Evidence map›Paper›PMID 42554720›Full record

ReviewJournal of molecular endocrinology2026

A literature overview of age- and Tanner stage-specific reference intervals for sex hormones for children aged 0-18 years.

Anouk Olthof, Anita Boelen, Jacquelien J Hillebrand, Sabine E Hannema, Annemieke C Heijboer

Abstract readReview
In one paragraph

Review in Journal of molecular endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Anouk OlthofEndocrine Laboratory, Department of Laboratory Medicine, Amsterdam UMC Location University of Amsterdam , Amsterdam, the Netherlands.ORCID 0009-0007-3482-7240
Anita BoelenEndocrine Laboratory, Department of Laboratory Medicine, Amsterdam UMC Location University of Amsterdam , Amsterdam, the Netherlands.ORCID 0000-0002-4994-2918
Jacquelien J HillebrandEndocrine Laboratory, Department of Laboratory Medicine, Amsterdam UMC Location University of Amsterdam , Amsterdam, the Netherlands.ORCID 0000-0002-1161-0301
Sabine E HannemaAmsterdam Gastroenterology, Endocrinology & Metabolism , Amsterdam, the Netherlands.ORCID 0000-0002-8996-0993
Annemieke C HeijboerEndocrine Laboratory, Department of Laboratory Medicine, Amsterdam UMC Location University of Amsterdam , Amsterdam, the Netherlands.ORCID 0000-0002-6712-9955

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to provide a comprehensive overview of age- and Tanner stage-specific reference intervals (RIs) for testosterone, estradiol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and sex hormone-binding globulin (SHBG) in children and adolescents and to highlight the importance of age- and Tanner stage-specific RIs for clinical practice. A literature review was performed to identify studies reporting RIs on testosterone and estradiol quantified using GC-MS/MS or LC-MS/MS and LH, FSH, and SHBG quantified using immunoassays in healthy individuals aged 0-18 years, categorized by age and/or Tanner stage. Sample sizes were evaluated according to the Clinical Laboratory Standards Institute (CLSI) guideline CLSI EP28-A3c, with ≥120 samples per group being acceptable, 39-119 samples being poor, and ≤38 samples being unacceptable. Analytical methods and statistical approaches were carefully documented. Fourteen studies were included for testosterone, seven for estradiol, thirteen for LH and FSH, and nine for SHBG. The results revealed considerable variability in the availability and quality of RIs, with many studies lacking adequate sample size or appropriate partitioning. Testosterone, estradiol, LH, and FSH RIs demonstrated significant changes during mini-puberty and puberty, with clear sex-specific patterns. SHBG RIs fluctuated throughout childhood and adolescence. This literature review demonstrates that RIs for HPG axis hormones show significant changes during mini-puberty and puberty, although data using appropriate analytical methods, using sufficient sample sizes, and reporting on age categories, Tanner stage, and menstrual cycle phase are scarce. Robust age- and Tanner stage-specific RIs are essential to improve diagnostic accuracy and individualized care in children and adolescents.

Indexed as

Gonadal Steroid HormonesSexual MaturationAdolescentAge FactorsChildChild, PreschoolEstradiolFemaleFollicle Stimulating HormoneHumansHypothalamic-Pituitary-Gonadal AxisInfantInfant, NewbornLuteinizing HormoneMalePubertyEstradiolFollicle Stimulating HormoneGonadal Steroid HormonesLuteinizing HormoneSex Hormone-Binding GlobulinTestosteroneadolescentsgonadal steroid hormonesgonadotropinspubertyreference values

Identifiers

PMID42554720
PMCPMC13506540

What OpenQuestion holds

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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.