Thyroid disease

Thyroid Function Reference Intervals by Age, Sex, and Race : A Cross-Sectional Study

Ann Intern MedPublished Cross-sectional study

Authors' conclusion

These findings should help establish more accurate reference intervals for thyroid diseases and facilitate development of a consensus about how to define and manage those diseases.

Study context

Population
US NHANES adults aged ≥20 years, supplemented with Chinese routine health checkups from 49 hospitals in 10 provinces, aged ≥18 yearsNHANES n = 8308
Exposure
Age-, sex- and race-specific reference intervals vs current reference intervals
Outcome
Age-, sex- and race-specific thyroid function reference intervals (2.5th–97.5th percentile) and reclassification into disease categories vs current reference intervals
Methodological detailsnationally representative sample, multicentre, Limitations: cross-sectional data; sample size limitations for subgroups
  • Nationally representative sample
  • Multicentre
  • Limitations: cross-sectional data; sample size limitations for subgroups

Main finding

As reported in the abstract

SCH prevalence with current reference intervals, ages 20–29 vs ≥70 years

2.4% to 5.9%

Persons with SCH reclassified as normal with specific intervals, especially women and White participants

48.5%

Persons with subclinical hyperthyroidism reclassified as normal, especially women, Black and Hispanic participants

31.2%

Observational data: associations, not effects.

Further findings

Chinese cohort

Many findings from Chinese participants similar to US findings

Original publication

Thyroid Function Reference Intervals by Age, Sex, and Race : A Cross-Sectional Study. Ann Intern Med. Published 6 May 2025. doi:10.7326/annals-24-01559

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