Significance of levothyroxine treatment on serum lipid in pregnant women with subclinical hypothyroidism.
BMC Pregnancy Childbirth
; 22(1): 623, 2022 Aug 06.
Article
en En
| MEDLINE
| ID: mdl-35933361
ABSTRACT
BACKGROUND:
There is no consensus reference range for serum lipid levels during pregnancy. The benefit of levothyroxine (L-T4) on serum lipid levels are unclear among pregnant women with subclinical hypothyroidism (SCH).OBJECTIVE:
To determine the recommended reference ranges for serum lipid concentrations during pregnancy and effects of L-T4 treatment on serum lipids in pregnant women with SCH.DESIGN:
Cohort study.METHODS:
A analysis of 20,365 women in the first trimester was conducted at Beijing Obstetrics and Gynecology Hospital, Capital Medical University during 2018-2020. After excluding women with adverse pregnancy outcomes, we determined the reference range of serum lipid in the first and third trimesters of pregnancy by using median and quartile to determine appropriate percentiles. Next, we divided into three groups as follows SCH L-T4 treatment group (n = 319), SCH non-intervention group (n = 103) and the control group(n = 9598).RESULTS:
The recommended reference range for serum lipids in the first trimester of pregnancy should be TC < 5.33 mmol/L, TG < 1.73 mmol/L, LDL-C < 3.12 mmol/L and HDL-C > 1.1 mmol/L, and in third trimester of pregnancy should be TC < 8.47 mmol/L, TG < 4.86 mmol/L, LDL-C < 5.3 mmol/L and HDL-C > 1.34 mmol/L. There are significant differences in TC and LDL-C levels between SCH treatment group and SCH non-intervention Group (P = 0.043, P = 0.046; respectively).CONCLUSIONS:
We determine the recommended reference ranges for serum lipid concentrations during pregnancy. TC and LDL-C levels in pregnant women with SCH could improve after L-T4 treatment.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Tiroxina
/
Hipotiroidismo
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
BMC Pregnancy Childbirth
Asunto de la revista:
OBSTETRICIA
Año:
2022
Tipo del documento:
Article
País de afiliación:
China