Treatment of thyroid dysfunctions decreases the risk of cerebrovascular events in men but not in women: Results of the MONICA/KORA cohort study.
    
    
        
    
    
        
        PLoS ONE 11:e0155499 (2016)
    
    
    
		
		
			
				OBJECTIVE: Thyroid disorders are well known to be associated with cardiovascular diseases. Some studies have shown that the negative effects of thyroid disorders are partially reversible after adequate treatment. The aim of this analysis was to assess the risk of incident ischemic cerebrovascular diseases in study participants treated for thyroid dysfunctions in a population-based cohort study. METHODS: For the presented analyses data from 8564 male and 8714 female individuals aged 25 to 74 years of the MONICA/KORA cohort were used (median follow-up 14.0 years). A combined binary variable "thyroid disorder" (TDC) was created utilizing data on self-reported physician-treated thyroid disorders and information about medication use. To examine the association between TDC and incident ischemic cerebrovascular events, we performed multiple adjusted Cox proportional hazard regression models and calculated hazard ratios and corresponding 95% confidence intervals (HR, 95%CI). RESULTS: During follow-up between 1984 and 2008/2009, 514 incident fatal and non-fatal ischemic cerebrovascular events occurred in men and 323 in women. At baseline, 3.5% of men and 15.6% of women reported TDC. In the fully adjusted model, males who reported TDC had a significantly reduced risk of ischemic cerebrovascular events (HR = 0.52, 95%CI = 0.29-0.92). A similar result was obtained in men, when we utilized information on thyroid hormones use only. For the total study population and for women with TDC we found no association with ischemic cerebrovascular events. CONCLUSIONS: In our longitudinal analyses subjects with treated thyroid diseases had no increased risk of incident ischemic cerebrovascular events. Surprisingly in males, even a significantly reduced risk of incident ischemic cerebrovascular events was found, a result that deserves further clarification.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
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        Schlagwörter
        Nutrition Examination Survey; All-cause Mortality; National-health; Ischemic-stroke; Subclinical Hypothyroidism; Cardiovascular-disease; Population; Metaanalysis; Hyperthyroidism; Heart
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2016
    
 
    
        Prepublished im Jahr 
        
    
 
    
        HGF-Berichtsjahr
        2016
    
 
    
    
        ISSN (print) / ISBN
        1932-6203
    
 
    
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	    Band: 11,  
	    Heft: 5,  
	    Seiten: ,  
	    Artikelnummer: e0155499 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            Public Library of Science (PLoS)
        
 
        
            Verlagsort
            Lawrence, Kan.
        
 
	
        
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        Peer reviewed
    
 
    
        Institut(e)
        Institute of Epidemiology (EPI)
    
 
    
        POF Topic(s)
        30202 - Environmental Health
    
 
    
        Forschungsfeld(er)
        Genetics and Epidemiology
    
 
    
        PSP-Element(e)
        G-504000-007
G-504000-006
G-504090-001
    
 
    
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        Erfassungsdatum
        2016-05-20