Display options
Share it on

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

  1. Isfahan Endocrine and Metabolism Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
  2. 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

  1. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000 Oct;14(5):839-54 - PubMed
  2. Thyroid. 2002 Jan;12(1):63-8 - PubMed
  3. Eur J Endocrinol. 2004 Nov;151 Suppl 3:U25-37 - PubMed
  4. Obstet Gynecol. 2005 Feb;105(2):239-45 - PubMed
  5. Thyroid. 2005 Apr;15(4):351-7 - PubMed
  6. Clin Chim Acta. 2006 Aug;370(1-2):147-51 - PubMed
  7. J Clin Endocrinol Metab. 2006 Jul;91(7):2587-91 - PubMed
  8. Niger J Clin Pract. 2006 Dec;9(2):114-9 - PubMed
  9. Eur J Endocrinol. 2007 Oct;157(4):509-14 - PubMed
  10. J Clin Endocrinol Metab. 2008 Jul;93(7):2616-21 - PubMed
  11. Nat Rev Endocrinol. 2010 Sep;6(9):526-9 - PubMed
  12. Thyroid. 2010 Sep;20(9):989-93 - PubMed
  13. Br Med Bull. 2011;97:137-48 - PubMed
  14. Acta Obstet Gynecol Scand. 2011 Feb;90(2):140-9 - PubMed
  15. Clin Chem. 2011 Jun;57(6):e1-e47 - PubMed
  16. Thyroid. 2011 Oct;21(10):1081-125 - PubMed
  17. J Clin Endocrinol Metab. 2012 Aug;97(8):2543-65 - PubMed
  18. Indian J Clin Biochem. 2005 Jul;20(2):182-5 - PubMed
  19. Thyroid. 2013 Mar;23(3):354-9 - PubMed
  20. Arq Bras Endocrinol Metabol. 2013 Apr;57(3):193-204 - PubMed
  21. Eur Heart J. 2013 Jul;34(28):2159-219 - PubMed
  22. J Thyroid Res. 2013;2013:651517 - PubMed
  23. Endocr Pract. 2014 Jun;20(6):589-96 - PubMed
  24. Eur Thyroid J. 2014 Jun;3(2):76-94 - PubMed
  25. Int J Endocrinol Metab. 2014 Oct 01;12(4):e19378 - PubMed
  26. Clin Chem. 2015 May;61(5):704-13 - PubMed
  27. Reprod Health. 2016 Oct 17;13(Suppl 3):127 - PubMed
  28. Acta Obstet Gynecol Scand Suppl. 1974;32(0):21-36 - PubMed
  29. Endocr Rev. 1997 Jun;18(3):404-33 - PubMed
  30. Indian Pediatr. 1998 Jan;35(1):33-6 - PubMed

Publication Types