Volume 20 Issue 8
Aug.  2022
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LI Li, YU De-huai, MA Yu, JIN Hua, LU Yuan, FU Qiang-qiang. Prevalence and influencing factors of thyroid nodule amongst residents aged 50 and above in Shanghai community[J]. Chinese Journal of General Practice, 2022, 20(8): 1360-1362. doi: 10.16766/j.cnki.issn.1674-4152.002597
Citation: LI Li, YU De-huai, MA Yu, JIN Hua, LU Yuan, FU Qiang-qiang. Prevalence and influencing factors of thyroid nodule amongst residents aged 50 and above in Shanghai community[J]. Chinese Journal of General Practice, 2022, 20(8): 1360-1362. doi: 10.16766/j.cnki.issn.1674-4152.002597

Prevalence and influencing factors of thyroid nodule amongst residents aged 50 and above in Shanghai community

doi: 10.16766/j.cnki.issn.1674-4152.002597
Funds:

 201640066

 20174Y0009

  • Received Date: 2021-09-11
    Available Online: 2022-09-26
  •   Objective  To investigate the prevalence of thyroid nodules in residents aged 50 and above in Yangpu District, Shanghai, and to analyse their possible risk factors.  Methods  From April 2016 to April 2017, multi-stage random cluster sampling was adopted, and residents aged 50 and above were selected for thyroid B-ultrasound examination and questionnaire survey.Ordinal logistic regression analysis was used for the analyses.  Results  A total of 6 002 valid questionnaires were obtained.The overall prevalence rate of thyroid nodules amongst elderly residents in the community was 29.1%(1 747/6 002), and the prevalence increased with age.The difference was statistically significant (P < 0.05).The prevalence of thyroid nodules was 31.2%(1 241/3 980) in females and 25.0%(506/2 022) in males.The prevalence was significantly higher in females than in males (P < 0.05).The incidence of multiple nodules, bilobular nodules, isthmus nodules, right lobe nodules and left lobe nodules was 1.8%(110/6 002), 11.8%(106/6 002), 0.1%(6/6 002), 7.7%(464/6 002) and 7.7%(461/6 002), respectively.Multivariate logistic regression analysis showed that female gender (OR=1.364, 95%CI: 1.207-1.542), increasing age (66-80 years, OR=1.188, 95%CI: 1.047-1.348;81 years and above, OR=1.415, 95%CI: 1.123-1.784), central obesity (OR=1.167, 95%CI: 1.039-1.310), lack of physical activity (OR=1.236, 95%CI: 1.099-1.390) and poor sleep status (OR=1.297, 95%CI: 1.154-1.459) were risk factors for thyroid nodules.  Conclusion  The prevalence rate of thyroid nodules in elderly residents aged 50 years and above in Yangpu District is 29.1%, and the prevalence rate of females is significantly higher than that of males.Age, female gender, lack of physical exercise, central obesity and poor sleep quality may be risk factors for thyroid nodules.

     

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