Evidence map›Paper›PMID 40584977›Full record

ArticleEJIFCC2025

Reference Intervals of Thyrotropin, Thyroid Hormones, and Thyroid Autoantibodies in Adult and Older Individuals According to Iodine Status.

Surapat Tanticharoenkarn, Phongsapak Pipatnavakij, Lawan Piyasuwanying, Panudda Srichomkwan, Thiti Snabboon, Poranee Ganokroj

Abstract read
In one paragraph

Article in EJIFCC, 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
–field-weighted citation impact
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

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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.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Surapat TanticharoenkarnDivision of Laboratory Medicine, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand.
Phongsapak PipatnavakijDivision of Laboratory Medicine, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand.
Lawan PiyasuwanyingDivision of Laboratory Medicine, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand.
Panudda SrichomkwanDivision of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center in Diabetes, Hormones and Metabolism, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand.
Thiti SnabboonDivision of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center in Diabetes, Hormones and Metabolism, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand.
Poranee GanokrojDivision of Laboratory Medicine, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background-Aim: Several factors, including ethnicity, age, iodine status, and assay method, can influence thyroid test results. This study aimed to establish reference intervals (RIs) for thyroid parameters in adults and older individuals, considering their iodine statuses. Methods: A cross-sectional study at a single tertiary center was conducted. Participants underwent interviews, physical examinations, thyroid ultrasounds, thyroid autoantibody testing, and a spot urine iodine concentration analysis. The included participants were grouped into adult (age 18 - 59) and older (age ≥60) groups. The studies for 2.5th-97.5th values of thyroid parameters were committed to establishing RIs. Results: A total of 357 individuals were screened, with 216 (112 adults, 54% women, 104 older, 50% women) were included in the analysis. The RIs for thyroid stimulating hormone (TSH) were as follows: 0.39 - 4.17 mIU/L for the overall group, 0.35 - 3.98 mIU/L in the adult group, and 0.42 - 4.83 mIU/L in the older group. The prevalence of adequate iodine intake (urine iodine level ≥ 200 μg/L) was 62.2% (186/299). Though RIs for TSH, Free T4, and Free T3 were slightly higher in the adequate iodine intake group, no statistically significant differences were noted. Positive anti-thyroglobulin antibodies were more prevalent in older participants (27.3% VS. 21.2%), as were anti-thyroid peroxidase antibodies (24.2% VS. 13.9%). Conclusion: Older individuals exhibited significantly higher TSH levels and lower FT3/Total T3 levels, while FT4/Total T4 remained comparable to adults. All thyroid parameters and thyroid autoantibody levels showed no statistically significant differences between those with adequate iodine intake and those with iodine deficiency.

Indexed as

age-specific reference intervalsiodine statusReference rangethyroid autoantibodythyroid hormonethyrotropin

Identifiers

PMID40584977
PMCPMC12205146

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