Review Article

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

Table 2

Cross-sectional studies. Relationship between subclinical hyperthyroidism (SH) and cognitive decline.

AuthorStudy size ( )Mean ageParticipants
thyroid status
Thyroid function
(normal range)
Outcomes

Bensenor et al., [31] 2010 1119
ND = 71.9
SH and euthyroidTSH (0.4–4.0 mU/L) 
FT4 (0.77–2.19 ng/L)
Positive association SH and dementia especially vascular dementia

Ceresini et al., [32]
2009
916>65SH and euthyroidTSH (0.46–4.68 mU/L)
FT4 (0.77–2.19 ng/L)
SH group had significantly lower MMSE compared to the euthyroid group

Zhang et al., [33] 20124067.08All thyroid statusTSH (0.3–5.0 mU/L)
TT4 (58.1–140.6 nmol/L)
TT3 (0.92–2.97 nmol/L)
Lower TSH in euthyroid AD patients with agitation and irritability symptoms

de Jongh et al., [34] 20111219
(34 SH)
75.5Euthyroid, SH, and subclinical hypothyroidismTSH (0.3–4.5 mU/L)
FT4, FT3
No association SH and impaired global cognitive function

Quinlan et al., [35]
2010
6960.9–66.8All thyroid statusTSH, FT4, TT4,
TT3 (1.4–1.6 nmol/L)
Higher TT3 was associated with more cognitive impairment in MCI group