Thyroid disease

New Reference Values for Thyroid Volume by Ultrasound in German Children and Adolescents From a Population-Based Study

J Clin Endocrinol MetabPublished Population-based cross-sectional study

Authors' conclusion

The reference values provided by the WHO are overly conservative for this population and could potentially apply to other European countries with a similar history of iodine supply.

Study context

Population
Thyroid-healthy German children and adolescents aged 6 to 17 years, baseline of nationwide KiGGS study (2003–2006); sample iodine-sufficient by World Health Organization (WHO) criteria2,509 girls [45.1%]
Participants
5,559 children
Exposure
Derived reference values vs WHO 2004 reference values for thyroid volume
  • Girlsn = 2,509
Outcome
Sex-specific reference values for total thyroid volume (Tvol) by ultrasound, by age and body surface area
Methodological detailsnationwide, lambda-mu-sigma method, KiGGS baseline assessment, 2003–2006
  • Nationwide
  • Lambda-mu-sigma method
  • KiGGS baseline assessment, 2003–2006

Main finding

As reported in the abstract

97th percentile of Tvol vs corresponding WHO reference values (average excess)

Observational data: associations, not effects.

Original publication

New Reference Values for Thyroid Volume by Ultrasound in German Children and Adolescents From a Population-Based Study. J Clin Endocrinol Metab. Published 26 March 2024. doi:10.1210/clinem/dgae194

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