Evaluation of thyroid function tests among children with neurological disorders
2024

Thyroid Function Tests in Children with Neurological Disorders

Sample size: 11836 publication 10 minutes Evidence: high

Author Information

Author(s): Meng Haojie, Bigambo Francis Manyori, Gu Wei, Wang Xu, Li Yang

Primary Institution: Children’s Hospital of Nanjing Medical University

Hypothesis

What are the characteristics of thyroid function tests among children with neurological disorders compared to healthy controls?

Conclusion

Children with neurological disorders showed significantly lower FT4 levels compared to healthy controls, while TSH levels did not differ.

Supporting Evidence

  • Free thyroxine (FT4) levels were significantly decreased in children with neurological disorders compared to controls.
  • Thyroid-stimulating hormone (TSH) levels showed no significant difference between cases and controls.
  • The study included a large sample size of 11836 children.
  • Statistical analysis was performed using Wilcoxon Rank Sum Test and meta-analysis methods.
  • Significant reductions in FT4, TT3, and TT4 levels were observed in children with ADHD, TD, and ASD.

Takeaway

This study found that kids with certain brain disorders have lower thyroid hormone levels, which might help doctors check for these issues earlier.

Methodology

The study used a meta-analysis and a case-control design, comparing thyroid function tests in children with neurological disorders to healthy controls.

Potential Biases

Potential biases may arise from variations in testing methods and the subjective nature of clinical assessments.

Limitations

The study lacks comprehensive documentation of factors influencing thyroid function and does not include follow-up assessments.

Participant Demographics

The study included 7035 children with neurological disorders (ADHD, ASD, TD) and 4801 healthy controls, with a majority being male.

Statistical Information

P-Value

P<0.001

Confidence Interval

95% CI: -0.50 to -0.09

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fendo.2024.1498788

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