Trial reportEuropean journal of endocrinology2025
Thyroid axis adaptations to moderate short-term energy restriction in healthy, young women.
Trial report in European journal of endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02858336 (CaREFREE Study), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
CaREFREE Study (Calorie Restriction, Environment and Fitness: Reproductive Effects Evaluation Study)
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12 authors.
Funding
Abstract
objectiveShort-term dieting has gained popularity in women. We studied thyroid hormone change after short-term, moderate energy restriction.
methodsNineteen, healthy women aged 23.36 ± 2.08 yr (mean ± SD) without obesity and thyroidal disease underwent a neutral (NEA, ±0%) and a deficient (DEA, -55%) diet for 5 days each in the early follicular phases of successive menstrual cycles. Blood was sampled every 10 min between 8 AM and 4 PM and analyzed for TSH, GH, and cortisol every 30 min, total T3 (TT3), reverse T3 (rT3), and total T4 (TT4) hourly and free T3 (fT3), free T4 (fT4), and TBG at the beginning and end of the studies. Liquid chromatography-tandem mass spectrometry (LCMS) assessed all thyroid hormones except TSH and TBG. Data shown as mean difference or least squared (ls) mean (±SEM).
resultsThere was a small decrease in body mass index and body weight after DEA (0.4 ± 0.08 kg/m2; P < .001 and 1.1 ± 0.21 kg; P < .001, respectively), with unchanged fat mass. Compared to NEA, TT3 (ls mean ± SEM; 95.55 ± 2.89 ng/dL vs. 89.15 ± 2.89; P < .0001), and TSH (1.03 ± 0.07 vs. 0.92 ± 0.07 μIU/mL; P < .0001) declined while TT4 (6.06 ± 0.25 vs. 6.26 ± 0.25 μg/dL; P = .005), fT4 (1.71 ± 0.07 vs. 1.83 ± 0.07 ng/dL; P = .0052) and rT3 (9.02 ± 0.56 vs. 12.04 ± 0.56 ng/dL; P < .0001) increased after DEA with no change in TBG, GH and cortisol.
conclusionAdaptive central and peripheral changes in thyroid hormones occur after short-term, moderate dieting in young women without obesity. CLINICALTRIALS.GOV: NCT02858336.
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