J Res Med Sci. 2018 Nov 28;23:99. doi: 10.4103/jrms.JRMS_197_18. eCollection 2018.
Thyroid function test reference ranges in the first trimester of gestation and pregnancy outcomes: Protocol and preliminary results for cohort population-based study Isfahan, Iran.
Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences
Maryam Kianpour, Ashraf Aminorroaya, Massoud Amini, Awat Feizi, Mohsen Janghorbani
Affiliations
Affiliations
- Isfahan Endocrine and Metabolism Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
- Department of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
PMID: 30595707
PMCID: PMC6282545 DOI: 10.4103/jrms.JRMS_197_18
Abstract
BACKGROUND: This paper presents the protocol and primary findings of pregnancy cohort population-based study in Isfahan, Iran.
MATERIALS AND METHODS: In this cohort, 418 pregnant and 438 nonpregnant women were enrolled. In the first phase, serum concentrations of thyroid-stimulating hormone (TSH), free thyroxine (FT4), free triiodothyronine (FT3), thyroid peroxidase antibody, and urinary iodine concentration (UIC) were measured. Furthermore, the thyroid ultrasound was also performed. According to the results of thyroid function tests in the first phase, local reference range for TSH, FT4, and FT3 in pregnant and nonpregnant women are determined. The 2.5
RESULTS: The mean ± standard deviation for TSH, FT4, FT3, and UIC in the first trimester of gestation was 1.84 ± 1.32 mIU/L, 1.01 ± 0.15 ng/dL, 4.50 ± 0.64 pmol/L, and 172.0 ± 90.29 μg/L, respectively. In nonpregnant women, these values for TSH, FT4, FT3, and UIC were 2.58 ± 1.77 mIU/L, 1.10 ± 0.21 ng/dL, 4.49 ± 0.57 pmol/L, and 190.0 ± 109.6 μg/L, respectively.
CONCLUSION: The results of the present study could contribute to establish a local thyroid function tests reference ranges in the first trimester of pregnancy. It could possibly be effective on making a local reference value to prevent of thyroid disease misdiagnosis during pregnancy and adverse pregnancy outcomes.
Keywords: Cohort population-based study; Iran; pregnancy outcomes; reference range; thyroid function
Conflict of interest statement
There are no conflicts of interest.
References
- Baillieres Best Pract Res Clin Obstet Gynaecol. 2000 Oct;14(5):839-54 - PubMed
- Thyroid. 2002 Jan;12(1):63-8 - PubMed
- Eur J Endocrinol. 2004 Nov;151 Suppl 3:U25-37 - PubMed
- Obstet Gynecol. 2005 Feb;105(2):239-45 - PubMed
- Thyroid. 2005 Apr;15(4):351-7 - PubMed
- Clin Chim Acta. 2006 Aug;370(1-2):147-51 - PubMed
- J Clin Endocrinol Metab. 2006 Jul;91(7):2587-91 - PubMed
- Niger J Clin Pract. 2006 Dec;9(2):114-9 - PubMed
- Eur J Endocrinol. 2007 Oct;157(4):509-14 - PubMed
- J Clin Endocrinol Metab. 2008 Jul;93(7):2616-21 - PubMed
- Nat Rev Endocrinol. 2010 Sep;6(9):526-9 - PubMed
- Thyroid. 2010 Sep;20(9):989-93 - PubMed
- Br Med Bull. 2011;97:137-48 - PubMed
- Acta Obstet Gynecol Scand. 2011 Feb;90(2):140-9 - PubMed
- Clin Chem. 2011 Jun;57(6):e1-e47 - PubMed
- Thyroid. 2011 Oct;21(10):1081-125 - PubMed
- J Clin Endocrinol Metab. 2012 Aug;97(8):2543-65 - PubMed
- Indian J Clin Biochem. 2005 Jul;20(2):182-5 - PubMed
- Thyroid. 2013 Mar;23(3):354-9 - PubMed
- Arq Bras Endocrinol Metabol. 2013 Apr;57(3):193-204 - PubMed
- Eur Heart J. 2013 Jul;34(28):2159-219 - PubMed
- J Thyroid Res. 2013;2013:651517 - PubMed
- Endocr Pract. 2014 Jun;20(6):589-96 - PubMed
- Eur Thyroid J. 2014 Jun;3(2):76-94 - PubMed
- Int J Endocrinol Metab. 2014 Oct 01;12(4):e19378 - PubMed
- Clin Chem. 2015 May;61(5):704-13 - PubMed
- Reprod Health. 2016 Oct 17;13(Suppl 3):127 - PubMed
- Acta Obstet Gynecol Scand Suppl. 1974;32(0):21-36 - PubMed
- Endocr Rev. 1997 Jun;18(3):404-33 - PubMed
- Indian Pediatr. 1998 Jan;35(1):33-6 - PubMed
Publication Types