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Table 4 Subgroup analysis of BMD at various sites in LT4-treated OH

From: Effects of levothyroxine therapy on bone and mineral metabolism in hypothyroidism: a systematic review and meta-analysis

Sites

Factors

Subgroup

Studies (n)

SMD (95%CI)

I2, %

P value

P value between subgroups

Lumbar spine

Sex

male

1 [28]

-0.88 (-1.77, 0.02)

-

0.050

0.030

female

5 [19, 24, 26,27,28]

-0.26 (-0.55, 0.02)

56

0.070

Intervention periods (years)

< 5

2 [19, 26]

-0.56 (-1.06, -0.06)

48

0.030

0.040

≥ 5

3 [24, 27, 28]

-0.12 (-0.31, 0.08)

0

0.240

Menopausal status

Pre-

4 [19, 24, 27, 28]

0.01 (-0.43, 0.46)

55

0.950

0.310

Post-

3 [19, 24, 28]

-0.51 (-1.23, 0.21)

82

0.170

Femur neck

Sex

male

1 [28]

-0.51(-1.37, 0.36)

-

0.250

0.110

female

5 [19, 24, 26,27,28]

-0.25 (-0.63, 0.12)

75

0.180

Intervention periods (years)

< 5

2 [19, 26]

-0.22 (-0.57, 0.14)

0

0.230

0.150

≥ 5

3 [24, 27, 28]

-0.30 (-0.88; 0.27)

87

0.310

Menopausal status

Pre-

4 [19, 24, 27, 28]

-0.33 (-0.92, 0.27)

75

0.280

0.130

Post-

3 [19, 24, 28]

-0.29 (-0.92, 0.33)

77

0.360

Trochanter

Sex

male

1 [28]

-0.33 (-1.19, 0.52)

-

0.180

0.110

female

4 [19, 24, 27, 28]

-0.59 (-1.35,0.17)

93

0.130

Intervention periods (years)

< 5

1 [19]

-0.69 (-1.19, -0.18)

-

0.007

0.120

≥ 5

3 [24, 27, 28]

-0.56 (-1.52, 0.41)

95

0.260

Menopausal status

Pre-

4 [19, 24, 27, 28]

-0.40 (-1.34, 0.53)

92

0.400

0.150

Post-

3 [19, 24, 28]

-0.30 (-0.90, 0.29)

74

0.310

Ward’s triangle

Sex

male

1 [28]

-0.55 (-1.42, 0.31)

-

0.210

0.090

female

4 [19, 24, 27, 28]

-0.45 (-1.07, 0.16)

89

0.150

Intervention periods (years)

< 5

1 [19]

-0.70 (-1.21, -0.20)

-

0.006

0.130

≥ 5

3 [24, 27, 28]

-0.39 (-1.13, 0.35)

92

0.300

Menopausal status

Pre-

4 [19, 24, 27, 28]

-0.22 (-1.03, 0.59)

86

0.590

0.260

Post-

3 [19, 24, 28]

-0.36 (-1.12, 0.39)

84

0.350

  1. BMD bone mineral density, CI conference interval, I2 I-square, LT4 levothyroxine, OH overt hypothyroidism, SMD standardized mean difference