1. Biological variation of thyroid function biomarkers over 24 hours
- Author
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Xiao-Hua Xu, Li-Rui Kong, Da-Hai He, Yan Zhang, Hua-Li Wang, and Shun-Ning Jiang
- Subjects
Male ,Clinical Biochemistry ,Thyroid Gland ,Physiology ,Thyrotropin ,Biochemistry ,Reference Values ,Biological variation ,medicine ,Humans ,Triiodothyronine ,business.industry ,Thyroid disease ,Biochemistry (medical) ,Thyroid ,General Medicine ,medicine.disease ,Thyroxine ,medicine.anatomical_structure ,Biomarker (medicine) ,Female ,Analysis of variance ,Thyroid function ,business ,Biomarkers ,Hormone - Abstract
Background Thyroid-stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), free T3 (FT3), and free T4 (FT4) are used to diagnose thyroid diseases and monitor treatment effects. Reliable biological variation (BV) data is required to ensure accurate clinical decisions. Methods Blood samples were collected from 31 healthy subjects at 00:00, 04:00, 08:00, 12:00, 16:00, and 20:00; each sample was analyzed twice for TSH, T3, T4, FT3, and FT4. After outlier exclusion, normality assessment, and variance homogeneity, sex-stratified BV, including within-subject (CVI) and between-subject (CVG), was defined using nested ANOVA. Results Concentrations of five biomarkers were significantly different between sexes. The CVI and CVG estimates were 34.54% and 34.43% for TSH, 5.89% and 14.18% for T3, 4.48% and 14.96% for T4, 5.37% and 11.23% for FT3, and 3.57% and 8.03% for FT4, respectively. The individual indexes (IIs) of all the biomarkers (except TSH) were ≤ 0.63. Males had lower CVIs and IIs than females. Conclusion CVI estimates of all hormones, except TSH, were lower than those reported on the BV website, showing low IIs and differences between sexes. We provide updated data on the short-term BV of thyroid function biomarkers according to sex and complement BV data of thyroid function biomarkers.
- Published
- 2021