Hypothyroxinemia during pregnancy: the effect on neurodevelopment in the child

► A lack of iodine in the diet may result in the mother becoming iodine deficient, and subsequently hypothyroxinaemic. ► Maternal hypothyroxinemia has a detrimental effect on fetal brain development. ► Screening fT4 at 12 weeks could indicate a subgroup of women whose infants would benefit from an i...

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Veröffentlicht in:International journal of developmental neuroscience 2012-10, Vol.30 (6), p.435-438
Hauptverfasser: Suárez-Rodríguez, Marta, Azcona-San Julián, Cristina, Alzina de Aguilar, Valentín
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container_end_page 438
container_issue 6
container_start_page 435
container_title International journal of developmental neuroscience
container_volume 30
creator Suárez-Rodríguez, Marta
Azcona-San Julián, Cristina
Alzina de Aguilar, Valentín
description ► A lack of iodine in the diet may result in the mother becoming iodine deficient, and subsequently hypothyroxinaemic. ► Maternal hypothyroxinemia has a detrimental effect on fetal brain development. ► Screening fT4 at 12 weeks could indicate a subgroup of women whose infants would benefit from an increase of maternal fT4. Experimental studies have shown that maternal hypothyroxinemia during early pregnancy is associated with poor neurodevelopment in affected offspring. The aim of this study was to assess the impact of maternal serum free T4 on psychomotor development of offspring. The study involved 147 women in the third trimester (week 37) of pregnancy. TSH and free T4 serum levels were measured at 37 week gestation. The children were evaluated between 38 and 60 months of age by the McCarthy Scales of Children's Abilities. 54.4% of the women had a free T4 below the threshold of hypothyroxinemia. We find a significant effect of maternal hypothyroxinemia on the general cognitive index, and on perceptual-manipulative and memory coefficients.
doi_str_mv 10.1016/j.ijdevneu.2012.07.004
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Child, Preschool
Cognition Disorders - etiology
Developmental Disabilities - complications
Developmental Disabilities - etiology
Female
Humans
Hypothyroidism - physiopathology
Hypothyroidism - urine
Hypothyroxinemia
Indexing in process
Iodine - urine
Iodine intake
Male
Neurodevelopment
Pregnancy
Pregnancy Trimester, First
Prenatal Exposure Delayed Effects - physiopathology
Prenatal Exposure Delayed Effects - urine
Psychomotor Performance - physiology
Retrospective Studies
Thyroid Gland - physiopathology
title Hypothyroxinemia during pregnancy: the effect on neurodevelopment in the child
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