Evidence map›Paper›PMID 38477491›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Effects of Overweight on Risk of Thyroid Nodules in Children and Adolescents: The Fukushima Health Management Survey.

Tetsuya Ohira, Masanori Nagao, Fumikazu Hayashi, Hiroki Shimura, Satoru Suzuki, Seiji Yasumura, Hideto Takahashi, Satoshi Suzuki, Manabu Iwadate, Mitsuaki Hosoya and 7 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 2 institutions in 1 country.

Tetsuya OhiraRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0003-4532-7165
Masanori NagaoRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0001-9382-8023
Fumikazu HayashiRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0002-6888-6640
Hiroki ShimuraRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0002-9770-2943
Satoru SuzukiRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.
Seiji YasumuraRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0002-4715-2840
Hideto TakahashiRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.
Satoshi SuzukiRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.
Manabu IwadateDepartment of Thyroid and Endocrinology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan.
Mitsuaki HosoyaRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.
Akira SakaiRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0003-0128-8395
Tetsuo IshikawaRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0002-9608-3669
Fumihiko FuruyaRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.
Shinichi SuzukiDepartment of Thyroid Therapeutic Surgery, Fukushima Medical University, Fukushima 960-1295, Japan.
Susumu YokoyaRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.
Hitoshi OhtoRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0003-0340-883X
Kenji KamiyaRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.ORCID 0000-0002-5801-7310
Fukushima Medical University · JPHiroshima University · JP

Funding

National Health Fund
6 · The paper itself

Abstract

contextExamining how overweight/obesity impacts thyroid nodule development in children and adolescents by sex and age allows speculation on the mechanism.

objectiveWe examined whether overweight/obesity in children and adolescents is associated with thyroid nodule development by sex and age.

methodsApproximately 300 000 participants who underwent thyroid ultrasonography in the Fukushima Health Management Survey after a nuclear accident were enrolled. Those without nodules in the initial 2 examinations (1-3 and 4-5 years postaccident) were prospectively assessed for nodule development in the third examination (6-7 years postaccident) relative to baseline overweight status, with an average follow-up of 4.2 years. This was a population-based prospective cohort study. The first and second thyroid examinations involved 299 939 and 237 691 participants, respectively, excluding those with thyroid nodules. After the third examination, 184 519 participants were finalized for analysis. Multivariable adjusted odds ratios of new detected thyroid nodules for overweight participants were compared with normal-weight participants.

resultsNew thyroid nodules were detected in 660 participants. Being overweight was positively associated with thyroid nodules. The adjusted odds ratio (95% CI) of thyroid nodules for overweight participants compared with other participants was 1.27 (1.04-1.57). Additionally, the multivariable adjusted odds ratios for overweight males and females were 1.21 and 1.32, respectively, and those for different age groups (0-9, 10-14, and 15-19 years) ranged from 1.17 to 1.75.

conclusionBeing overweight was associated with thyroid nodules in children and adolescents, mostly adolescent females, regardless of their proximity to the nuclear power plant.

Indexed as

Fukushima Nuclear AccidentOverweightThyroid NoduleAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHealth SurveysHumansJapanMaleProspective StudiesRisk FactorsUltrasonographycohort studyearthquakeobesitypopulation-basedthyroid nodulesultrasonography

Identifiers

PMID38477491
PMCPMC11747675
OpenAlexW4392737711

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.