Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature Reviews

Background: Gestational Weight Gain (GWG) is an important indicator affecting pregnancy outcome, and thyroid hormones are also weight regulators. Researchers showed that thyroid hormones were correlated to prepregnancy Body Mass Index (BMI) and GWG. However, the normal ranges of thyroid parameters a...

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Main Authors: Masoomeh Goodarzi-Khoigani, Tayebe Shojaddni Ardakani, Maryam Shirazi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Iranian Journal of Nursing and Midwifery Research
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Online Access:https://journals.lww.com/10.4103/ijnmr.ijnmr_274_23
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author Masoomeh Goodarzi-Khoigani
Tayebe Shojaddni Ardakani
Maryam Shirazi
author_facet Masoomeh Goodarzi-Khoigani
Tayebe Shojaddni Ardakani
Maryam Shirazi
author_sort Masoomeh Goodarzi-Khoigani
collection DOAJ
description Background: Gestational Weight Gain (GWG) is an important indicator affecting pregnancy outcome, and thyroid hormones are also weight regulators. Researchers showed that thyroid hormones were correlated to prepregnancy Body Mass Index (BMI) and GWG. However, the normal ranges of thyroid parameters and GWG depend on the trimester of measurement. Therefore, we systematically reviewed the current knowledge on the association between thyroid function tests and prepregnancy BMI and GWG. Materials and Methods: This review was finally conducted on nine articles, while Google Scholar and databases such as Scopus, Medline, Cochrane Library, ISI Web of Science, Science Direct, and ProQuest were searched to find English articles from October 2022 to June 2023. Results: Thyroid-Stimulating Hormone (TSH) was positively correlated with prepregnancy BMI, while Free Thyroxine (FT4) was inversely correlated. TSH was positively related to weight gain and BMI in the first trimester, while the relationship was negative for FT4. Free Triiodothyronine (FT3) had a positive relationship with BMI in the first trimester (p = 0.004). Furthermore, TSH level was not associated with GWG in the second and third trimesters, while FT4 was inversely correlated with GWG. FT3 also increased with BMI in the second trimester and not in the third trimester (p < 0.001). Finally, there was a positive correlation between thyroid peroxidase autoantibodies values and prepregnancy BMI as well as maternal BMI, but the data were inconsistent. Conclusions: Determining the relationship between thyroid hormone levels and prepregnancy BMI and/or GWG may help researchers and clinicians manage weight gain and/or thyroid function in pregnancy.
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spelling doaj-art-4ea18b5cede34c269ae9fb7534283dba2025-02-06T06:27:13ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662228-55042025-01-01301111710.4103/ijnmr.ijnmr_274_23Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature ReviewsMasoomeh Goodarzi-KhoiganiTayebe Shojaddni ArdakaniMaryam ShiraziBackground: Gestational Weight Gain (GWG) is an important indicator affecting pregnancy outcome, and thyroid hormones are also weight regulators. Researchers showed that thyroid hormones were correlated to prepregnancy Body Mass Index (BMI) and GWG. However, the normal ranges of thyroid parameters and GWG depend on the trimester of measurement. Therefore, we systematically reviewed the current knowledge on the association between thyroid function tests and prepregnancy BMI and GWG. Materials and Methods: This review was finally conducted on nine articles, while Google Scholar and databases such as Scopus, Medline, Cochrane Library, ISI Web of Science, Science Direct, and ProQuest were searched to find English articles from October 2022 to June 2023. Results: Thyroid-Stimulating Hormone (TSH) was positively correlated with prepregnancy BMI, while Free Thyroxine (FT4) was inversely correlated. TSH was positively related to weight gain and BMI in the first trimester, while the relationship was negative for FT4. Free Triiodothyronine (FT3) had a positive relationship with BMI in the first trimester (p = 0.004). Furthermore, TSH level was not associated with GWG in the second and third trimesters, while FT4 was inversely correlated with GWG. FT3 also increased with BMI in the second trimester and not in the third trimester (p < 0.001). Finally, there was a positive correlation between thyroid peroxidase autoantibodies values and prepregnancy BMI as well as maternal BMI, but the data were inconsistent. Conclusions: Determining the relationship between thyroid hormone levels and prepregnancy BMI and/or GWG may help researchers and clinicians manage weight gain and/or thyroid function in pregnancy.https://journals.lww.com/10.4103/ijnmr.ijnmr_274_23antithyroid autoantibodiesbody mass indexgestational weight gainthyrotropinthyroxinetriiodothyronine
spellingShingle Masoomeh Goodarzi-Khoigani
Tayebe Shojaddni Ardakani
Maryam Shirazi
Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature Reviews
Iranian Journal of Nursing and Midwifery Research
antithyroid autoantibodies
body mass index
gestational weight gain
thyrotropin
thyroxine
triiodothyronine
title Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature Reviews
title_full Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature Reviews
title_fullStr Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature Reviews
title_full_unstemmed Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature Reviews
title_short Association of Thyroid Function Test Values with Prepregnancy Body Mass Index and Gestational Weight Gain: A Systematic Review of Literature Reviews
title_sort association of thyroid function test values with prepregnancy body mass index and gestational weight gain a systematic review of literature reviews
topic antithyroid autoantibodies
body mass index
gestational weight gain
thyrotropin
thyroxine
triiodothyronine
url https://journals.lww.com/10.4103/ijnmr.ijnmr_274_23
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