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Factors influencing thyroid volume in Chinese children
1Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
Insights
Thyroid volume in Zhejiang children is influenced by age, gender, and body surface area, not iodine levels. Optimal iodine status was observed, but it did not significantly impact thyroid size in this age group.
Area of Science:
- Pediatric Endocrinology
- Environmental Health
- Public Health Nutrition
Background:
- Thyroid volume (Tvol) is a key indicator of thyroid health in children.
- Assessing Tvol and its determinants is crucial for monitoring child health in specific regions.
- Iodine status is vital for thyroid function, but its direct impact on Tvol requires regional investigation.
Purpose of the Study:
- To compare children's thyroid volume (Tvol) by age and gender in Zhejiang province.
- To explore the factors influencing Tvol in Zhejiang province children.
- To assess the relationship between urinary iodine concentration (UIC) and Tvol.
Main Methods:
- Cross-sectional survey of a representative sample of Zhejiang province children aged 6-12 years.
- Determination of urinary iodine concentration (UIC) from urine samples.
- Thyroid ultrasonography for the measurement of Tvol and body surface area (BSA).
Main Results:
- Median UIC was 170.0 μg/l, indicating optimal iodine status.
- Median Tvol was 3.1 ml.
- Tvol showed significant associations with age, gender, and BSA, but not with UIC.
Conclusions:
- Children in Zhejiang province aged 6-12 years exhibit optimal iodine status.
- Urinary iodine nutritional status had minimal effect on Tvol in this population.
- Age, gender, and body surface area are significant influencing factors for Tvol in Zhejiang children.
Background/Objectives:
This paper aims to compare children's thyroid volume (Tvol) by age and gender in Zhejiang province in order to explore the factors influencing Tvol in this area.
Subjects/Methods:
This survey was a cross-sectional survey of a provincial representative sample of Zhejiang province children aged 6-12 years. The children were asked to provide a urine sample for the determination of urinary iodine concentration (UIC) and thyroid ultrasonography was performed for the determination of Tvol.
Results:
The median (25th, 75th percentile) of UIC in children aged 6-12 years in Zhejiang province was found to be 170.0(111.2, 244.4) μg/l. The median (25th, 75th percentile) of Tvols was found to be 3.1(2.3, 4.2) ml. There were significant differences among the different age groups on BSA (Z=-17.911, P=0.000) and Tvol (Z=-1.996, P=0.046) but not on UIC and body mass index (P>0.05). Tvol was in significant association with BSA (P=0.000) but was not associated with UIC (P>0.05). Age, gender and BSA were significant in multiple linear regression (P<0.05).
Conclusions:
The median UIC of children aged 6-12 years falls in the optimal iodine status as recommended by WHO/UNICEF/ICCIDD. However, urinary iodine nutritional status had little effect on the Tvol in children aged 6-12 years in Zhejiang province. Age, gender and BSA were the influencing factors of Tvol.
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