Biological variation in thyroid function tests in older adults and clinical implications.

biological variation coefficient of variation intraindividual variation older adults thyroid function

Journal

Clinical endocrinology
ISSN: 1365-2265
Titre abrégé: Clin Endocrinol (Oxf)
Pays: England
ID NLM: 0346653

Informations de publication

Date de publication:
12 2023
Historique:
revised: 14 08 2023
received: 04 06 2023
accepted: 07 09 2023
medline: 6 11 2023
pubmed: 19 9 2023
entrez: 19 9 2023
Statut: ppublish

Résumé

Interpreting thyroid function tests can be challenging due to inherent variation, and the need for tests rises with age. While age-related changes in thyrotropin (TSH) levels are known, the biological variation in older adults remains unclear. We recruited nineteen 65-99-year-old (older adults) without thyroid disease for monthly blood sampling for 1 year. Serum was stored at -20C°, and TSH, total thyroxine (TT4) and total triiodothyronine (TT3) were analysed in random order in a single batch for each participant. Results were compared to test results from 15 euthyroid men aged 24-53 years (younger adults) collected previously using a similar methodology. Interindividual coefficients of variation in older/younger adults were 46.7%/44.0% for TSH, 12.7%/19.5% for TT4 and 14.6%/22.4% for TT3. Intraindividual coefficients of variation (CV CV

Identifiants

pubmed: 37723656
doi: 10.1111/cen.14973
doi:

Substances chimiques

Thyroxine Q51BO43MG4
Triiodothyronine 06LU7C9H1V
Thyrotropin 9002-71-5

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

598-605

Informations de copyright

© 2023 The Authors. Clinical Endocrinology published by John Wiley & Sons Ltd.

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Auteurs

Johannes Riis (J)

Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.

Louise Westergaard (L)

Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.

Jesper Karmisholt (J)

Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark.

Stine Linding Andersen (SL)

Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark.

Stig Andersen (S)

Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.

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