Association between subclinical hypothyroidism and depression: an updated systematic review and meta-analysis

Autor: Huai Seng Loh, Anne Yee, Huai Heng Loh, Lee Ling Lim
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: BMC Psychiatry
BMC Psychiatry, Vol 19, Iss 1, Pp 1-10 (2019)
ISSN: 1471-244X
Popis: Background Although depression is associated with changes in the hypothalamic-pituitary-thyroid axis, its relationship with subclinical hypothyroidism (SCH) is controversial. To date, there is a lack of data on the improvement of depressive symptoms with levothyroxine therapy among individuals with coexistent SCH. Methods We conducted a meta-analysis to evaluate the association between SCH and depression including 1) the prevalence of depression in SCH (with a sub-analysis of the geriatric cohort), 2) thyroid stimulating hormone (TSH) level among patients with depression and 3) the effect of levothyroxine therapy among patients with SCH and coexistent depression. Results In a pooled analysis of 12,315 individuals, those with SCH had higher risk of depression than euthyroid controls (relative risk 2.35, 95% confidence intervals [CI], 1.84 to 3.02; p
Databáze: OpenAIRE