Physical and mental growth and development in children with congenital hypothyroidism: a case–control study

Orphanet Journal of Rare Diseases

Ali Alimohammadi¹  Yasan Kazemzadeh²  Saeed Amini³  Javad Nazari⁴  Akram Maleki⁵  Maryam Chegini⁵  Kimia Jafari⁵  Pari MirShafiei⁵  Reihaneh Mikaeliyan⁵ 

[1] Department of Forensic Medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran;Department of Health, Khomein University of Medical Sciences, Khomein, Iran;Department of Health, Khomein University of Medical Sciences, Khomein, Iran;Department of Health Services Management, Health School, Arak University of Medical Sciences, Arak, Iran;Department of Pediatrics, Medical School, Arak University of Medical Sciences, Arak, Iran;Health Deputy, Arak University of Medical Sciences, Arak, Iran;

关键词: Physical development;    Mental development;    Congenital hypothyroidism;    Emotional intelligence;    Development criteria;   

DOI  :  10.1186/s13023-021-02017-7

来源: Springer

【 摘 要 】

IntroductionThe clinical complications of congenital hypothyroidism such as brain disorders are very subtle and are not recognizable in infancy period. They are recognizable when it is too late for treatment or prevention. General screening of newborns is effective in diagnosing congenital hypothyroidism and initiating initial treatment. The aim of this study is to compare the physical and mental growth pattern of children with congenital hypothyroidism with healthy ones.MethodsThis case–control study was performed on 34 patients and 68 healthy children who were matched in terms of inclusion and exclusion criteria. Children development screening test (ASQ), children development assessment test (Bayley), preschool Wechsler intelligence scale (WPPSI) and age and steps questionnaire of emotional social development (ASQ-SE) were completed by trained questioners. Data were analyzed using STATA software.ResultsThe results indicated that there was no significant difference between the mean of verbal (P = 0.77), non-verbal (P = 0.81) and general (P = 0.66) IQ in permanent and transient patients and healthy individuals. Also, there was no significant difference between the mean of different ranges of ASQ test (including communication, delicate and large movements, problem solving and social) at 12 months and 42 months (P < 0.05). According to Bayley test, there was no significant difference between the cases (permanent and transient) and controls in the cognitive (P = 0.42) and expressive (P = 0.38) categories. The difference was significant in the perceptual (P = 0.011), large (P = 0.03) and delicate (P = 0.04) movements categories.ConclusionThis study emphasized on the high effectiveness of neonate hypothyroidism screening program, so that the difference between 3.5 years old children with and without this disease has decreased significantly. Early diagnosis of the patients, while creating beneficial effects for patients and increasing quality of life, cause reduction in the long-term costs of the health system.

【 授权许可】

CC BY