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.
Abstract