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Body composition assessment measured via bioelectrical impedance analysis in euthyroid children with newly diagnosed
Serkan Bilge Koca1, Tarik Kirkgoz1, Leyla Kara1
1Department of Pediatrics, Division of Pediatric Endocrinology, Health Sciences University, Kayseri City Education and Research Hospital, Kayseri, Turkiye.
Insights
Euthyroid females with Hashimoto's thyroiditis (HT) show no significant body composition changes. Bioelectrical impedance analysis (BIA) revealed no differences in fat mass or muscle mass in these children.
Area of Science:
- Pediatric Endocrinology
- Metabolic Disorders
- Body Composition Analysis
Background:
- Thyroid hormones significantly influence body composition.
- Hashimoto's thyroiditis (HT) is an autoimmune condition affecting thyroid function.
- Understanding body composition in euthyroid children with HT is crucial for early intervention.
Purpose of the Study:
- To investigate body composition differences in children with and without Hashimoto's thyroiditis (HT) while euthyroid.
- To utilize bioelectrical impedance analysis (BIA) for detailed body composition assessment.
- To establish baseline body composition data in euthyroid pediatric HT patients.
Main Methods:
- A cohort of 65 children with HT and 65 healthy controls (ages 5-18) were analyzed.
- Bioelectrical impedance analysis (BIA) using the Tanita MC-780 MA model assessed fat mass, fat-free mass, muscle mass, bone mass, total body water, phase angle, muscle-to-fat ratio, basal metabolic rate, and sarcopenic index.
- Thyroid function tests (TSH, Free-T4, Free-T3), antibodies (Anti-TPO, Anti-Tg), serum lipids, and thyroid volumes were compared.
Main Results:
- Total body water and basal metabolic rate were higher in the HT group, primarily due to age and muscle mass differences in males.
- No significant differences in fat mass, fat-free mass, muscle mass, bone mass, muscle-to-fat ratio, sarcopenic index, or phase angle were observed between euthyroid females with and without HT.
- The study focused on body composition parameters assessed via BIA.
Conclusions:
- Euthyroid females diagnosed with Hashimoto's thyroiditis exhibit no significant alterations in body composition at the time of admission.
- Bioelectrical impedance analysis (BIA) did not detect significant body composition differences in this specific pediatric cohort.
- Further research may explore longitudinal changes or differences in males.
Objectives:
The effects of thyroid hormones on body composition are well-known. We aimed to examine the body composition of children with and without Hashimoto's thyroiditis (HT) by bioelectrical impedance analysis (BIA) while they were still euthyroid.
Methods:
Between the ages of 5 and 18, 53 girls and 12 boys in each group, 65 children with HT, and 65 healthy children were included in this study. The Tanita MC-780 MA model was used to evaluate body composition parameters. These are fat mass (FM), fat-free mass (FFM), muscle mass (MM), bone mass (BM), total body water (TBW), phase angle, the ratio of muscle mass to fat mass (MFR), basal metabolic rate (BMR), and sarcopenic index (SI). Weight, height, body mass index standard deviation scores (SDSs), and pubertal status were examined. Additionally, TSH, Free-T4, Free-T3, Anti-TPO, Anti-Tg, serum lipid levels, and thyroid volumes were compared.
Results:
We observed that TBW (27.5 ± 7.5 kg vs. 24.8 ± 6.6 kg; p=0.029) and BMR (1,403 ± 253 kcal vs. 1,324 ± 200 kcal; p=0.049) were higher in the HT group. These differences are due to differences in age and muscle mass in the male group. The FM, FFM, MM, BM, MFR, SI, and phase angle scores did not differ between females with and without HT in euthyroid children by the BIA method.
Conclusions:
There is no significant change in body composition in euthyroid females with HT at admission.
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