Analisando os efeitos do tratamento do hipotireoidismo e do hipotireoidismo subclínico na massa corporal

  • Ana Cristina Diniz Silva FUMEC University, Brazil. Department: Postgraduate studies Ser Nobre Clinic, BrazilDepartment: Medical Department
  • Hiang Leng Tan North Bristol NHS Trust, UK
  • Nada Rawof Sydney metabolic surgery/Nepean hospital, Australia
  • Bongiwe Vilakazi University of South Wales
Palavras-chave: Hipotiroidismo, Hipotiroidismo subclínico, Obesidade, IMC, Sobrepeso

Resumo

Hipotireoidismo e hipotireoidismo subclínico(SCH) são disfunções endócrinas comuns, que afetam principalmente as mulheres. As prevalências de hipotireoidismo clínico e subclínico são estimadas em 2% e 3-15%, respectivamente. Ambos evoluem com sintomas bastante semelhantes, sendo o ganho de peso umadas apresentações mais frequentes. O objetivo da terapia de reposição hormonal com hormônio tireoidinano é atingir o estado de eutireoidismo, clínica e bioquimicamente, que é avaliado pela dosagem periódica do hormônio tíreo-estimulante (TSH), o qual deveestar dentro da faixa normal de referência. Embora os pacientes tendam a correlacionar o excesso de peso ou mesmo a obesidade com o hipotireoidismo clínico ou subclínico, ainda não se pode estabelecer ao certo, de acordo com as evidências disponíveis, o ganho de peso atribuível a essas condições. Também incerta é a associação entre o início do ganho de peso e o início da disfunção endócrina, não sendo possível, portanto, assegurar perda de peso com a terapia hormonal. Tais dúvidas tornam esse tema controverso e polêmico. O objetivo desta revisão é avaliar a relação entre os níveis de TSH e peso, e os efeitos do tratamento do hipotireoidismo clínico e subclínico sobre a massa corporal, focando, especificamente, na perda de peso.

Biografias Autor

Ana Cristina Diniz Silva, FUMEC University, Brazil. Department: Postgraduate studies Ser Nobre Clinic, BrazilDepartment: Medical Department

Medical Doctor, Professor (Brazil), MSc University of Hertfordshire (UK), Postgraduate student in Obesity and Weight Management, University of South Wales (UK)

 

Hiang Leng Tan, North Bristol NHS Trust, UK

Medical Doctor, Specialist Registrar Diabetes and Endocrinology (UK), Postgraduate student in Obesity and Weight Management, University of South Wales (UK)

Nada Rawof, Sydney metabolic surgery/Nepean hospital, Australia

Medical Doctor, bariatric physician, Postgraduate student in Obesity and Weight Management, University of South Wales (UK)

Bongiwe Vilakazi, University of South Wales

Medical Doctor, Postgraduate student in Obesity and Weight Management, University of South Wales (UK)

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Publicado
2016-11-19
Como Citar
Diniz Silva, A. C., Tan, H. L., Rawof, N., & Vilakazi, B. (2016). Analisando os efeitos do tratamento do hipotireoidismo e do hipotireoidismo subclínico na massa corporal. Revista Brasileira De Obesidade, Nutrição E Emagrecimento, 10(60), 288-294. Obtido de https://www.rbone.com.br/index.php/rbone/article/view/473
Secção
Artigos Cientí­ficos - Original