{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T02:09:45Z","timestamp":1771466985876,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T00:00:00Z","timestamp":1692921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Thyroid function test abnormalities are frequent and associated with the offspring's adverse neurodevelopment. This study aimed to examine the relationship between maternal thyroid function test abnormalities before 20 gestational weeks and children's cognitive, emotional and behavioural development at 3\u20136 years of age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Measurements<\/jats:title><jats:p>A total of 2243 mother\u2013child pairs were included in the final analysis. Maternal thyroid function was evaluated retrospectively during the children's preschool period. The serum thyrotrophin, free thyroxine and thyroid peroxidase antibodies\u00a0(TPOAb) were detected by chemiluminescence immunoassay during the follow\u2010up period. The neurodevelopmental status of preschoolers aged 3\u20136 years was evaluated by parental versions of The Behavior Rating Inventory of Executive Function\u2010Preschool and The Strengths and Difficulties Questionnaires. The associations between maternal thyroid function test abnormalities and preschoolers'\u00a0neurodevelopment were examined using Poisson regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After adjusting for potential confounders in Poisson regression analyses, it showed that maternal isolated TPOAb positivity before 20 gestational weeks may be associated with the increased risk of abnormalities in peer problems (odds ratio [OR]\u2009=\u20091.90, 95% confidence interval\u00a0[CI]: 1.26, 287). Maternal isolated SCH before 20 gestational weeks was observed to be related with increased risk of abnormalities in inhibition (OR\u2009=\u20092.73, 95%\u00a0CI: 1.37, 5.41), working memory (OR\u2009=\u20091.67, 95%\u00a0CI: 1.04, 2.70), conduct problems (OR\u2009=\u20091.80, 95%\u00a0CI: 1.05, 3.09), hyperactivity (OR\u2009=\u20091.94, 95% CI:1.08, 3.49)\u00a0and total difficulties (OR\u2009=\u20091.94, 95%\u00a0CI: 1.13, 3.34). Maternal isolated hypothyroxinemia before 20 gestational was observed to be related with increased risk of abnormalities in peer problems (OR\u2009=\u20092.71, 95%\u00a0CI: 1.17, 6.27).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Thyroid function test abnormalities before 20 gestational weeks may be associated with children's neurodevelopment at 3\u20136 years of age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.14963","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T09:30:09Z","timestamp":1692955809000},"page":"492-501","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Thyroid function test abnormalities\u2010isolated TPOAb+, SCH and hypothyroxinemia\u00a0and preschool children's neurodevelopment"],"prefix":"10.1111","volume":"99","author":[{"given":"Linlin","family":"Zhu","sequence":"first","affiliation":[{"name":"Key Laboratory of Population Health Across Life Cycle, Ministry of Education of the People's Republic of China, NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Anhui Provincial Key Laboratory of Population Health and Aristogenics, Department of Maternal, Child &amp; Adolescent Health, School of Public Health Anhui Medical University Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuzhu","family":"Teng","sequence":"additional","affiliation":[{"name":"Key Laboratory of Population Health Across Life Cycle, Ministry of Education of the People's Republic of China, NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Anhui Provincial Key Laboratory of Population Health and Aristogenics, Department of Maternal, Child &amp; Adolescent Health, School of Public Health Anhui Medical University Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yufan","family":"Guo","sequence":"additional","affiliation":[{"name":"Key Laboratory 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