{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:50:36Z","timestamp":1783018236653,"version":"3.54.6"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003399","name":"Science and Technology Commission of Shanghai Municipality","doi-asserted-by":"publisher","award":["PW2019D-9, 20Y11907900"],"award-info":[{"award-number":["PW2019D-9, 20Y11907900"]}],"id":[{"id":"10.13039\/501100003399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to determine the association between maternal characteristics and isolated maternal hypothyroxinemia (IMH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pregnancies registered at Shanghai First Maternity and Infant Hospital between January 2014 and September 2020 were included in this cross-sectional study. IMH was defined as free thyroxine (FT4) levels below the 10th percentile with TSH within the normal reference range. Multivariate logistic regression models were used to identify potential risk factors for IMH, including demographic information, anthropometric measurements and nutritional status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 54586 singleton pregnancies were included, involving 6084 women with IMH and 48502 euthyroid women. Multivariate logistic regression analyses showed that the variables for women with ages \u226535 (adjusted OR = 1.30, 95% CI:1.20\u20131.40), non-local residence (adjusted OR = 1.16, 95% CI:1.09\u20131.23), multiparas (adjusted OR = 1.11, 95% CI:1.03\u20131.21), pre-pregnancy overweight (adjusted OR = 1.37, 95% CI:1.27\u20131.49) or obesity (adjusted OR = 1.35, 95% CI:1.18\u20131.54), and iron deficiency (adjusted OR = 1.27, 95% CI:1.20\u20131.35) were independent risk factors for IMH in the overall study population, which were identical to those in the first trimester subgroup.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Maternal characteristics were associated with the onset of IMH. Maternal age, residence of origin, parity, pre-pregnancy body mass index (BMI) and iron status should be comprehensively considered to evaluate the risk of IMH, according to which obstetricians could determine an optimal assessment time for thyroid function.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fendo.2022.843324","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T09:06:09Z","timestamp":1649754369000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Association Between Maternal Characteristics and the Risk of Isolated Maternal Hypothyroxinemia"],"prefix":"10.3389","volume":"13","author":[{"given":"Yang","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guohua","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nafei","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaosong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shijia","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaoling","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1210\/edrv.18.3.0300","article-title":"The Regulation of Thyroid Function in Pregnancy: Pathways of Endocrine Adaptation From Physiology to Pathology","volume":"18","author":"Glinoer","year":"1997","journal-title":"Endocr Rev"},{"key":"B2","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1159\/000492129","article-title":"Effect of Thyroid Hormones on Neurons and Neurodevelopment","volume":"90","author":"Prezioso","year":"2018","journal-title":"Horm Res Paediatr"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1210\/en.2004-0274","article-title":"A Moderate and Transient Deficiency of Maternal Thyroid Function at the Beginning of Fetal Neocorticogenesis Alters Neuronal Migration","volume":"145","author":"Aus\u00f3","year":"2004","journal-title":"Endocrinology"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1172\/JCI114790","article-title":"Congenital Hypothyroidism, as Studied in Rats. 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