Review Article

A Clinical Review of the Association of Thyroid Stimulating Hormone and Cognitive Impairment

Table 1

Longitudinal population-based studies. Relationship between subclinical hyperthyroidism (SH) and cognitive decline.

AuthorStudy size ( )Mean ageFollowup
(years)
Participants
thyroid status
Thyroid function
(normal range)
Outcomes

Vadiveloo et al., 2011 [25] 12.115 5.6 (median)SH and euthyroid TSH (0.4–4.0 mU/L)
FT4 (10–25 pmol/L)
FT3 (0.9–2.6 nmol/L)
Positive association
SH and dementia

de Jong et al., 2009 [26]61577.55SH and euthyroidTSH (0.4–4.3 mU/L)
FT4 (0.85–1.94 ng/L)
Positive association
FT4 and dementia/AD

Tan et al., 2008 [27]1.8647112.7SH and euthyroidTSH (0.5–5.0 mU/L)Positive association
Lowest and highest tertile
TSH and AD

Yeap et al., 2012 [28]340176.85.9Euthyroid onlyTSH (0.4–4.3 mU/L)
FT4 (10–23 pmol/L)
Positive association
FT4 and dementia

Forti et al., 2012 [29] 660 3.8 ± 0.7Euthyroid and
subclinical hypothyroidism
TSH (0.45–4.5 mU/L)
FT4 (10.3–25.7 pmol/L)
No association
TSH and MCI/AD
Positive association High TSH and VAD

S. Annerbo et al., 2009 [30] 200 6.7All thyroid status
(mean TSH 1.76 ± 1.03)
TSH (0.2–4.0 mU/L) TT4No association
TSH and AD