母亲甲状腺激素失衡和自闭症谱系障碍的风险
Leena Elbedour1, May Weinberg2,3, Gal Meiri4,5
1Department of Epidemiology, Biostatistics and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel.
The Journal of clinical endocrinology and metabolism
|November 25, 2025
概括
怀孕期间母亲的甲状腺功能低下会增加后代自闭症谱系障碍 (ASD) 的风险,尤其是在持续的荷尔蒙失衡的情况下. 适当治疗的甲状腺功能低下症似乎不会增加ASD风险.
科学领域:
- 神经发育障碍 神经发育障碍
- 内分泌学 在内分泌学.
- 怀孕健康 怀孕健康 怀孕健康
背景情况:
- 母亲的甲状腺激素对于胎儿的神经发育至关重要.
- 孕期甲状腺功能障碍与非典型的神经发育和自闭症谱系障碍 (ASD) 风险增加有关.
研究的目的:
- 调查怀孕期间母亲甲状腺功能障碍与后代患ASD风险之间的联系.
主要方法:
- 追溯的队列研究,包括51,296个单独出生.
- 与电子健康记录相关的数据来自以色列一家三级医院.
- 基于DSM-5标准的后代自闭症诊断.
主要成果:
- 在多个月内持续存在的母体甲状腺功能低下症显示出剂量反应关系与ASD风险增加.
- 慢性甲状腺功能低下症,如果得到适当的治疗,与更高的ASD风险没有显著关联.
- 在研究期间,总共有8.6%的母亲表现出甲状腺功能异常.
结论:
- 在怀孕期间持续存在的母体甲状腺激素失衡会增加后代的ASD风险.
- 经过适当治疗的慢性甲状腺功能低下症似乎不是ASD的危险因素.
- 在怀孕期间进行常规的甲状腺功能查和及时治疗对于优化神经发育结果至关重要.
相关概念视频
Autism Spectrum Disorder
923
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
923
Synthesis and Regulation of Thyroid Hormones
7.1K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
7.1K
Attention-Deficit/Hyperactivity Disorder
722
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
722
Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
Functions of Thyroid Hormones
4.9K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
4.9K
Meiosis vs. Mitosis
69.2K
Cell division is necessary for growth and reproduction in organisms. Mitosis aids cell growth and development by dividing somatic cells. In contrast, meiosis causes the division of germ cells and plays an essential role in sexual reproduction. Due to their unique functional requirements, mitosis and meiosis differ from each other in multiple aspects.
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
69.2K


