Obesity

Thyroid Function and Non-alcoholic Fatty Liver Disease in Children and Adolescent With Obesity: A Systematic Review and Meta-Analysis

Endocr PractPublished Systematic review and meta-analysis of observational studies

Pooled result · TSHResult — go to the resultMean difference 0.37 mIU/L 95% CI 0.07–0.66

Authors' conclusion

In pediatric obesity, NAFLD is associated with higher TSH levels in the absence of significant changes in circulating thyroid hormone concentrations.

Study context

Population
Children and adolescents with obesity
Participants
5,145 children10 studies
Comparison
Non-alcoholic fatty liver disease (NAFLD) vs no NAFLD
Outcome
Serum TSH, free thyroxine and free triiodothyronine levels
Methodological detailsrandom-effects meta-analysis
  • Random-effects meta-analysis

Pooled result

TSH

Mean difference

0.37 mIU/L

95% CI 0.07–0.66

NAFLDvs Controls without NAFLD
mean difference 0.37 mIU/L (95% CI 0.07–0.66)

As reported in the abstract

Further pooled results

OutcomeSMD (95% CI)
Free thyroxine−0.35 (−1.15 to 0.45)
Free triiodothyronine0.35 (−0.26 to 0.96)

Original publication

Thyroid Function and Non-alcoholic Fatty Liver Disease in Children and Adolescent With Obesity: A Systematic Review and Meta-Analysis. Endocr Pract. Published 9 April 2026. doi:10.1016/j.eprac.2026.04.002

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