Thyroid disease

Hypothyroidism in Danish Pregnant Women Across Decades

J Clin Endocrinol MetabPublished Nationwide register-based cohort study

Authors' conclusion

When evaluated in a large nationwide cohort across decades, the occurrence of hypothyroidism in Danish pregnant women increased. Regional differences were found and encourage further studies on the underlying mechanisms.

Study context

Population
Pregnant women in Denmark, 1997–2016, with a singleton, live-born pregnancy; hypothyroidism from redeemed LT4 prescriptions
Participants
1,189,134 women
Exposure
East Denmark vs West Denmark, 1997–2016
  • East Denmarkn = 549,410
  • West Denmarkn = 639,724
Outcome
Incidence and prevalence of maternal hypothyroidism in pregnancy (redeemed LT4 prescriptions)
Follow-up
1997-2016
Methodological detailsstratified by region (East vs West Denmark) as proxy of iodine intake
  • Stratified by region (East vs West Denmark) as proxy of iodine intake

Main finding

As reported in the abstract

Incidence of maternal hypothyroidism in pregnancy · 1997 (3 years before iodine fortification) and 2016
GroupValueIncidence 2016 (per 1000 pregnancies; 95% CI 8.0-10.3)Incidence 2016 (per 1000 pregnancies; 95% CI 4.3-6.0)
East Denmark0.55/1000 pregnancies (CI 0.30–0.93)9.1
West Denmark0.48/1000 pregnancies (CI 0.27–0.77)5.1

Value

East Denmark0.55/1000 pregnancies (CI 0.30–0.93)
West Denmark0.48/1000 pregnancies (CI 0.27–0.77)

Incidence 2016 (per 1000 pregnancies; 95% CI 8.0-10.3)

East Denmark9.1
West Denmark— not stated in the abstract

Incidence 2016 (per 1000 pregnancies; 95% CI 4.3-6.0)

East Denmark— not stated in the abstract
West Denmark5.1

Observational data: associations, not effects.

Further findings

OutcomeEast DenmarkWest Denmark
Prevalence of hypothyroidism in pregnancy, 1997-19993.8/1000 pregnancies3.1/1000 pregnancies
Prevalence of hypothyroidism in pregnancy, 2013-201624.5/1000 pregnancies15.8/1000 pregnancies

Original publication

Hypothyroidism in Danish Pregnant Women Across Decades. J Clin Endocrinol Metab. Published 21 May 2025. doi:10.1210/clinem/dgaf300

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