怀孕早期母亲甲状腺功能与妊娠期糖尿病之间的关联:一项前性队列研究
Kaikun Huang1, Shaofei Su1, Xueran Wang1
1Department of Central Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing 100026, China.
The Journal of clinical endocrinology and metabolism
|August 30, 2023
概括
妊娠早期甲状腺刺激激素 (TSH) 水平升高可能会增加患妊娠期糖尿病 (GDM) 的风险. 这一发现表明,TSH监测对GDM预防策略可能很重要.
科学领域:
- 内分泌学 在内分泌学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 关于甲状腺功能和妊娠糖尿病 (GDM) 的发展,存在不一致的发现.
- 需要进行一项大规模的队列研究来澄清这种关系.
研究的目的:
- 调查怀孕早期甲状腺功能与GDM发病率之间的联系.
- 为了确定特定的甲状腺激素水平或与GDM风险相关的条件.
主要方法:
- 在2018年2月至2020年12月的中国出生队列研究 (CBCS) 中进行的前性队列研究.
- 招募了36256名孕妇;分析包括26742名符合纳入标准的孕妇.
- 孕期糖尿病 (GDM) 是主要的结局指标.
主要成果:
- 14.90%的参与者 (3,985名女性) 被诊断出患有GDM;GDM患者年龄较大.
- 增加的甲状腺刺激激素 (TSH) 和亚临床甲状腺功能低下症与GDM风险显著相关.
- 观察到TSH和GDM之间的非线性关系,风险增加到TSH水平为1.24mIU/L.
结论:
- 在怀孕早期,较高的TSH水平可能与发展GDM的风险增加有关.
- 亚临床甲状腺功能低下症也可能是GDM的危险因素.
- 需要对甲状腺功能查进行进一步的研究,以预防GDM.
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