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. 2021 Jun 2;10(7):685–693. doi: 10.1530/EC-21-0088

Table 3.

Trimester-specific associations between three thyroid markers and glucose metabolism indicators by GEE.

Variables Fasting glucose Glucose at 1 h Glucose at 2 h GDM
β (95% CI) P β (95% CI) P β (95% CI) P OR (95% CI) P
T3
 First trimester −0.03 (−0.07, 0.06) 0.10 0.22 (0.10, 0.35) <0.001 0.07 (−0.02, 0.17) 0.15 1.67 (1.33, 2.10) <0.001
 Second trimester 0.16 (0.11, 0.20) <0.001 0.41 (0.28, 0.55) <0.001 0.21 (0.11, 0.31) <0.001 2.50 (1.95, 3.21) <0.001
 Third trimester 0.13 (0.10, 0.16) < 0.001
fT4
 First trimester 0.01 (0.006, 0.02) <0.001 −0.03 (−0.05, −0.01) 0.001 −0.03 (−0.05, −0.01) 0.001 1.00 (0.95, 1.04) 0.84
 Second trimester −0.02 (−0.03, −0.01) 0.003 −0.14 (−0.18, −0.10) <0.001 −0.08 (−0.11, −0.05) <0.001 0.89 (0.82, 0.96) <0.001
 Third trimester −0.005 (−0.01, 0.004) 0.29
T3/fT4
 First trimester −0.01 (−0.02, −0.01) 0.01 0.04 (0.02, 0.06) <0.001 0.02 (0.01, 0.04) <0.001 1.08 (1.04, 1.12) <0.001
 Second trimester 0.02 (0.01, 0.02) <0.001 0.05 (0.04, 0.06) <0.001 0.03 (0.02, 0.04) <0.001 1.09 (1.07, 1.12) <0.001
 Third trimester 0.01 (0.01, 0.02) <0.001
TSH
 First trimester −0.01 (−0.01, 0.00) 0.21 0.04 (0.01, 0.07) 0.01 0.05 (0.03, 0.08) <0.001 1.03 (0.99, 1.08) 0.13
 Second trimester −0.01 (−0.02, 0.01) 0.33 −0.09 (−0.13, −0.05) <0.01 −0.04 (−0.07, −0.01) <0.001 0.91 (0.83, 0.99) 0.03
 Third trimester −0.01 (−0.002, 0.01) 0.16

β and OR were adjusted for age, pre-pregnancy BMI, sampling seasonality, family diabetes history, parity, smoking in early pregnancy, drinking status, gestational weeks, education, income, and residence. β and OR indicated the effect size of per nmol/L, per pmol/L, per 10 unit and per μIU/mL for T3, fT4, T3/fT4 and TSH, respectively. Boldface indicates statistically significant.

OR, odds ratio.