Association of serum thyroid-stimulating hormone and bone mineral density in Chinese adults with normal thyroid function

Abstract Purpose This study aims to investigate the association of serum TSH with BMD in Chinese adults with normal thyroid function. Methods These participants were divided into tertiles based on serum TSH levels. Linear regression model and multinomial logistic regression models were used to analyze the associations of continuous BMD and categorical BMD with serum TSH, respectively. Results In women younger than 60 years, BMD decreased with the increase of TSH at normal level, while in women older than 60 years, BMD increased with the increase of TSH at normal level; besides, the BMD of women younger than 60 years old was significantly higher than that of women over 60 years old (156.05 ± 39.34 mg/cm3 vs. 86.95 ± 29.51 mg/cm3, P