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Subclinical hypothyroidism and cognitive function in people over 60 years: a systematic review and meta-analysis

Overview of attention for article published in Frontiers in Aging Neuroscience, August 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (85th percentile)
  • Good Attention Score compared to outputs of the same age and source (76th percentile)

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Title
Subclinical hypothyroidism and cognitive function in people over 60 years: a systematic review and meta-analysis
Published in
Frontiers in Aging Neuroscience, August 2015
DOI 10.3389/fnagi.2015.00150
Pubmed ID
Authors

Abimbola A. Akintola, Steffy W. Jansen, David van Bodegom, Jeroen van der Grond, Rudi G. Westendorp, Anton J. M. de Craen, Diana van Heemst

Abstract

Subclinical hypothyroidism (SCH), defined as elevated thyroid stimulating hormone (TSH) and normal thyroid hormone levels, and cognitive impairment are both common in older people. While the relation between overt hypothyroidism and cognitive impairment is well established, data on the association between SCH and cognitive impairment are conflicting. This systematic review and meta-analysis was performed to assess available evidence on the association of SCH with cognition in community dwelling, relatively healthy older adults. PubMed, EMBASE, Web of Science, COCHRANE, CINAHL, PsycINFO, and Academic Search Premier (January 1966 to April 1, 2015) were searched without language restrictions, as were references of key articles, for studies on the association between SCH and cognition in older adults (>60 years). These studies were reviewed by two independent reviewers according to predefined criteria for eligibility and methodological quality, and data were extracted using standardized forms. Of the 844 reports initially identified, 270 remained after exclusion of duplicates. Of the 270, 15 studies comprising 19,944 subjects, of whom 1,199 had subclinical hypothyroidism were included. Data from the 15 studies was pooled, and meta-analyzed cross-sectionally for global cognition [assessed by Mini-Mental State Examination (MMSE)], executive function, and memory, using random effects models. Pooled effect size (ES) for MMSE was -0.01 (95% CI -0.09, 0.08), with heterogeneity (I (2)) of 55.1%. Pooled ES was < 0.001 (95% CI -0.10, 0.09) for executive function (I (2) = 13.5%), and 0.01 (95% CI -0.12, 0.14) for memory (I (2) = 46.9%). In addition, prospective analysis including four studies showed pooled ES of 0.033 (95% CI -0.001 - 0.067) for MMSE (I (2) < 0.001%), indicating that subclinical hypothyroidism was not significantly associated with accelerated cognitive decline. This systematic review and meta-analysis provides no evidence that supports an association between SCH and cognitive impairment in relatively healthy older adults.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 99 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Netherlands 1 1%
United States 1 1%
Bulgaria 1 1%
Brazil 1 1%
Unknown 95 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 14 14%
Student > Ph. D. Student 10 10%
Other 9 9%
Student > Bachelor 9 9%
Student > Postgraduate 8 8%
Other 22 22%
Unknown 27 27%
Readers by discipline Count As %
Medicine and Dentistry 32 32%
Psychology 13 13%
Neuroscience 6 6%
Agricultural and Biological Sciences 4 4%
Immunology and Microbiology 2 2%
Other 13 13%
Unknown 29 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 December 2021.
All research outputs
#3,183,397
of 25,789,020 outputs
Outputs from Frontiers in Aging Neuroscience
#1,273
of 5,571 outputs
Outputs of similar age
#38,702
of 276,780 outputs
Outputs of similar age from Frontiers in Aging Neuroscience
#13
of 56 outputs
Altmetric has tracked 25,789,020 research outputs across all sources so far. Compared to these this one has done well and is in the 87th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,571 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.5. This one has done well, scoring higher than 76% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 276,780 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 56 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 76% of its contemporaries.