Thyroid Division, Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Endocrinol Metab Clin North Am. 2013 Jun;42(2):287-303. doi: 10.1016/j.ecl.2013.02.008. Epub 2013 Mar 29.
This article summarizes the current literature about serum thyroid parameters and thyroid disease during aging. Changes in thyroid function tests may be part of the physiology of aging, after exclusion of confounding variables. Overt thyroid disease requires immediate treatment. Treatment of subclinical hyperthyroidism in the elderly can be advocated, while watchful waiting may be an appropriate approach for subclinical hypothyroidism.
本文总结了目前关于血清甲状腺参数和衰老过程中甲状腺疾病的文献。在排除混杂因素后，甲状腺功能试验的变化可能是衰老生理的一部分。显性甲状腺疾病需要立即治疗。老年亚临床甲亢的治疗可以被提倡，而亚临床甲状腺功能减退症的观察等待可能是一种合适的方法。
