4.5 Article

Reference intervals for TSH and thyroid hormones are mainly affected by age, body mass index and number of blood leucocytes, but hardly by gender and thyroid autoantibodies during the first decades of life

Journal

CLINICAL BIOCHEMISTRY
Volume 41, Issue 13, Pages 1091-1098

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.clinbiochem.2008.04.007

Keywords

thyroid hormones; TSH; children; adolescents; TPO-Ab; TG-ab; reference range; BMI-SDS; white blood cells; neonate

Funding

  1. EU [PIONEER]

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Objectives: The Purpose of our Study was to establish reference intervals for thyroid function tests ill children and adolescents and to identify factors that may influence the limits of these intervals. Methods: TSH, FT3, FT4, T3, T4, t-uptake, TPO-antibody (TPO-Ab) and TG-antibody (TG-Ab) levels were determined ill blood of 1004 infants, children and adolescents by the Elecsys system (Roche). Results: A distinct overall age-dependent decrease of analyte levels was found for all parameters investigated. Puberty was accompanied by all increase of TSH, FT3 and T3 levels. Results of T4 and t-uptake were significantly higher in girls compared to boys. The exclusion of children with increased TPO-Ab and TG-Ab had no significant effect oil the limits of the reference interval. We found that besides age, BMI-SDS but also white blood cells count and gender played a role in the prediction of analyte variation. Conclusions: Covariates like BMI-SDS and white blood cell count should be taken into consideration when interpreting TSH and thyroid hormone measurements as well whereas gender and TPO-Ab or TG-Ab play a minor role. (C) 2008 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

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