Review Article

Relationship between Subclinical Thyroid Dysfunction and the Risk of Cardiovascular Outcomes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies

Table 2

Stratified and sensitivity analysis of the subclinical hypothyroidism.

Subclinical hypothyroidism and CHDSummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.17 (0.91–1.52)10
Fixed effects1.14 (1.04–1.25)10
Stratified by mean age, y
<651.54 (1.00–2.39)4
≥650.96 (0.84–1.10)6
<601.54 (1.00–2.39)4
60–79.90.96 (0.84–1.09)5
≥801.18 (0.59–2.36)1
Stratified by TSH, mIU/L
4.5–9.91.07 (0.67–1.70)4
10–19.91.38 (0.68–2.78)4
4.5-6.90.99 (0.84–1.17)2
7.0–9.90.92 (0.66–1.27)2
Adjustments
Adjusted analyses or matching1.17 (0.91–1.52)10
Adjusted for cardiovascular risk factors1.09 (0.71–1.65)6
Excluding studies
Exclusion of studies with thyroid hormone recipients1.02 (0.92–1.14)7
Exclusion of studies with particular population [42]1.17 (0.89–1.54)9

Subclinical hypothyroidism and total mortalitySummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.02 (0.93–1.13)11
Fixed effects1.03 (0.95–1.11)11
Stratified by mean age, y
<651.16 (0.96–1.40)2
≥650.98 (0.87–1.10)9
<601.16 (0.96–1.40)2
60–79.91.02 (0.94–1.11)8
≥800.52 (0.25–1.08)1
Stratified by TSH, mIU/L
4.5–9.91.05 (0.80–1.36)2
10–19.91.25 (0.67–2.36)2
4.5-6.90.92 (0.62–1.35)1
7.0–9.91.06 (0.55–2.04)1
Adjustments
Adjusted analyses or matching1.02 (0.93–1.13)11
Adjusted for cardiovascular risk factors1.06 (0.97–1.15)5
Excluding studies
Exclusion of studies with thyroid hormone recipients1.01 (0.90–1.15)8
Exclusion of studies with particular population [42]1.04 (0.97–1.13)10

Subclinical hypothyroidism and cardiovascular mortalitySummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.06 (0.77–1.45)8
Fixed effects1.13 (0.98–1.30)8
Stratified by mean age, y
<652.14 (1.43–3.22)1
≥651.00 (0.79–1.26)7
<602.14 (1.43–3.22)1
60–79.91.08 (0.90–1.29)6
≥800.42 (0.11–1.63)1
Stratified by TSH, mIU/L
4.5–9.91.03 (0.73–1.45)3
10–19.91.25 (0.81–1.95)3
4.5-6.90.83 (0.31–2.21)2
7.0–9.91.06 (0.73–1.54)2
Adjustments
Adjusted analyses or matching1.06 (0.77–1.45)8
Adjusted for cardiovascular risk factors1.02(0.52–2.00)4
Excluding studies
Exclusion of studies with thyroid hormone recipients0.86 (0.56–1.32)4
Exclusion of studies with particular population [42]1.11 (0.81–1.52)7

CHD: coronary heart disease; TSH: thyroid-stimulating hormone. +Relative risk from meta-analysis using random-effects model.