Association Between Red Blood Cell Distribution Width and Thyroid Function Article Swipe
Guowei Zhou
,
Yueqin Ai
,
Song Guo
,
Quan Chen
,
Xiao Feng
,
Kun Xu
,
Gaoyuan Wang
,
Chaoqun Ma
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3389/fendo.2021.807482
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3389/fendo.2021.807482
Aim Red blood cell distribution width (RDW) is an important parameter with broad biological implications. However, the study investigating the association between RDW and thyroid function remains sparse and inconsistent. We aimed to investigate the association between RDW and thyroid function in the US population. Methods A cross-sectional analysis was performed using the data from the National Health and Nutrition Examination Survey (NHANES) conducted from 2007 to 2010. The thyroid parameters investigated were mainly free triiodothyronine (fT3), free thyroxine (fT4), thyroid-stimulating hormone (TSH), antithyroglobulin antibody (TgAb), and antithyroperoxidase antibody (TPOAb). In the 6,895 adults aged 18 years or older, logistic regression modeling was applied to estimate the association between RDW quartiles and thyroid parameters. Smooth curve fittings and generalized additive models were then performed to address the nonlinear relationship. Results The association between RDW and TSH followed a J-shaped curve, and a significant positive relationship existed in the 12.5%–17.5% range of RDW ( β = 0.350, 95% confidence interval (CI): 0.225 to 0.474), which was prominent in females. We further demonstrated a negative association ( β = −0.018, 95% CI: −0.030 to −0.005) between RDW and fT3. Moreover, elevated RDW was more likely to be subclinical hypothyroidism. However, there was no obvious association between RDW and fT4. Conclusion This study confirmed a significant association between RDW and TSH, and future studies are needed to elucidate the underlying mechanisms of the peculiar RDW-fT3 relationship. RDW may be a significant clinical marker of subclinical hypothyroidism.
Related Topics
Concepts
Red blood cell distribution width
Medicine
Quartile
Subclinical infection
Internal medicine
Odds ratio
Confidence interval
Thyroid function
Thyroid-stimulating hormone
Logistic regression
Thyroid function tests
Thyroid
National Health and Nutrition Examination Survey
Population
Complete blood count
Endocrinology
Environmental health
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fendo.2021.807482
- https://www.frontiersin.org/articles/10.3389/fendo.2021.807482/pdf
- OA Status
- gold
- Cited By
- 16
- References
- 50
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4205157117
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4205157117Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fendo.2021.807482Digital Object Identifier
- Title
-
Association Between Red Blood Cell Distribution Width and Thyroid FunctionWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-01-18Full publication date if available
- Authors
-
Guowei Zhou, Yueqin Ai, Song Guo, Quan Chen, Xiao Feng, Kun Xu, Gaoyuan Wang, Chaoqun MaList of authors in order
- Landing page
-
https://doi.org/10.3389/fendo.2021.807482Publisher landing page
- PDF URL
-
https://www.frontiersin.org/articles/10.3389/fendo.2021.807482/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/articles/10.3389/fendo.2021.807482/pdfDirect OA link when available
- Concepts
-
Red blood cell distribution width, Medicine, Quartile, Subclinical infection, Internal medicine, Odds ratio, Confidence interval, Thyroid function, Thyroid-stimulating hormone, Logistic regression, Thyroid function tests, Thyroid, National Health and Nutrition Examination Survey, Population, Complete blood count, Endocrinology, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
16Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 6, 2024: 3, 2023: 7Per-year citation counts (last 5 years)
- References (count)
-
50Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.nonlinear | 127 |
| abstract_inverted_index.parameter | 10 |
| abstract_inverted_index.performed | 50, 123 |
| abstract_inverted_index.prominent | 165 |
| abstract_inverted_index.quartiles | 110 |
| abstract_inverted_index.thyroxine | 78 |
| abstract_inverted_index.−0.005) | 182 |
| abstract_inverted_index.−0.018, | 177 |
| abstract_inverted_index.Conclusion | 207 |
| abstract_inverted_index.biological | 13 |
| abstract_inverted_index.confidence | 157 |
| abstract_inverted_index.mechanisms | 227 |
| abstract_inverted_index.parameters | 70 |
| abstract_inverted_index.regression | 100 |
| abstract_inverted_index.underlying | 226 |
| abstract_inverted_index.Examination | 60 |
| abstract_inverted_index.association | 20, 35, 107, 131, 173, 202, 213 |
| abstract_inverted_index.generalized | 118 |
| abstract_inverted_index.investigate | 33 |
| abstract_inverted_index.parameters. | 113 |
| abstract_inverted_index.population. | 44 |
| abstract_inverted_index.significant | 142, 212, 237 |
| abstract_inverted_index.subclinical | 195, 241 |
| abstract_inverted_index.demonstrated | 170 |
| abstract_inverted_index.distribution | 4 |
| abstract_inverted_index.investigated | 71 |
| abstract_inverted_index.relationship | 144 |
| abstract_inverted_index.12.5%–17.5% | 148 |
| abstract_inverted_index.implications. | 14 |
| abstract_inverted_index.inconsistent. | 29 |
| abstract_inverted_index.investigating | 18 |
| abstract_inverted_index.relationship. | 128, 232 |
| abstract_inverted_index.cross-sectional | 47 |
| abstract_inverted_index.hypothyroidism. | 196, 242 |
| abstract_inverted_index.triiodothyronine | 75 |
| abstract_inverted_index.antithyroglobulin | 83 |
| abstract_inverted_index.antithyroperoxidase | 87 |
| abstract_inverted_index.thyroid-stimulating | 80 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 96 |
| corresponding_author_ids | https://openalex.org/A5046849812, https://openalex.org/A5101530410 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I131434179, https://openalex.org/I4210152119 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/2 |
| sustainable_development_goals[0].score | 0.75 |
| sustainable_development_goals[0].display_name | Zero hunger |
| citation_normalized_percentile.value | 0.86471138 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |