Exploring levels of TSH and FT4 in patients with chronic fatigue syndrome (CFS), fibromyalgia (FM) and healthy controls did not reveal any associations between fatigue score and level of thyroid hormones.

Journal: Nordic journal of psychiatry

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Affiliated Institutions:  Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU, Trondheim, Norway.

Abstract summary 

The diagnoses of Chronic Fatigue Syndrome (CFS) and Fibromyalgia (FM) are highly associated with fatigue and pain, respectively. Physiologically and clinically an effect of thyroid status on fatigue and pain is expected. There may be clinically relevant differences in thyroid hormone axes though within values of reference in both patients with normal thyroid hormones, or in patients with well-regulated thyroid disease. These potential differences are explored in this study.In the present study, female patients with CFS ( = 49) and FM ( = 58) as well as female healthy controls ( = 53) were included. We explored plasma levels of TSH and FT4 between the groups using Kruskall-Wallis, and the relation between fatigue score and levels of TSH and FT4 by means of Spearman's rho.There were no group differences between CFS patients, FM patients, and healthy controls in levels of TSH and FT4.As one might clinically and physiologically expect an association between thyroid function and fatigue, which may be associated with clinical disorders such as CFS and FM, we suggest future studies to examine the field further by exploring the influence of thyroid receptors and responses of the thyroid hormone cascade.

Authors & Co-authors:  Skorpen Pasca Reitan Groven

Study Outcome 

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Citations : 
Authors :  4
Identifiers
Doi : 10.1080/08039488.2024.2332442
SSN : 1502-4725
Study Population
Female
Mesh Terms
Other Terms
CFS;FM;FT4;TSH;fatigue
Study Design
Study Approach
Country of Study
Publication Country
England