Thyroid Hormone Reference Intervals among Healthy Individuals In Lanzhou, China

BACKGRUOUND: The common reference intervals (RIs) for thyroid hormones currently used in China are provided by equipment manufacturers. This study aimed to establish thyroid hormone RIs in the population of Lanzhou, a city in the subplateau region of northwest China, and compare them with previous reports and manufacturer-provided values.

METHODS: In total, 3,123 individuals (1,680 men, 1,443 women) from Lanzhou, an iodine-adequate area of China, perceived as healthy were selected. The Abbott Architect analyzer was used to determine the serum concentration of thyroid hormones. The 95% RI was estimated using the 2.5th and 97.5th percentiles as the lower and upper reference limits, respectively.

RESULTS: The serum levels of thyroid-stimulating hormone (TSH), total triiodothyronine (TT3), antithyroglobulin (ATG) antibody, and antithyroid peroxidase (ATPO) antibody levels were significantly correlated with sex (P<0.05). TSH, total thyroxine (TT4), and ATPO levels were significantly correlated with age (P<0.05). The serum levels of TSH, ATG, and ATPO in men were significantly lower than in women; in contrast, the serum TT3 level was significantly higher in men than in women (P<0.05). Serum TSH, TT3, TT4, and ATG levels differed across age groups (P<0.05), but no such variation was observed for ATG levels (P>0.05). The established RIs of TSH, ATG, and ATPO in this study differed between sexes (P<0.05). The thyroid hormone RIs established herein were inconsistent with the manufacturer-provided values.

CONCLUSION: The RIs of thyroid hormones in the healthy population of Lanzhou were inconsistent with those in the manufacturer's manual. Validated sex-specific values are required for diagnosing thyroid diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Endocrinology and metabolism (Seoul, Korea) - 38(2023), 3 vom: 26. Juni, Seite 347-356

Sprache:

Englisch

Beteiligte Personen:

Lu, Yan [VerfasserIn]
Zhang, Wen-Xia [VerfasserIn]
Li, De-Hong [VerfasserIn]
Wei, Lian-Hua [VerfasserIn]
Zhang, Yu-Jun [VerfasserIn]
Shi, Fu-Na [VerfasserIn]
Zhou, Shen [VerfasserIn]

Links:

Volltext

Themen:

06LU7C9H1V
9002-71-5
Anti-thyroglobulin
China
Female
Journal Article
Male
Q51BO43MG4
Reference range
Research Support, Non-U.S. Gov't
Thyroid Hormones
Thyroid hormones
Thyrotropin
Thyroxine
Triiodothyronine

Anmerkungen:

Date Completed 07.07.2023

Date Revised 18.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.3803/EnM.2023.1638

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358139120