SciELO - Scientific Electronic Library Online

 
vol.29 número2Salud autorreferida: influencia de la pobreza y la desigualdad del área de residenciaFactores que predicen haber oído sobre la vacunación contra el virus del papiloma humano: aspectos críticos para la prevención del cáncer de cuello uterino en mujeres colombianas índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Gaceta Sanitaria

versión impresa ISSN 0213-9111

Resumen

MARISCAL HIDALGO, Ana Isabel; LOZANO ALONSO, José E.; VEGA ALONSO, Tomás  y  GRUPO DE INVESTIGACION DEL HIPOTIROIDISMO SUBCLINICO EN CASTILLA Y LEON. Prevalence and clinical characteristics of subclinical hypothyroidism in an opportunistic sample in the population of Castile-León (Spain). Gac Sanit [online]. 2015, vol.29, n.2, pp.105-111. ISSN 0213-9111.  http://dx.doi.org/10.1016/j.gaceta.2014.10.007.

Objective: To describe the distribution of thyroid-stimulating hormone (TSH) values and to estimate the prevalence of subclinical hypothyroidism in the adult population of Castile and León (Spain). Method: An observational study was conducted in an opportunistic sample of 45 primary care centers in Castile and León. TSH was determined in people aged ≥35 years that attended a primary care physician and had a blood test for any reason. Confirmatory analysis included free thyroxine and anti-thyroid peroxidase antibody determination. Results: A total of 3957 analyses were carried out, 63% in women. The mean age was 61.5 years. The median TSH value was 2.3 µIU/mL (2.5 µIU/mL in women and 2.1 µIU/mL in men), with a rising trend with age. TSH values were higher in undiagnosed or untreated subclinical hypothyroidism than in patients under treatment. The lowest levels were found in euthyroidism. The prevalence of subclinical hypothyroidism was 9.2% (95%CI: 8.3-10.2), and hypothyroidism was three times higher in women than in men (12.4% versus 3.7%). Hypothyroidism increased with age, reaching a peak of 16.9% in women aged 45 to 64 years. Conclusions: The prevalence of subclinical hypothyroidism in our sample was high and in the upper limits of values found in previous studies. Proper diagnosis and treatment are important because of the risk of progression to hypothyroidism and the association with multiple diseases and other risk factors.

Palabras clave : Hypothyroidism; Prevalence; Family practice.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons