TY - JOUR
T1 - Lack of a relation between human neonatal thyroxine and pediatric neurobehavioral disorders
AU - Soldin, Offie Porat
AU - Lai, Shenghan
AU - Lamm, Steven H.
AU - Mosee, Shiela
PY - 2003/2/1
Y1 - 2003/2/1
N2 - The growth and differentiation of the central nervous system are closely related to the presence of iodine and thyroid hormones. It has been hypothesized that neurobehavioral disabilities of childhood, such as attention deficit hyperactivity disorder (ADHD), learning disorders, and autism can be attributed to fetal thyroidal endocrine disruption in utero. To determine whether there is an association between neonatal thyroid status and a subsequent diagnosis of a neurobehavioral disability, neonatal thyroxine (T4) levels have been used as the indicator of the presence of intrauterine thyroidal dysfunction. Neonatal T4 levels were obtained from the neonatal hypothyroidism screening program. All cases were diagnosed at medical school diagnostic clinics, the diagnostic categories being ADHD, autism spectrum disorder, behavioral disorder, cognitive disorder, developmental delay, emotional disorder, learning disability, and speech/language disorder. Conditional logistic regression analysis was performed for each clinical condition. Odds ratios for the conditions ranged from 0.92 to 1.13 with p values ranging between 0.19 and 0.84. No significant differences were detected between neonatal T4 values of the cases and the controls for any of the neurobehavioral conditions. All neonatal T4 values were within normal ranges. The data provide no evidence to suggest that intrauterine thyroid status as reflected by the neonatal T4 values had an impact on the neurologic disorders diagnosed in childhood.
AB - The growth and differentiation of the central nervous system are closely related to the presence of iodine and thyroid hormones. It has been hypothesized that neurobehavioral disabilities of childhood, such as attention deficit hyperactivity disorder (ADHD), learning disorders, and autism can be attributed to fetal thyroidal endocrine disruption in utero. To determine whether there is an association between neonatal thyroid status and a subsequent diagnosis of a neurobehavioral disability, neonatal thyroxine (T4) levels have been used as the indicator of the presence of intrauterine thyroidal dysfunction. Neonatal T4 levels were obtained from the neonatal hypothyroidism screening program. All cases were diagnosed at medical school diagnostic clinics, the diagnostic categories being ADHD, autism spectrum disorder, behavioral disorder, cognitive disorder, developmental delay, emotional disorder, learning disability, and speech/language disorder. Conditional logistic regression analysis was performed for each clinical condition. Odds ratios for the conditions ranged from 0.92 to 1.13 with p values ranging between 0.19 and 0.84. No significant differences were detected between neonatal T4 values of the cases and the controls for any of the neurobehavioral conditions. All neonatal T4 values were within normal ranges. The data provide no evidence to suggest that intrauterine thyroid status as reflected by the neonatal T4 values had an impact on the neurologic disorders diagnosed in childhood.
UR - http://www.scopus.com/inward/record.url?scp=0038582544&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0038582544&partnerID=8YFLogxK
U2 - 10.1089/105072503321319503
DO - 10.1089/105072503321319503
M3 - Article
C2 - 12699594
AN - SCOPUS:0038582544
SN - 1050-7256
VL - 13
SP - 193
EP - 198
JO - Thyroid
JF - Thyroid
IS - 2
ER -