Age, Gender, and Seasonal Effects on Thyroid Profile in Adults with Normal Thyroid Functions
Background: Thyroid hormone variations have been observed according to age and sex. Seasonal effects also induce the variations in thyroid function even in people with normal thyroid level. Majority of clinical laboratories follow a single reference range without the consideration of age, gender, and especially seasonal variations in thyroid function tests.
Objectives: To evaluate age, gender, and seasonal variations in thyroid function tests in adults with normal thyroid functions.
Methodology: This cross sectional study was carried out at Pathology Department, Quaid-e-Azam Medical College, Bahawalpur. One year data from Jan 2018 to Jan 2019 of thyroid function tests (TSH, T3 and T4) and demographic details were obtained for all those patients whose Thyroid Stimulating Hormone (TSH) was in normal reference range (0.5-4.5mU/L). We found the data of 418 subjects from 16 to 75 years of age, among them 196 were females and 222 were males.
Results: Serum TSH levels were higher in females (2.11mU/L ±1.54) than serum TSH levels of males (1.59mU/L ±1.2) with p-value 0.0002. FT4 levels (normal range: 0.89-1.76ng/dL) were significantly lower (p-value 0.0018) in females (1.33ng/dL ±0.50) as compared to males (1.48ng/dL ±0.48). In <20 years of age group of both genders, serum TSH were at lowest levels, while highest in 20-40 years of age group of males and >60 years of females. Mean TSH of all subjects was high (2.98mU/L) in winters and it was low (2.4mU/L) in autumn. FT4 was at lowest level (1.16ng/dL) in winters and it was highest (1.46ng/dL) in summers. FT3 levels in winter season were higher than other seasons.
Conclusion: Age, gender, and season affects the thyroid hormones levels and these factors should be considered while interpreting the lab results of thyroid function tests.
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