As we age, we are more likely to have issues with thyroid function.  Women are at an increased likelihood to experience the unpleasant signs and symptoms of thyroid disease.  We have compiled a number of resources to help you consider all the factors involved in thyroid assessment and management in the older adult.  To receive Linkages please sign up here.

Getting to Know About Thyroid Function

The author writes about a strong link between thyroid and psychiatric dysfunction. Optimal thyroid function depends on availability of adequate nutritional and micronutrients and, specifically, the availability of iodine. Consider suboptimal thyroid states.  Thyroid disturbances are treatable and respond to treatment, but they have to be recognized early.

This is an easy to read summary of thyroid issues in older people. A variety of changes in thyroid function occur naturally as a person ages. Thyroid physiology and microscopic anatomy are altered, and the rate at which thyroid hormone is secreted and cleared is reduced. Some thyroid diseases (e.g., hypothyroidism) are considerably more likely to develop in elderly persons than in younger ones, and the manifestations are often less typical. This can make it more difficult to diagnose thyroid disease in an older patient.

 

This article give's some insight into three of the most common thyroid problems in older people - hypothyroidism, hyperthyroidism and thyroid nodules. This is presented by an expert in the internal medicine of the elderly, but not that of a thyroid specialist.

 

Endocrine Today has compiled a list of the top five thyroid stories posted online to come from The Endocrine Society’s Annual Meeting in San Diego.

This study found that lower levels of free T3 were associated with poorer outcomes at hospital discharge, and at 3 and 12 months post stroke, however, these associations diminished after correction for other known predictors of stroke outcome. Thyroid hormones have a complex relationship with ischemic stroke and stroke recovery, which merits further larger investigations.

This is a copy of the European Guidelines for management of hypothyroidism published in 2013.

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