The correlation between the thyroid function and urinary iodine/creatinine ratio of pregnant women attending a tertiary hospital in Beijing, China, during different trimesters.

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Xiao-Yan Guo, Yan Long
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引用次数: 0

Abstract

Objective: This study investigated the correlation between thyroid function and urinary iodine/creatinine ratio (UI/Cr) in pregnant women during different trimesters and explored potential influencing factors.

Methods: In this cross-sectional study, serum levels of thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), free thyroxine (FT4), and UI/Cr were measured in 450 pregnant women. Correlations were analyzed using Pearson's correlation coefficient and multiple linear regression. Subgroup analyses were performed based on age, body mass index (BMI), parity, gestational age, education, occupation, and family history of thyroid disorders.

Results: UI/Cr was positively correlated with FT4 levels in the first and second trimesters, particularly in women with older age, higher BMI, multiparity, higher education, and employment. No significant correlations were found between UI/Cr and TSH or FT3 levels.

Conclusion: UI/Cr is positively correlated with FT4 levels in early pregnancy, especially in women with certain risk factors. Regular monitoring of iodine status and thyroid function is recommended for pregnant women to ensure optimal maternal and fetal health.

中国北京一家三甲医院不同孕期孕妇甲状腺功能与尿碘/肌酐比值之间的相关性。
目的本研究调查了不同孕期孕妇甲状腺功能与尿碘/肌酐比值(UI/Cr)之间的相关性,并探讨了潜在的影响因素:在这项横断面研究中,对 450 名孕妇的血清促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)和 UI/Cr 水平进行了测量。使用皮尔逊相关系数和多元线性回归分析了相关性。根据年龄、体重指数(BMI)、胎次、孕龄、教育程度、职业和甲状腺疾病家族史进行了分组分析:妊娠头三个月和后三个月的 UI/Cr 与 FT4 水平呈正相关,尤其是年龄较大、体重指数较高、多胎妊娠、受教育程度较高和有工作的妇女。结论:UI/Cr 与胰岛素促甲状腺激素(TSH)或胰高血糖素(FT3)水平无明显相关性:结论:UI/Cr 与孕早期的 FT4 水平呈正相关,尤其是在具有某些风险因素的妇女中。建议定期监测孕妇的碘状况和甲状腺功能,以确保母体和胎儿的最佳健康状态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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