Objective: Lean body mass is a better determinant of thyroid size than body weight as demonstrated in a previous cross-sectional study. We now evaluated if intra-individual changes in body composition and especially changes in lean body mass, due to physical training, could give rise to changes in thyroid volume. Subjects and Methods: We investigated 17 freshmen (group I) before and after six months of competition rowing; controls (group II) were 19 senior rowers, already participating in a training program for more than 2 years. Results: In group I body weight (BW; p < 0.01), lean body mass (LBM; p < 0.05), fat weight (FW; p < 0.05), body mass index (BMI; p < 0.01) and thyroid volume (TV; p = 0.08) all decreased; in group II body composition and thyroid volume did not change at all during the 6 months observation period. Whereas serum TSH and T3 did not change, free thyroxine (FT4) concentrations increased slightly in both groups (p < 0.01), presumably caused by the combination of exercise and insufficient energy intake. Taking together all subjects, baseline TV was directly related to BW (r = 0.35, p < 0.05), to LBM (r = 0.40, p < 0.05) and to BMI (r = 0.43, p < 0.01) but not to FW (r = - 0.06, NS). The decrease in thyroid volume was related to the decrease in LBM (r = 0.32, p = 0.05), in BW (r = 0.49, p < 0.005), in FW (r = 0.42, p = 0.01) and in BMI (r = 0.53, p = 0.001). Conclusions: After a six-month period of intensive physical training, changes in thyroid volume correlate directly with changes in body composition.
Key words:
Thyroid Weight - Body Composition - Body Mass Index - Body Weight - Exercise - FT4 - TSH
References
-
1
Berghout A, Wiersinga W M, Smits N J, Touber J L.
Determinants of thyroid volume as measured by ultrasonography in healthy adults in a non-iodine deficient area.
Clin Endocrinol.
1987;
26
273-280
-
2
Hegedüs L, Perrild H, Poulsen L R, Andersen J R, Holm B, Schnohr P, Jensen G, Hansen J M.
The determination of thyroid volume by ultrasound and its relationship to body weight, age and sex in normal subjects.
J Clin Endocrinol Metab.
1983;
56
260-263
-
3
Wesche M FT, Wiersinga W M, Smits N J.
Lean body mass as a determinant of thyroid size.
Clin Endocrinol.
1998;
48
701-706
-
4
Cunningham J J, Barzel U S.
Lean body mass is a predictor of the daily requirement of thyroid hormone in older men and women.
J Am Ger Soc.
1985;
32
204-207
-
5
Burrow G N, Fisher D A, Larsen P R.
Maternal and fetal thyroid function.
N Engl J Med.
1994;
331
1072-1078
-
6
Forbes G B.
Exercise and body composition.
J Appl Physiol.
1991;
70 (3)
994-997
-
7
Lukaski H C, Johnson P E, Bolonchuk W W, Lykken G I.
Assessment of fat-free mass using bioelectrical impedance measurements of the human body.
Am J Clin Nutr.
1985;
41
363-370
-
8
Lukaski H C, Bolonchuk W W, Hall C B, Siders W A.
Validation of tetrapolar bioelectrical impedance method to assess human body composition.
J Appl Physiol.
1986;
60 (4)
1327-1332
-
9
DuBois D, DuBois E.
A formula to estimate the approximate surface area if height and weight be known.
Arch Int Med.
1916;
17
863-871
-
10
Danforth E, Burger A G.
The impact of nutrition on thyroid hormone physiology and action.
Annu Rev Nutr.
1989;
9
201-227
-
11
Loucks A B, Heath E M.
Induction of low-T3 syndrome in exercising women occurs at a threshold of energy availability.
Am J Physiol.
1994;
266
R817-R823
-
12
Pakarinen A, Häkkinen K, Alen M.
Serum thyroid hormones, thyrotropin and thyroxine binding globulin in elite athletes during very intense strength training of one week.
J Sports Med Phys Fitness.
1991;
31
142-146
-
13
Hegedüs L, Rasmussen N, Knudsen N.
Seasonal variation in thyroid size in healthy males.
Horm Metab Res.
1987;
19
391-392
-
14
Feldt-Rasmussen U, Hegedüs L, Perrild H, Rasmussen N, Hansen J M.
Relationship between serum thyroglobulin, thyroid volume and serum TSH in healthy, non-goitrous subjects and the relationship to seasonal variations in iodine intake.
Thyroidology.
1989;
3
115
-
15
Simoni M, Velardo A, Montanini V, Faustini Fustini M, Seghedoni S, Marrama P.
Circannual rhythm of plasma thyrotropin in middle-aged and old euthyroid subjects.
Horm Res.
1990;
33
184-189
-
16
Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman J M.
Positional cloning of the mouse obese gene and its human homologue.
Nature.
1994;
372
425-432
-
17
Ahima R S, Prabakaran D, Mantzoros C, Qu D, Lowell B, Maratos-Flier E, Flier J S.
Role of leptin in the neuroendocrine response to fasting.
Nature.
1996;
382
250-252
-
18
Legradi G, Emerson C H, Ahima R S, Flier J S, Lechan R M.
Leptin prevents fasting-induced suppression of prothyrotropin-releasing hormone messenger ribonucleic acid in neurons of the hypothalamic paraventricular nucleus.
Endocrinology.
1997;
138
2569-2576
-
19
Jin L, Burguera B G, Couce M E, Scheithauer B W, Lamsan J, Eberhardt N L, Kulig E, Lloyed R V.
Leptin and leptin receptor expression in normal and neoplastic human pituitary: evidence of a regulatory role for leptin on pituitary cell proliferation.
J Clin Endocrinol Metab.
1999;
84
2903-2911
-
20
Delange F, Benker G, Caron P h, Eber O, Ott W, Peter F, Podoba J, Simescu M, Szybinsky Z, Vertongen F, Vitti P, Wiersinga W, Zamzaril V.
Thyroid volume and urinary iodine in European school children: standardization of values for assessment of iodine deficiency.
Eur J Endocrinol.
1997;
136
180-187
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