The correlative analysis analysis between thyroid-stimulating hormone levels and metabolic syndrome during pregnancy
1.Department of Obstetrics and Gynecology, the Third Affiliated Clinical College of Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, 325000; 2.Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027
ZHOU Qingdiao1,ZHENG Xiaodong1,LI Xiumei1, et al. The correlative analysis analysis between thyroid-stimulating hormone levels and metabolic syndrome during pregnancy[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(10 ): 758-.
Abstract:Objective: To investigate the relationship between thyroid-stimulating hormone (TSH) levels and metabolic syndrome during pregnancy. Methods: Nine hundred and eleven single pregnant women who accepted regular obstetrical inspection and delivered in Wenzhou People’s Hospital were enrolled. One hundred and forty-nine cases with subclinical hypothyroidism (TSH>3.0 mIU/L) were divided into study group and other 762 pregnant women with TSH<3.0 mIU/L were as controls. Information Including age, gestational weeks, body weight before pregnancy and biochemical indicators, including total cholesterol (CHOL), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and thyroid-stimulating hormone levels were recorded. The levels of serum lipid, the prevalence of pregnancy induced hypertension, gestational diabetes mellitus and pregnancy metabolic syndrome were compared between the two group. Results: The levels of triglyceride in the subclinical hypothyroidism group were much higher than that in the controls. The difference was statistically significant (P<0.05). The incidence of GMS and pregnancy induced hypertension was much higher than that in the controls. There was no correlation between TSH and GMS (P>0.05). The TSH seemed to have relationship in the morbidity between pregnancy induced hypertension and normal (P<0.05). Conclusion: There is a significant correlation between TSH levels and triglyceride and pregnancy induced hypertension.The levels of TSH is also associated with pregnancy hypertension, but not related to GMS.
[1] 中华医学会糖尿病学分会代谢综合征研究协作组. 中华 医学会糖尿病学分会关于代谢综合征的建议[J]. 中华糖尿病杂志, 2004, 12(3): 156-161.
[2] Wiznitzer A, Mayer A, Novack V, et a1. Association of lipid levels during gestation with preeclampsia and gestational diabetes mellitus: a population—based study[J]. Am J Obstet Gynecol, 2009, 201(5): el-e8.
[3] 魏玉梅, 杨慧霞. “第六届糖尿病合并妊娠国际会议”纪要[J]. 中华围产医学杂志, 2011, 14(7): 447-448.
[4] ATA. Guideline of ATA for the diagnosis and managenlent of thyroid disease during pregnancy and poststpartum[J].Thyroid, 2011, 21(10): 108l-1125.
[5] Casey BM, Dashe JS, WeIIs CE, et a1. SubclinicaI hypothyroidism and pregnancy outcomes[J]. Obstet Gynecol, 2005,105(2): 239-245.
[6] 贺译平, 贺同强, 王艳霞, 等. 不同标准诊断的亚临床甲状腺功能减退症及甲状腺过氧化物酶抗体阳性对妊娠的影响[J]. 中华妇产科杂志, 2014, 49(11): 823-828.
[7] 汪露, 王志华. 妊娠期亚甲状腺功能异常对妊娠结局的影响[J]. 浙江临床医学, 2015, 17(2): 256-257.
[8] Tudela CM, Casey CM, Mclntire DD, et a1. Relationship of subclinical thyroid disease to the incidence of gestational diabetes[J]. Obstet Gynecol, 2012, 119(5): 983-988.
[9] Cai Y, Ren Y, Shi J. Blood pressure levels in patients with subclinical thyroid dysfunction: a meta analysis of cross-sectional data[J]. Hypertens Res, 2011, 34(10): 1098-1105.
[10] Ferreira MM, Teixeira Pole F, Mansur VA, et al. Ambulatory blood pressure monitoring in normotensive patients with subclinical hypothyroidism[J]. Arq Bras Cardiol, 2010,94(6): 806-812.
[11] Taddei S, Caraecio N, Virdis A, et a1. Impaired endothelium—dependent vasodilation in subclinical hypothyroidism beneficial effect of levothyroxine therapy[J]. J Clin Endocrinol Metab, 2003, 88(8): 3731-3737.