Table 3.
Median (25–75th percentiles) serum thyroglobulin concentration (serum-Tg, ng/ml), proportion (unadjusted) of pregnant women with elevated serum-Tg ( > 40 ng/mla) and odds (adjusted) of elevated serum-Tg according to food-group intakes and iodine-containing supplement-use by cohort
| Generation R (n = 2768) | INMA (n = 1155) | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Serum-Tg (ng/ml) | Elevated serum-Tg ( > 40 ng/ml) a | Serum-Tg (ng/ml) | Elevated serum-Tg ( > 40 ng/ml) a | |||||||||||
| Unadjusted | Adjusted | Unadjusted | Adjusted | |||||||||||
| Total n |
Median (25–75th) |
P b | n (%) | P c | OR (95% CI) | P d | Total n |
Median (25–75th) |
P b | n (%) | P c | OR (95% CI) | P d | |
| Milk intake | 0.113 | 0.045e | 0.004 | 0.097 | ||||||||||
| None | 148 | 11.9 (7.3–18.0) | 9 (6.1%) | Ref | 111 | 14.1 (7.6–21.9) | 9 (8.1%) | Ref | ||||||
| ≤ 1 glass (≤ 200 g/day) | 1506 | 11.2 (7.2–17.4) | 54 (3.6%) | 0.762 (0.330, 1.761) | 0.525 | 615 | 10.8 (6.2–18.0) | 22 (3.6%) | 0.360 (0.155, 0.836) | 0.017 | ||||
| > 1 glass ( > 200 g/day) | 1114 | 10.8 (6.8–16.6) | 28 (2.5%) | 0.511 (0.203, 1.285) | 0.153 | 429 | 11.6 (7.9–19.0) | 20 (4.7%) | 0.347 (0.141, 0.855) | 0.021 | ||||
| Fish and shellfish intake | 0.093 | 0.014 | 0.199 | 1.000 | ||||||||||
| None (0 g/day) | 555 | 10.4 (6.9–16.3) | 28 (5.0%) | Ref | N/A | N/A | N/A | N/A | N/A | |||||
| Some ( > 0 g/day) | 2213 | 11.2 (7.1–17.3) | 63 (2.8%) | 0.604 (0.360, 1.013) | 0.056 | N/A | N/A | N/A | N/A | N/A | ||||
| ≤ 1 portion ( ≤ 120 g/day) | N/A | N/A | N/A | N/A | N/A | 1041 | 11.6 (7.0–18.8) | 46 (4.4%) | Ref | |||||
| > 1 portion ( > 120 g/day) | N/A | N/A | N/A | N/A | N/A | 114 | 10.8 (6.1–18.4) | 5 (4.4%) | 0.912 (0.327, 2.539) | 0.860 | ||||
| Bread intake | 0.101 | 0.396 | N/A | N/A | ||||||||||
| ≤ median ( ≤ 98 g/day) | 1378 | 11.2 (7.1–17.9) | 50 (3.6%) | Ref | N/A | N/A | N/A | N/A | N/A | |||||
| > median ( > 98 g/day) | 1377 | 10.9 (7.0–16.3) | 41 (3.0%) | 0.980 (0.569, 1.689) | 0.942 | N/A | N/A | N/A | N/A | N/A | ||||
| Salt intake (inc. iodised) | N/A | N/A | 0.186 | 0.361 | ||||||||||
| None (0 g/day) | N/A | N/A | N/A | N/A | N/A | 374 | 12.0 (6.8–21.1) | 20 (5.3%) | Ref | |||||
| Some ( > 0 g/day) | N/A | N/A | N/A | N/A | N/A | 781 | 11.3 (6.9–18.1) | 31 (4.0%) | 0.683 (0.375, 1.242) | 0.211 | ||||
| Iodine-supplement usef | 0.476 | N/A | 0.005 | 0.017 | ||||||||||
| No | 72 | 12.4 (8.1–15.2) | N/A | N/A | N/A | 631 | 12.1 (7.3–20.1) | 37 (5.9%) | Ref | |||||
| Yes | 521 | 11.2 (7.6–16.2) | N/A | N/A | N/A | 537 | 10.8 (6.4–17.3) | 15 (2.8%) | 0.524 (0.276, 0.997) | 0.049 | ||||
BMI body mass index, 95% CI confidence interval, N/A data not available or not applicable, OR odds ratio, Ref reference category, serum-Tg serum thyroglobulin concentration, TPO-Ab thyroid peroxidase antibody
aCut-off value for elevated serum-Tg based on previous studies in adults and school-aged children (see “Methods”)
bP-values from a Mann–Whitney U test (for two-categorical variables) or a Kruskal–Wallis test (for variables with more than two categories)
cP-values from a Chi-square test (after Continuity Correction for comparisons in 2 × 2 tables)
dP-values from multiple logistic regression models with elevated serum-Tg as the dependent variable (categorised as > 40 ng/ml). In Generation R: (1) models with food-group intakes were adjusted for energy intake, gestational week at blood extraction, age, pre-pregnancy BMI, TPO-Ab status, ethnicity, parity, smoking status, alcohol consumption, education, net household income, marital status, and child’s sex; and (2) models with iodine-supplement use were not performed (see footnote ‘f’). In INMA: 1) models with food-group intakes were adjusted for energy intake, gestational week at blood extraction, age, pre-pregnancy BMI, ethnicity, parity, smoking status, alcohol consumption, education, living with a partner, and child’s sex; and 2) models with iodine-supplement use were adjusted for gestational week at blood extraction, age, pre-pregnancy BMI, ethnicity, parity, smoking status, alcohol consumption, and education
eFisher's Exact Test P-value was reported due to some cells ( > 20%) with expected count < 5
fData on iodine-supplement use were available only for a sub-sample in Generation R (see “Methods”) and statistical analyses with elevated serum-Tg (i.e., categorical outcome) were not performed in this cohort due to very small numbers; e.g., there was only 1 woman who was an iodine-supplement non-user and had elevated serum-Tg for the models with Tg > 40 ng/ml