Thyroid Function and Cardiovascular Risk Factors in Children Born after in Vitro Fertilization

Thyroid Function and Cardiovascular Risk Factors in Children Born after in Vitro Fertilization

Thyroid Function and Cardiovascular Risk Factors in Children Born after in Vitro Fertilization

(지상발표):
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Jeong Eun Lee1, So Yoon Jung1, Youn-Hee Lim2,3, Yun-Chul Hong2,3, Young Ah Lee1, Choong Ho Shin1 , Sei Won Yang1
Seoul National Univesity Children's Hospital Department of of Pediatrics1
Seoul National Univesity College of Medicine Environmental Health Center2
Seoul National Univesity College of Medicine Department of Preventive Medicine3
이정은1, 정소윤1, 임연희2,3, 홍윤철2,3, 이영아1, 신충호1 , 양세원1
서울대학교 어린이병원 소아청소년과1
서울대학교 의과대학 환경보건센터2
서울대학교 의과대학 예방의학교실3

Abstract

Objective: We aimed to compare thyroid function and cardiovascular risk factors between children conceived after in vitro fertilization (IVF) and naturally conceived children. Methods: Healthy 458 (243 boys) prepubertal children at age 6 were included. Height, body mass index (BMI), and blood pressure at resting state were measured. Thyroid function test (free T4, total T3, and TSH), fasting glucose, insulin, and lipid profiles were analyzed. Results: There were 50 IVF cases and 408 naturally conceived control children. No significant differences in height, BMI, blood pressure, fasting glucose and lipid profiles were found between two groups. IVF group showed higher TSH levels (3.2 mIU/L vs. 2.4 mIU/L, p = 0.004) and lower free T4 and total T3 levels (1.15 ng/dL vs. 1.12 ng/dL and 149.0 ng/dL vs. 142.7 ng/dL, p0.05 for both) than control group. However, differences in TSH, free T4, and total T3 levels between two groups were not significant, after adjusting for age, sex, prematurity, birth weight, multiple birth, BMI z-scores, and family history of thyroid disease. Conclusions: No significant differences in thyroid function, blood pressure, fasting glucose and lipid profiles were found between children conceived after IVF and naturally conceived children, after adjusting for covariates.

Keywords: Thyroid function, Cardiovascular risk factors, IVF children