Neonatal thyroxine, maternal thyroid function, and child cognition

Emily Oken1, Lewis E Braverman, Deborah Platek

  • 1Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts 02215, USA. emily_oken@hphc.org

Insights

Newborn thyroid hormone (T4) levels within the normal range do not predict cognitive development in children. This study found no association between neonatal T4 and later cognitive test scores in an iodine-sufficient area.

Area of Science:

  • Endocrinology
  • Neuroscience
  • Developmental Pediatrics

Background:

  • Thyroid hormone is crucial for brain development.
  • Limited data exist on neonatal thyroid function's impact on later cognitive outcomes.

Purpose of the Study:

  • To investigate associations between newborn thyroxine (T4) levels and maternal thyroid function.
  • To examine the relationship between newborn T4 levels and childhood cognitive development.

Main Methods:

  • A cohort study of 500 children born between 1999-2003.
  • Cognitive test scores were assessed at 6 months and 3 years of age.
  • Newborn T4 levels and maternal thyroid function (T4, TSH, thyroid peroxidase antibodies) were measured.

Main Results:

  • Higher newborn T4 levels were unexpectedly linked to poorer visual recognition memory scores at 6 months.
  • No significant associations were found between newborn T4 and cognitive scores at 3 years.
  • Maternal thyroid function tests were not associated with child cognitive outcomes.

Conclusions:

  • Newborn T4 concentrations within the normal physiological range do not predict cognitive outcomes.
  • Neonatal thyroid function is not associated with maternal thyroid function in this population.
  • Findings are relevant for iodine-sufficient regions.
Abstract

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