Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid Subjects

The aim of the present study was to determine associations of thyroid hormone levels and different metabolic parameters and anthropometric measurements with volume of nodular and nonnodular thyroid as well as with prevalence of goiter and thyroid nodules in middle-aged euthyroid subjects. Methods. T...

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Main Authors: Dalia Dauksiene, Janina Petkeviciene, Jurate Klumbiene, Rasa Verkauskiene, Jelena Vainikonyte-Kristapone, Audrone Seibokaite, Jonas Ceponis, Vygantas Sidlauskas, Laura Daugintyte-Petrusiene, Antanas Norkus, Birute Zilaitiene
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2017/8401518
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author Dalia Dauksiene
Janina Petkeviciene
Jurate Klumbiene
Rasa Verkauskiene
Jelena Vainikonyte-Kristapone
Audrone Seibokaite
Jonas Ceponis
Vygantas Sidlauskas
Laura Daugintyte-Petrusiene
Antanas Norkus
Birute Zilaitiene
author_facet Dalia Dauksiene
Janina Petkeviciene
Jurate Klumbiene
Rasa Verkauskiene
Jelena Vainikonyte-Kristapone
Audrone Seibokaite
Jonas Ceponis
Vygantas Sidlauskas
Laura Daugintyte-Petrusiene
Antanas Norkus
Birute Zilaitiene
author_sort Dalia Dauksiene
collection DOAJ
description The aim of the present study was to determine associations of thyroid hormone levels and different metabolic parameters and anthropometric measurements with volume of nodular and nonnodular thyroid as well as with prevalence of goiter and thyroid nodules in middle-aged euthyroid subjects. Methods. The study consisted of 317 euthyroid subjects aged 48-49 from the Kaunas Cardiovascular Risk Cohort study. Thyroid-stimulating hormone (TSH), free thyroxine (FT4), and antithyroid peroxidase antibody (ATPO) levels, as well as anthropometric and metabolic parameters and smoking information, were evaluated. Results. In subjects with and without thyroid nodules, thyroid volume correlated with components of metabolic syndrome, body mass index (BMI), smoking, and TSH levels. In the nonnodular thyroid group, thyroid volume was also positively related to serum insulin and HOMA-IR, whereas a negative correlation between thyroid volume and leptin was identified in the nodular thyroid group. The goiter was identified in 12.3% of subjects. Female gender, thyroid nodules, smoking, BMI, and levels of TSH were independent predictors for goiter. Thyroid nodules were found in 31.2% of participants. Female gender, higher TSH levels, and thyroid volume were independent risk factors for thyroid nodules. Conclusions. Female gender, thyroid nodules, smoking, BMI, and TSH levels were identified as potential predictors of goiter. Female gender, TSH levels, and thyroid volume predicted the presence of thyroid nodules.
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spelling doaj-art-583cc72ae8aa450c9be9ca7a4b5735592025-02-03T05:44:41ZengWileyInternational Journal of Endocrinology1687-83371687-83452017-01-01201710.1155/2017/84015188401518Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid SubjectsDalia Dauksiene0Janina Petkeviciene1Jurate Klumbiene2Rasa Verkauskiene3Jelena Vainikonyte-Kristapone4Audrone Seibokaite5Jonas Ceponis6Vygantas Sidlauskas7Laura Daugintyte-Petrusiene8Antanas Norkus9Birute Zilaitiene10Institute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaFaculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaFaculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaInstitute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaDepartment of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaInstitute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaInstitute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaInstitute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaDepartment of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaInstitute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaInstitute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaThe aim of the present study was to determine associations of thyroid hormone levels and different metabolic parameters and anthropometric measurements with volume of nodular and nonnodular thyroid as well as with prevalence of goiter and thyroid nodules in middle-aged euthyroid subjects. Methods. The study consisted of 317 euthyroid subjects aged 48-49 from the Kaunas Cardiovascular Risk Cohort study. Thyroid-stimulating hormone (TSH), free thyroxine (FT4), and antithyroid peroxidase antibody (ATPO) levels, as well as anthropometric and metabolic parameters and smoking information, were evaluated. Results. In subjects with and without thyroid nodules, thyroid volume correlated with components of metabolic syndrome, body mass index (BMI), smoking, and TSH levels. In the nonnodular thyroid group, thyroid volume was also positively related to serum insulin and HOMA-IR, whereas a negative correlation between thyroid volume and leptin was identified in the nodular thyroid group. The goiter was identified in 12.3% of subjects. Female gender, thyroid nodules, smoking, BMI, and levels of TSH were independent predictors for goiter. Thyroid nodules were found in 31.2% of participants. Female gender, higher TSH levels, and thyroid volume were independent risk factors for thyroid nodules. Conclusions. Female gender, thyroid nodules, smoking, BMI, and TSH levels were identified as potential predictors of goiter. Female gender, TSH levels, and thyroid volume predicted the presence of thyroid nodules.http://dx.doi.org/10.1155/2017/8401518
spellingShingle Dalia Dauksiene
Janina Petkeviciene
Jurate Klumbiene
Rasa Verkauskiene
Jelena Vainikonyte-Kristapone
Audrone Seibokaite
Jonas Ceponis
Vygantas Sidlauskas
Laura Daugintyte-Petrusiene
Antanas Norkus
Birute Zilaitiene
Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid Subjects
International Journal of Endocrinology
title Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid Subjects
title_full Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid Subjects
title_fullStr Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid Subjects
title_full_unstemmed Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid Subjects
title_short Factors Associated with the Prevalence of Thyroid Nodules and Goiter in Middle-Aged Euthyroid Subjects
title_sort factors associated with the prevalence of thyroid nodules and goiter in middle aged euthyroid subjects
url http://dx.doi.org/10.1155/2017/8401518
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