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| Thyroid Deficiency In Pregnancy
Affects Child IQ |
Even a mild, symptom-free case of thyroid deficiency
in a pregnant woman can affect her child's IQ scores years later, results of
a study suggest. Children aged 7 to 9 who had mothers with untreated
hypothyroidism in pregnancy had IQ scores about 7 points lower than
youngsters of women without such a deficiency. The researchers note that for
the first 12 weeks of pregnancy, before the unborn child's thyroid becomes
active, the mother is the sole source of thyroid hormones. Studies suggest
that these hormones play a role in brain development. Overall, compared with
other children, the offspring of thyroid-deficient mothers had impaired
school performance and lower scores on tests of attention, language, and
visual-motor performance.
An editorial in NEJM notes that there are two
potential causes of hypothyroidism in women: chronic autoimmune thyroiditis
and iodine deficiency. Both causes likely play a role in thyroid deficiency
in the US, where 15% of women of childbearing age had overtly inadequate
intake of iodine between 1988 and 1994. With this in mind, the editorialist
notes that efforts to increase dietary iodine intake in the US should be the
first step in any program to help prevent the adverse effects of
hypothyroidism during pregnancy.
The New England Journal of Medicine
1999;341:549-555, 601-602.
COMMENT: Another important recommendation for
pregnant women. Please be sure and get your thyroid function tested. The
most accurate way is described in my article section on my web site at
www.mercola.com. One needs to measure FREE hormone levels in addition to a
TSH level. If levels are low, one should consider going on Armour thyroid.
It is likely that iodine supplementation will also work, but it would take
too long to determine that during a critical phase of the childís
development. Armour thyroid has plenty of iodine in it and would address
both iodine deficiency and thyroid hormone deficiency, so it would seem the
route to pursue. Details of how to use Armour thyroid are also in the
article. However, the editorial really served to get my thought processes in
line and for non-pregnant adults it would certainly seem prudent to provide
individuals with potassium iodine drops rather than Armour thyroid and
rechecking levels in one month.
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