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The role of maternal prenatal thyroid function on offspring depression: Findings from the ALSPAC cohort

Published online by Cambridge University Press:  28 January 2019

Dagnachew Muluye Fetene*
Affiliation:
Institute for Social Science Research, University of Queensland, Brisbane, Australia College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia School of Public Health, University of Queensland, Brisbane, Australia
Kim S. Betts
Affiliation:
Institute for Social Science Research, University of Queensland, Brisbane, Australia
Rosa Alati
Affiliation:
Institute for Social Science Research, University of Queensland, Brisbane, Australia
*
Author for correspondence: Dagnachew Muluye Fetene, Institute for Social Science Research, The University of Queensland, Level 2, Dianella Building (1021), 80 Meiers Rd, Indooroopilly QLD 4068, Australia. E-mail: [email protected]

Abstract

Maternal thyroid dysfunction during pregnancy may contribute to offspring neurobehavioral disorders. In this paper, we investigate the relationship between maternal thyroid function during pregnancy and offspring depression and anxiety. Data were taken from the Avon Longitudinal Study of Parents and Children. A total of 2,920 mother-child pairs were included. Thyroid-stimulating hormone levels, free thyroxine (FT4), and thyroid peroxidase antibodies were assessed during the first trimester of pregnancy because maternal supply is the only source of thyroid hormone for the fetus during the first 12 weeks of gestation. Child symptoms of depression and anxiety were assessed using the Development and Well-Being Assessment at ages 7.5 and 15 years. The odds of presenting with depression and anxiety were estimated using the generalized estimating equation. The level of FT4 during the first trimester of pregnancy was associated with child depression combined at ages 7.5 and 15 (odds ratio = 1.21, 95% confidence interval [1.00, 1.14]. An increase of 1 standard deviation of FT4 during pregnancy increased the odds of child depression by 28% after adjustment made for potential confounders. No association was found among maternal levels of thyroid-stimulating hormone, FT4, and thyroid peroxidase antibodies and childhood anxiety. In conclusion, increased levels of FT4 during the first trimester of pregnancy appear be linked to greater risk of offspring depression.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2019

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