Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomes

Background: Adiposity may be associated with thyroid nodularity. However, its impact on the number of nodules and the risk of malignancy is unclear. Aim: To evaluate the impact of adiposity on thyroid nodules using body mass index (BMI), ultrasonographic (US) data and cytological data. Methods: A re...

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Main Authors: Elpida Demetriou, Aliki Economides, Maria Fokou, Demetris Lamnisos, Stavroula A Paschou, Panagiotis Papageorgis, Panayiotis A Economides
Format: Article
Language:English
Published: Bioscientifica 2025-01-01
Series:European Thyroid Journal
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Online Access:https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0176.xml
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author Elpida Demetriou
Aliki Economides
Maria Fokou
Demetris Lamnisos
Stavroula A Paschou
Panagiotis Papageorgis
Panayiotis A Economides
author_facet Elpida Demetriou
Aliki Economides
Maria Fokou
Demetris Lamnisos
Stavroula A Paschou
Panagiotis Papageorgis
Panayiotis A Economides
author_sort Elpida Demetriou
collection DOAJ
description Background: Adiposity may be associated with thyroid nodularity. However, its impact on the number of nodules and the risk of malignancy is unclear. Aim: To evaluate the impact of adiposity on thyroid nodules using body mass index (BMI), ultrasonographic (US) data and cytological data. Methods: A retrospective cohort study of 310 patients with thyroid nodules was performed. Patients were categorized based on their BMI, and grayscale US data and fine-needle aspiration cytology results were evaluated. Results: Patients with BMI ≥ 25 kg/m2 were found to have a higher number of thyroid nodules compared to those with BMI < 25 kg/m2 (4.25 ± 2.42 vs 3.66 ± 1.93) (P value = 0.05). Patients with BMI ≥ 25 kg/m2 had more suspicious and malignant cytology than those with BMI < 25 kg/m2 (P value = 0.029). Patients with BMI ≥ 25 kg/m2 had more nodules with intermediate and high suspicion sonographic patterns. However, this did not reach statistical significance. Conclusion: Overweight and obese patients have a trend for more thyroid nodules and have a higher risk of being diagnosed with thyroid malignancy.
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series European Thyroid Journal
spelling doaj-art-9ff553d67ae540d198139b85448cc3ad2025-01-12T04:28:53ZengBioscientificaEuropean Thyroid Journal2235-08022025-01-0114110.1530/ETJ-24-01761Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomesElpida Demetriou0Aliki Economides1Maria Fokou2Demetris Lamnisos3Stavroula A Paschou4Panagiotis Papageorgis5Panayiotis A Economides6Department of Medicine, School of Medicine, European University Cyprus, Nicosia, CyprusEconomides Thyroid & Endocrinology Center, Nicosia, CyprusDepartment of Medicine, School of Medicine, European University Cyprus, Nicosia, CyprusDepartment of Life Sciences, European University Cyprus, Nicosia, CyprusDepartment of Medicine, School of Medicine, European University Cyprus, Nicosia, CyprusDepartment of Life Sciences, European University Cyprus, Nicosia, CyprusDepartment of Medicine, School of Medicine, European University Cyprus, Nicosia, CyprusBackground: Adiposity may be associated with thyroid nodularity. However, its impact on the number of nodules and the risk of malignancy is unclear. Aim: To evaluate the impact of adiposity on thyroid nodules using body mass index (BMI), ultrasonographic (US) data and cytological data. Methods: A retrospective cohort study of 310 patients with thyroid nodules was performed. Patients were categorized based on their BMI, and grayscale US data and fine-needle aspiration cytology results were evaluated. Results: Patients with BMI ≥ 25 kg/m2 were found to have a higher number of thyroid nodules compared to those with BMI < 25 kg/m2 (4.25 ± 2.42 vs 3.66 ± 1.93) (P value = 0.05). Patients with BMI ≥ 25 kg/m2 had more suspicious and malignant cytology than those with BMI < 25 kg/m2 (P value = 0.029). Patients with BMI ≥ 25 kg/m2 had more nodules with intermediate and high suspicion sonographic patterns. However, this did not reach statistical significance. Conclusion: Overweight and obese patients have a trend for more thyroid nodules and have a higher risk of being diagnosed with thyroid malignancy.https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0176.xmlthyroid nodulesobesitybmithyroid ultrasoundfnaadiposity
spellingShingle Elpida Demetriou
Aliki Economides
Maria Fokou
Demetris Lamnisos
Stavroula A Paschou
Panagiotis Papageorgis
Panayiotis A Economides
Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomes
European Thyroid Journal
thyroid nodules
obesity
bmi
thyroid ultrasound
fna
adiposity
title Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomes
title_full Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomes
title_fullStr Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomes
title_full_unstemmed Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomes
title_short Adiposity is associated with a higher number of thyroid nodules and worse fine-needle aspiration outcomes
title_sort adiposity is associated with a higher number of thyroid nodules and worse fine needle aspiration outcomes
topic thyroid nodules
obesity
bmi
thyroid ultrasound
fna
adiposity
url https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0176.xml
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AT mariafokou adiposityisassociatedwithahighernumberofthyroidnodulesandworsefineneedleaspirationoutcomes
AT demetrislamnisos adiposityisassociatedwithahighernumberofthyroidnodulesandworsefineneedleaspirationoutcomes
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