Evidence map›Paper›PMID 39726511›Full record

ArticleCureus2024

Thyroid Functions and Cognitive Decline in the Elderly.

Ayaz Muhammad, Ijaz Ul Haq, Mehr Ali Khan, Hafiz Syed Ahmad Hassan, Bilal Aman, Muhammad Muneeb Arshad

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ayaz MuhammadInternal Medicine, Mardan Medical Complex, Medical Teaching Institution, Mardan, PAK.
Ijaz Ul HaqMedicine, Northwest General Hospital and Research Center, Peshawar, PAK.
Mehr Ali KhanPulmonology, Ayub Teaching Hospital, Abbottabad, PAK.
Hafiz Syed Ahmad HassanMedicine, Services Hospital Lahore, Lahore, PAK.
Bilal AmanMedicine, Mardan Medical Complex/Bacha Khan Medical College, Mardan, PAK.
Muhammad Muneeb ArshadInternal Medicine and Cardiology, University Hospital Birmingham NHS foundation Trust, Birmingham, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The maintenance of cognitive health depends on thyroid hormones, and it is becoming more widely acknowledged that thyroid hormone issues may be a factor in cognitive decline in the aged. Objective This study aimed to investigate the association between thyroid hormone levels and cognitive decline among elderly individuals, considering the influence of age-related factors and comorbidities. Methodology Over the course of two years, 218 adults 60 years of age and older with clinically diagnosed hypothyroidism or subclinical thyroid disease were included in a prospective observational research. Serum levels of thyroid-stimulating hormone (TSH), free thyroxine (T4), and free triiodothyronine (T3) were measured at baseline and at 6, 12, 18, and 24-month intervals to evaluate thyroid function. The Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) were used to assess cognitive function at the same intervals. Factors linked to cognitive deterioration were identified using multivariate regression analysis. Results The study found that TSH levels decreased from 3.20 ± 1.82 µIU/mL at baseline to 2.80 ± 1.51 by 24 months (p < 0.001), while free T4 levels increased from 13.50 ± 2.53 pmol/L to 14.20 ± 2.52 pmol/L (p = 0.020). Cognitive scores declined significantly, with MMSE scores dropping from 23.27 ± 4.64 to 21.80 ± 4.89 (p = 0.005) and MoCA scores from 21.20 ± 5.11 to 20.03 ± 5.51 (p = 0.012). Conclusion The results show a strong correlation between thyroid malfunction and cognitive loss in the elderly, emphasizing the need to closely monitor thyroid function to maintain cognitive function in this population.

Indexed as

cognitive declineelderlyfree t4mmsemocathyroid functiontsh

Identifiers

PMID39726511
PMCPMC11670265

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.