doi:10.1620/tjem.136.343

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…(1999) reported that premorbid weight was not exceeded with adequate treatment of thyrotoxicosis by means of radio‐iodine but it was unclear as to the degree of initial biochemical thyrotoxicosis in their subjects. However, both of the above studies documented an increased energy intake in thyrotoxicosis, these being in keeping with the observations of Sato et al . (1982) that thyrotoxic subjects require at least 60 kcal kg –1 ideal body weight to combat weight loss.…”

Section: Discussionsupporting

confidence: 90%

Thyroid dysfunction – weight problems and the psyche: the patients’ perspective

O'Malley

Hickey

Nevens³

2000

J Human Nutrition Diet

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Objective To establish the extent to which individuals with thyroid dysfunction consider weight as a problem and the relevance of psychological factors.Design Cross-sectional study of individuals with thyroid dysfunction. Participants Members of the British Thyroid Foundation.Main outcome measures Two self-administered questionnaires, tailored for hypothyroid and hyperthyroid patients, respectively, and circulated to all members of the British Thyroid Foundation. These questionnaires specifically targeted views on weight and the experiencing of psychological symptoms.Results Twenty-five per cent of hypothyroid individuals regained normal body weight on adequate treatment with Thyroxine but 75% did not. Only 19% of subjects had received dietary advice from their doctor. Eighty-seven per cent of hypothyroid individuals felt depressed prediagnosis and 80% remained so on adequate treatment. Thirty-nine per cent felt weight was a contributing factor. Fifty-five per cent of thyrotoxic subjects reported a weight problem on or after treatment, 69% exceeding their pretoxic weight. Only 28% had received dietary advice from their doctor.Seventy-eight per cent of thyrotoxic individuals reported mood problems when the thyroid was over active and of these 77% improved with therapy. Twenty-three per cent did not. In excess of 60% of individuals had persistent symptoms after treatment. Thirty-four per cent of these blamed a weight problem. ConclusionWeight is a major concern to the majority of patients with thyroid dysfunction, sometimes contributing to significant mood disturbance. All patients with thyroid dysfunction, particularly if over weight, should receive dietary advice. This must emphasize that thyroid hormone manipulation does not always solve the problem. Furthermore, the associated psychological problems of thyroid disease do not always settle with treatment to euthyroidism and may require therapy in their own right.

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Section: Discussionsupporting

confidence: 90%

Thyroid dysfunction – weight problems and the psyche: the patients’ perspective

O'Malley

Hickey

Nevens³

2000

J Human Nutrition Diet

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Thyroid Function and Energy Intake During Weight Gain Following Treatment of Hyperthyroidism

Abid

Billington

Nuttall

1999

Journal of the American College of Nutrition

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Dietary Intake in Thyrotoxicosis Before and After Adequate Carbimazole Therapy; The Impact of Dietary Advice

Alton

O'Malley

1985

Clinical Endocrinology

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Dietary intake, including actual nutrient and energy intake, was assessed in 21 successive thyrotoxic patients before and after adequate carbimazole therapy. Group A (10 subjects) received regular formal dietary advice whereas Group B (11 subjects) did not. An age and sex matched control group, comprising 23 normal individuals, was also studied. The mean energy intake of all the thyrotoxic subjects was significantly greater than that of the normal control group (P less than 0.0025). There was a greater overall reduction in the energy intake of Group A as compared with Group B (P less than 0.01) and the former gained less weight, when expressed as a percentage of pretreatment weight. The mean final weight of all the thyrotoxic subjects exceeded the mean ideal weight for the group, reflecting a degree of true obesity at this stage. The simple measure of incorporating dietary advice into the treatment programme of thyrotoxic patients will usually result in some reduction of energy intake, and thus weight gain, en route to euthyroidism.

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Carbohydrate metabolism in thyrotoxicosis, with special reference to its relation to calorie intake.

Cited by 4 publications

References 5 publications

Thyroid dysfunction – weight problems and the psyche: the patients’ perspective

Thyroid dysfunction – weight problems and the psyche: the patients’ perspective

Thyroid Function and Energy Intake During Weight Gain Following Treatment of Hyperthyroidism

Dietary Intake in Thyrotoxicosis Before and After Adequate Carbimazole Therapy; The Impact of Dietary Advice

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