Thyroid Function Changes in the Elderly and Their Relationship to Cardiovascular Health: A Mini-Review.

Abstract:

BACKGROUND:Thyroid hormones have significant effects on the cardiovascular systems. In general, hyperthyroidism is associated with an increased risk of dysrhythmias, while hypothyroidism may cause atherosclerosis. Recent large studies have sought to identify aging-associated changes in thyroid function and their relevance to cardiovascular morbidity and mortality in the elderly. Conflicting results have often been published, likely due to the heterogeneity of the studied populations. OBJECTIVE:This review seeks to briefly summarize the most recent large population studies analyzing thyroid changes with aging and interpreting their effects on cardiovascular health in the elderly. METHODS:Selective review of recent literature. RESULTS:The emerging pattern suggests a slight decrease in thyroid function in the elderly leading to slightly higher thyroid stimulating hormone (TSH) levels. However, the incidence of mild hyperthyroidism also increases, especially in populations with historical or current iodine deficiency. Large observational studies suggest that the potential harm from mild hypothyroidism seen in younger population tends to diminish in older subjects, while the harm from mild hyperthyroidism becomes more significant. A markedly increased risk of atrial fibrillation is a well-established consequence of subclinical hyperthyroidism in patients in the sixth decade of life and beyond. CONCLUSIONS:The absence of large prospective interventional data does not allow the formulation of strict clinical recommendations, but a higher TSH threshold for treating both subclinical hypothyroidism and subclinical hyperthyroidism in the elderly seems reasonable.

journal_name

Gerontology

journal_title

Gerontology

authors

Barbesino G

doi

10.1159/000490911

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

1-8

issue

1

eissn

0304-324X

issn

1423-0003

pii

000490911

journal_volume

65

pub_type

杂志文章,评审
  • Age-related changes in glutamine synthetase activity of rat brain, liver and heart.

    abstract::Glutamine synthetase (GS) activity was measured in whole brain, different brain areas, liver and heart of 23- to 26-month-old rats, and then compared to matched animals of 3 months. A significant increase of GS activity was found in whole brain (25%) of old rats, as well as in all brain areas studied, but particularly...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212686

    authors: Cao Danh H,Strolin Benedetti M,Dostert P

    更新日期:1985-01-01 00:00:00

  • (Na+-K+)-ATPase activity and ouabain-binding sites in the cerebral cortex of young and aged Fischer-344 rats.

    abstract::(Na+-K+)-ATPase is an enzyme responsible for ionic homeostasis in excitable tissues. Thus, the activity of this enzyme is essential for the maintenance of optimal function of the cerebral cortex. Although abnormalities of cerebral oxidative metabolism have been described in aging, these abnormalities do not appear to ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213123

    authors: LaManna JC,Doull G,McCracken K,Harik SI

    更新日期:1983-01-01 00:00:00

  • Influence of smoking and age on pharmacokinetics of beta-receptor blockers.

    abstract::The influence of age and smoking on pharmacokinetics of pindolol and propranolol was investigated. Although there was a statistically significant difference in certain pharmacokinetic parameters (maximum plasma concentration, area under the curve, elimination constant and elimination half-life) between elderly patient...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212576

    authors: Hitzenberger G,Fitscha P,Beveridge T,Nüesch E,Pacha W

    更新日期:1982-01-01 00:00:00

  • A novel mutation in a patient with Werner's syndrome.

    abstract:BACKGROUND:Werner's syndrome, a rare autosomal recessive disorder, is characterized by features of premature aging. Seventy-five percent of the alleles of Japanese patients with Werner's syndrome have one of three major mutations. OBJECTIVE:To determine the genotype of a patient with Werner's syndrome. METHODS:We dia...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000058353

    authors: Nakayama T,Ochiai T,Takahashi Y,Ohkubo K,Hironaga T,Kokubun S

    更新日期:2002-07-01 00:00:00

  • Is Life Expectancy of French Women Going to Plateau and Oscillate?

    abstract::Some authors have hypothesised that life expectancy at birth could reach 100 years in developed countries in the next decades. Using recent data for French women, it is shown that life expectancy changes from 1993 to 2016 are mainly linked to mortality rates of oldest women. In recent years, it happened that life expe...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000497179

    authors: Le Bourg E

    更新日期:2019-01-01 00:00:00

  • Zika Virus Infection in the Elderly: Possible Relationship with Guillain-Barré Syndrome.

    abstract::The Zika virus (ZIKV) outbreak in French Polynesia, in 2013, and in Brazil, in 2015, was correlated with neurological complications, which comprised, among others, congenital microcephaly and Guillain-Barré syndrome (GBS), which includes a group of acute autoimmune neuropathies generally reported after respiratory or ...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000453579

    authors: Savino W,Messias CV,Mendes-da-Cruz DA,Passos P,Ferreira AC,Nascimento OJ

    更新日期:2017-01-01 00:00:00

  • Underlying factors in the association between depressed mood and mobility limitation in older people.

    abstract:BACKGROUND:Depressed mood may either precede mobility limitation or follow from mobility limitation. OBJECTIVE:To compare mood status among people with manifest mobility limitation, those with preclinical mobility limitation and those without mobility limitation and investigate factors explaining the association betwe...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000098416

    authors: Hirvensalo M,Sakari-Rantala R,Kallinen M,Leinonen R,Lintunen T,Rantanen T

    更新日期:2007-01-01 00:00:00

  • Effect of age on the febrile response of rats to endogenous pyrogen.

    abstract::Mechanisms underlying the decreased febrile response in the elderly have not been elucidated. One hypothesis is that elderly persons have a decreased response at the hypothalamic or peripheral effector level to endogenous pyrogen (EP). We studied the response to human monocyte-derived EP in young adult and aged Fische...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212723

    authors: Tocco-Bradley R,Singer R,Kluger MJ,Kauffman CA

    更新日期:1985-01-01 00:00:00

  • Aortic valve replacement in the elderly: frequently indicated yet frequently denied.

    abstract:BACKGROUND:The prevalence of aortic stenosis is nearly 20% in octogenarians. Aortic valve replacement (AVR) is the optimal therapy choice, yet many symptomatic patients are denied this beneficent technology. Whether mechanical or bioprosthetic, aortic valves are not a scarce resource and their safety, effectiveness and...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000066502

    authors: Bramstedt KA

    更新日期:2003-01-01 00:00:00

  • Decreased expression of cytochrome P450 17 alpha-hydroxylase mRNA in senescent bovine adrenal gland.

    abstract::To investigate the mechanisms of age-related decline in synthesis of adrenal androgen, we studied the contents of cortisol (F) and dehydroepiandrosterone (DHEA) and the amounts of cytochrome P450 17 alpha-hydroxylase (P450c17) mRNA and cytochrome P450 11 beta-hydroxylase (P450c11) mRNA in young (1 year old) and senesc...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213270

    authors: Ogo A,Haji M,Ohashi M,Nawata H

    更新日期:1991-01-01 00:00:00

  • Induction of sister chromatid exchanges by mitomycin C in lymphocytes of young and old human donors.

    abstract::The kinetics of cell proliferation and sister chromatid exchanges (SCE) were studied in blood lymphocytes treated by mitomycin C (MMC) in young and old human donors. In both the young and old donors MMC inhibited cell proliferation. Spontaneous SCE frequency was not age-dependent. In young donors, MMC induced a dose-r...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212658

    authors: Musilová J,Michalová K,Pacovský V

    更新日期:1984-01-01 00:00:00

  • Age-Related Differences in the Uncanny Valley Effect.

    abstract:BACKGROUND:Due to declining birthrates and an increasing aging population, shortage of the caregiving labor force has become a global issue. Among various efforts toward the solution, introducing robotic products for assistance could provide an effective way to help older adults in their daily lives. As previous studie...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000507812

    authors: Tu YC,Chien SE,Yeh SL

    更新日期:2020-01-01 00:00:00

  • Urinary Urgency in the Elderly.

    abstract::The last 2 decades have brought an explosion of research, new products, and general attention to the problem of urinary urgency, and yet patients continue to be plagued by this symptom - especially the elderly. What is it? What does it mean? How can we guide patients successfully through this challenge? This paper pre...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000492330

    authors: Potts JM,Payne CK

    更新日期:2018-01-01 00:00:00

  • Aging is without effect on the pituitary-adrenal axis in men.

    abstract::The effects of ovine corticotropin releasing factor (o-CRF) on the secretions of ACTH, cortisol, dehydroepiandrosterone (DHEA) and dehydroepiandrosterone sulfate (DHEA-S) were studied in the healthy young and elderly male individuals. o-CRF caused significant elevations of plasma ACTH, cortisol and DHEA concentrations...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212812

    authors: Ohashi M,Fujio N,Kato K,Nawata H,Ibayashi H

    更新日期:1986-01-01 00:00:00

  • Just one look, and fractures and death can be predicted in elderly ambulatory women.

    abstract:BACKGROUND:The chronological age is clearly the strongest risk factor for fractures or death. Age as a concept can be described exactly as chronological age. Age in relative terms can be described as biological age. OBJECTIVE:We postulated that, even without taking into account known or unknown comorbidity, an immedia...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000079129

    authors: Gerdhem P,Ringsberg K,Akesson K,Obrant KJ

    更新日期:2004-09-01 00:00:00

  • Rapid and accurate estimation of creatinine clearance in the muscle-wasted elderly by computed tomography.

    abstract::To develop a new method for accurately predicting creatinine clearance (Ccr) in the debilitated elderly without urine collections, the total muscle volume of both thighs (MV thigh), as a new predictive parameter, was calculated using computed tomography in 68 debilitated patients aged 61-92 years. A regression line be...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213705

    authors: Sanaka M,Takano K,Shimakura K,Koike Y,Mineshita S

    更新日期:1995-01-01 00:00:00

  • Relationship among activities of daily living, apathy, and subjective well-being in elderly people living alone in a rural town.

    abstract:BACKGROUND:There are limited psychological data on the quality of life and activities of daily living among elderly Japanese who live alone. OBJECTIVE:The aim of this study was to examine the frequency of apathy and its correlation with activities of daily living and with subjective well-being in elderly people living...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022102

    authors: Yamashita K,Iijima K,Kobayashi S

    更新日期:1999-09-01 00:00:00

  • Improving the Cooperation Rate of Older Adults and Their Caregivers in Research Surveys.

    abstract:BACKGROUND:Recruiting older adults, their family members and their home care workers as participants in research studies is particularly complicated. This might be due to medical or cognitive problems of the older adult as well as the high workload and shortage of time experienced by caregivers. The present study compa...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000366161

    authors: Green O,Ayalon L

    更新日期:2015-01-01 00:00:00

  • Age-related alterations in sympathetic-adrenal medullary responses to stress.

    abstract::In mammals, aging is often viewed as a progressive decline in physiological competence with a corresponding inability to adapt to stressful stimulation. Several current theories of aging have implicated the sympathetic nervous system in many of the metabolic, cardiovascular and behavior changes which attend advancing ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212785

    authors: McCarty R

    更新日期:1986-01-01 00:00:00

  • Effects of increasing age on vascular responses of the in vivo femoral artery of adult beagles.

    abstract::One of the problems associated with using random-source dogs to study in vivo vascular responses is their unknown background. Since aging is known to influence vascular responses, unknown variations in age could influence experimental results. The vast majority of aging studies examine arteries in vitro. This study wa...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213318

    authors: Kaiser L,Ptu S

    更新日期:1992-01-01 00:00:00

  • Lipid peroxidation and ceroid accumulation in macrophages cultured with oxidized low density lipoprotein.

    abstract::When mouse peritoneal macrophages were cultured with oxidized human low density lipoprotein (ox-LDL), storage of ceroid-like pigments was observed within the cells by light and fluorescent microscopy, and fluorescence spectrophotometry. The fluorescent products exhibit the characteristics of Schiff base structures, ha...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213724

    authors: Shimasaki H,Maeba R,Tachibana R,Ueta N

    更新日期:1995-01-01 00:00:00

  • Standing Up Slowly Antagonises Initial Blood Pressure Decrease in Older Adults with Orthostatic Hypotension.

    abstract:BACKGROUND:Orthostatic hypotension (OH) is common in older adults and associated with increased morbidity and mortality, loss of independence and high health-care costs. Standing up slowly is a recommended non-pharmacological intervention. However, the effectiveness of this advice has not been well studied. OBJECTIVES...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000450642

    authors: de Bruïne ES,Reijnierse EM,Trappenburg MC,Pasma JH,de Vries OJ,Meskers CG,Maier AB

    更新日期:2017-01-01 00:00:00

  • Assessing and using comorbidity measures in elderly veterans with lower extremity amputations.

    abstract:BACKGROUND:Understanding comorbidity prevalence and the effects of comorbidities in older veterans with lower extremity amputations may aid in assessing patient outcomes, resource use, and facility-level quality of care. OBJECTIVES:To determine the degree to which adding outpatient to inpatient administrative data sou...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000101703

    authors: Kurichi JE,Stineman MG,Kwong PL,Bates BE,Reker DM

    更新日期:2007-01-01 00:00:00

  • Activities of the mitochondrial NAD-linked isocitric dehydrogenase in different regions of the rat brain: changes in ageing and the effect of chronic manganese chloride administration.

    abstract::The specific activities of NAD-linked isocitric dehydrogenase were determined in hypothalamus, cerebellum, pons and medulla, striatum, midbrain, and cerebral cortex (which included the hippocampus) of the female Wistar rat. In ageing the specific activities of this enzyme were decreased in all regions. Chronic treatme...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212514

    authors: Lai JC,Leung TK,Lim L

    更新日期:1982-01-01 00:00:00

  • Cardiac rate and hyperkinetic rhythm disorders in healthy elderly subjects: evaluation by ambulatory electrocardiographic monitoring.

    abstract::We performed 24-hour ambulatory electrocardiographic (Holter) examinations in 50 retired hospital workers (30 men, 20 women), aged 58-85 years (mean age +/- SD: 65.9 +/- 4.6 years), with a normal clinical history, physical examination and baseline ECG. There was a significant difference between daytime and nocturnal m...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213015

    authors: Ribera JM,Cruz AJ,Zamorano JL,Pérez-Casar F

    更新日期:1989-01-01 00:00:00

  • Aging and Decision-Making: A Conceptual Framework for Future Research - A Mini-Review.

    abstract::Age differences in decision-making are of theoretical interest and have important practical implications, but relevant lines of work are distributed across multiple disciplines and often lack integration. The present review proposes an overarching conceptual framework with the aim of connecting disjointed aspects of t...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000485247

    authors: Löckenhoff CE

    更新日期:2018-01-01 00:00:00

  • Ups and downs of aging studies in vitro: the crooked path of science.

    abstract::Different approaches using cell culture techniques to study the biology of aging are critically described. Most of the studies concerned the relationship between cell division potential and aging. The growth potential of cells is fundamental for aging of the organism, since it relates to phenomena such as the regenera...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000022135

    authors: Macieira-Coelho A

    更新日期:2000-03-01 00:00:00

  • Nosocomial infection and antibiotic utilization in geriatric patients: a pilot prospective surveillance program in skilled nursing facilities.

    abstract::Prospective surveillance of nosocomial infection was conducted at seven skilled proprietary nursing facilities in Orange County, Calif., USA. The average incidence of facility-acquired infection was 5.2 infections/1,000 patient days. The most common source of infection was urinary tract (47%), followed by respiratory ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213332

    authors: Lee YL,Thrupp LD,Friis RH,Fine M,Maleki P,Cesario TC

    更新日期:1992-01-01 00:00:00

  • Do white matter changes have clinical significance in Alzheimer's disease?

    abstract:BACKGROUND:Although white matter changes visible with MRI are generally considered to result from ischemia, it has become clear that these changes also appear in patients with Alzheimer's disease (AD). However, their significance in AD is unknown. OBJECTIVE:We evaluated the clinical significance of white matter change...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000078353

    authors: Kono I,Mori S,Nakajima K,Nakagawa M,Watanabe Y,Kizu O,Yamada K,Sakai Y

    更新日期:2004-07-01 00:00:00

  • Effect of severe aortic stenosis on the outcome in elderly patients undergoing repair of hip fracture.

    abstract:BACKGROUND:The perioperative assessment and management of elderly patients with hip fracture and significant aortic stenosis (AS) is an increasingly common clinical problem with little data available to guide perioperative management. OBJECTIVES:It was the aim of this study to examine the incidence of perioperative ev...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000209245

    authors: Leibowitz D,Rivkin G,Schiffman J,Rott D,Weiss AT,Mattan Y,Kandel L

    更新日期:2009-01-01 00:00:00