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Thyroid
Lack of a Relation Between Human Neonatal Thyroxine and Pediatric Neurobehavioral Disorders
To cite this paper:
Offie Porat Soldin, Shenghan Lai, Steven H. Lamm, Shiela Mosee.
Thyroid.
February 1, 2003,
13(2): 193-198.
doi:10.1089/105072503321319503.
Offie Porat Soldin Consultants in Epidemiology and Occupational Health, Inc. (CEOH, Inc.), Washington, D.C. and MotherRisk, Division of Clinical Pharmacology/Toxicology, The Hospital for Sick Children, Toronto, Ontario, Canada Shenghan Lai Johns Hopkins School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland Steven H. Lamm Consultants in Epidemiology and Occupational Health, Inc. (CEOH, Inc.), Washington, D.C. and Johns Hopkins School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland Shiela Mosee Biochemistry, Molecular Biology and Pediatrics, Child Health, Howard University College of Medicine, Washington, D.C. 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.  This paper was cited by:The Epidemiology of Autism Spectrum Disorders<sup>*</sup> Craig J. Newschaffer, Lisa A. Croen, Julie Daniels, Ellen Giarelli, Judith K. Grether, Susan E. Levy, David S. Mandell, Lisa A. Miller, Jennifer Pinto-Martin, Judy Reaven Annual Review of Public Health. 2007, Vol. 28, No. 1: 235 CrossRef Identification and characterization of the TRIP8 and REEP3 genes on chromosome 10q21.3 as novel candidate genes for autism Dries Castermans, Joris R Vermeesch, Jean-Pierre Fryns, Jean G Steyaert, Wim J M Van de Ven, John W M Creemers, Koen Devriendt European Journal of Human Genetics. 2007, Vol. 15, No. 4: 422 CrossRef Authors' Response Offie P. Soldin, Steven H. Lamm, Shenghan Lai Thyroid. Mar 2004, Vol. 14, No. 3: 241-243 Citation | Full Text PDF | Reprints & PermissionsLack of a Relation Between Human Neonatal Thyroxine and Pediatric Neurobehavioral Disorders: Neonatal Total Thyroxine Is Not a Good Proxy Measure of Maternal Thyroid Hormone Insufficiency R. Thomas Zoeller, Carol Bigelow, Joanne Rovet Thyroid. Mar 2004, Vol. 14, No. 3: 239-241 Citation | Full Text PDF | Reprints & PermissionsPediatric neurobehavioral diseases in Nevada counties with respect to perchlorate in drinking water: An ecological inquiry Soju Chang, Carol Crothers, Shenghan Lai, Steven Lamm Birth Defects Research Part A Clinical and Molecular Teratology. 2003, Vol. 67, No. 10: 886 CrossRef
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