Evidence map›Paper›PMID 36987412›Full record

ArticleJournal of medical biochemistry2023

Reference intervals for thyroid hormones for the elderly population and their influence on the diagnosis of subclinical hypothyroidism.

Jingxuan Fu, Yidan Wang, Yunyi Liu, Qinfei Song, Jingrong Cao, Wang Peichang

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Article in Journal of medical biochemistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

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11citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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11 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Jingxuan FuCapital Medical University, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Department of Clinical Laboratory, Beijing, China.
Yidan WangCapital Medical University, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Department of Clinical Laboratory, Beijing, China.
Yunyi LiuCapital Medical University, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Department of Clinical Laboratory, Beijing, China.
Qinfei SongCapital Medical University, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Department of Clinical Laboratory, Beijing, China.
Jingrong CaoCapital Medical University, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Department of Clinical Laboratory, Beijing, China.
Wang PeichangCapital Medical University, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Department of Clinical Laboratory, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aims to establish reference intervals (RIs) for thyroid hormones in the elderly population and analyze their influence on the prevalence of subclinical hypothyroidism. Methods: Thyroid hormone records of subjects who underwent routine health checkup at our hospital between 2018 and 2020 were analyzed. Thyroid stimulating hormone (TSH), total triiodothyronine, total thyroxine, free triiodothyronine (FT3), and free thyroxine (FT4) levels were compared between young and elderly subjects. Thresholds of these thyroid hormones were established for elderly subjects. Results: A total of 22,207 subjects were included. Of them, 2,254 (10.15%) were aged ≥ 65 years. Elderly subjects had higher TSH, and lower FT3 and FT4 levels when compared with young subjects. In the elderly group, the RIs for TSH, FT3 and FT4 were 0.55-5.14 mIU/L, 3.68-5.47 pmol/L, and 12.00-19.87 pmol/L, respectively. The age and sex specific RIs for TSH were 0.56-5.07 mIU/L for men and 0.51-5.25 mIU/L for women. With whole-group RIs and age and sex-specific RIs for elderly people, the prevalence of subclinical hypothyroidism was 9.83% and 6.29% (p < 0.001), respectively. Conclusions: Elderly individuals had higher TSH levels than young individuals. Our study indicated that establishing specific RIs for elderly individuals is needed. This has implications for the diagnosis and management of subclinical hypothyroidism in the elderly population.

Indexed as

elderlyreference intervalssubclinical hypothyroidismthyroid hormones

Identifiers

PMID36987412
PMCPMC10040197

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