title: Association between serum TSH concentration within the normal range and adiposity.
abstract: BACKGROUND
  Overt hypothyroidism is clearly related to body weight gain and greater adiposity, but the range of hormonal change in serum TSH concentration associated with weight gain remains a focus of debate.
  
  
  OBJECTIVE
  The aim of this review was to assess studies that evaluated the relationship between anthropometric measures and serum TSH concentration in euthyroid subjects.
  
  
  METHODS
  Studies held on the Ovid MEDLINE database were searched and original articles published from 2000 to 2010 were included. The literature search was restricted to studies conducted in humans aged 18 years or older and written in English, Spanish, or Portuguese. Studies that evaluated the association between anthropometric measures and serum TSH within the normal range as the primary objective, as well as additional analysis, were included.
  
  
  RESULTS
  A total of 29 studies met the inclusion criteria. Of the 29 studies, 18 showed a positive relationship between measures of adiposity and serum TSH. Despite the plausibility of this association, only two studies reported longitudinal findings. The influence of smoking on the association between serum TSH and anthropometric measures was evaluated in only three studies and remains unclear.
  
  
  CONCLUSIONS
  Thus, further longitudinal studies are needed to better understand the mechanisms by which TSH concentration might impact body weight.
authors.affiliation: Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rua São Francisco Xavier, 524, 7° andar, Bloco E. Cep 20550-900 Rio de Janeiro, RJ, Brazil. amandamoura@msn.com
authors.forename: Amanda
authors.initials: A
authors.lastname: de Moura Souza
authors.forename: Rosely
authors.initials: R
authors.lastname: Sichieri
mesh_terms: D050154:Adiposity / Q000187:drug effects; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000097:blood; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000097:blood*; D012016:Reference Values; D013972:Thyrotropin / Q000097:blood*; D015430:Weight Gain
chemical_list: D013972:Thyrotropin