Thyroid disease

Thyroid function test abnormalities‐isolated TPOAb+, SCH and hypothyroxinemia and preschool children's neurodevelopment

Clin Endocrinol (Oxf)Published Cohort study

Authors' conclusion

Thyroid function test abnormalities before 20 gestational weeks may be associated with children's neurodevelopment at 3-6 years of age.

Study context

Population
Mother-child pairs; children aged 3–6 years assessed with parental BRIEF-P and SDQ; maternal TSH, FT4 and TPOAb measured by chemiluminescence immunoassay
Participants
2,243 mother-child pairs
Exposure
Maternal thyroid function test abnormalities (isolated TPOAb+, isolated SCH, isolated hypothyroxinemia) before 20 gestational weeks vs none
Outcome
Children's cognitive, emotional and behavioural development (abnormalities on BRIEF-P and SDQ)
Follow-up
3-6 years of age
Methodological detailsretrospective evaluation of maternal thyroid function, Poisson regression adjusted for potential confounders
  • Retrospective evaluation of maternal thyroid function
  • Poisson regression adjusted for potential confounders

Main finding

As reported in the abstract

Abnormalities in preschoolers' neurodevelopment · 3-6 years
Odds ratio (95% CI)
Isolated TPOAb+peer problems
1.90(1.26–287)
Isolated SCHinhibition
2.73(1.37–5.41)
Isolated SCHworking memory
1.67(1.04–2.70)
Isolated SCHconduct problems
1.80(1.05–3.09)
Isolated SCHhyperactivity
1.94(1.08–3.49)
Isolated SCHtotal difficulties
1.94(1.13–3.34)
Isolated hypothyroxinemiapeer problems
2.71(1.17–6.27)

Observational data: associations, not effects.

Original publication

Thyroid function test abnormalities‐isolated TPOAb+, SCH and hypothyroxinemia and preschool children's neurodevelopment. Clin Endocrinol (Oxf). Published 25 August 2023. doi:10.1111/cen.14963

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