Thyroid Dysfunction And Renal Biomarkers During Pregnancy: Comparative Insights Into Tsh And Creatinine Levels
Keywords:
Hypothyroidism, Pregnancy, TSH, Serum Creatinine, Renal Function, Thyroid-Kidney AxisAbstract
Background: Pregnancy induces numerous physiological adaptations, particularly in the endocrine and renal systems. Thyroid dysfunction—especially hypothyroidism—alters maternal and fetal outcomes, and its interplay with renal function remains under-investigated.
Objective: To compare TSH and serum creatinine levels between euthyroid and hypothyroid pregnant women and to explore any correlation between thyroid status and renal function.
Methods: A cross-sectional study was conducted on 100 pregnant women (50 hypothyroid, 50 euthyroid controls). TSH and serum creatinine levels were measured using standardized methods. Statistical significance was determined with SPSS version 20.
Results: Mean TSH was significantly higher in euthyroid women (2.37 ± 0.85 µIU/ml) compared to hypothyroid women (1.05 ± 0.80 µIU/ml; p=0.006). Serum creatinine was significantly elevated in hypothyroid women (0.80 ± 0.45 mg/dL) vs. controls (0.55 ± 0.16 mg/dL). A statistically significant inverse relationship between TSH and serum creatinine was observed.
Conclusion: Hypothyroid pregnant women exhibit elevated serum creatinine, indicating early renal impairment. Co-monitoring of thyroid and renal biomarkers may improve maternal-fetal outcomes
Downloads
References
Greenspan FS, Gardner DG. Basic & Clinical Endocrinology. 7th ed. New York: McGraw-Hill; 2004. p. 215–94.
Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy. Thyroid. 2017;27(3):315–89.
. Glinoer D. The regulation of thyroid function in pregnancy: pathways of endocrine adaptation from physiology to pathology. Endocr Rev. 1997;18(3):404–33.
. Vaidya B, Anthony S, Bilous M, et al. Detection of thyroid dysfunction in early pregnancy: universal screening or targeted high-risk case finding? J Clin Endocrinol Metab. 2007;92(1):203–7.
Dhanwal DK, Prasad S, Agarwal AK, et al. High prevalence of subclinical hypothyroidism during first trimester of pregnancy in North India. Indian J Endocrinol Metab. 2013;17(2):281–4.
Maraka S, Ospina NM, O’Keeffe DT, et al. Subclinical Hypothyroidism in Pregnancy: A Systematic Review and Meta-analysis. Thyroid. 2016;26(4):580–90.
. De Groot L, Abalovich M, Alexander EK, et al. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2012;97(8):2543–65.
. Negro R, Schwartz A, Gismondi R, et al. Universal screening vs case finding for detection and treatment of thyroid hormonal dysfunction during pregnancy. J Clin Endocrinol Metab. 2010;95(4):1699–707.
. Casey BM, Dashe JS, Wells CE, et al. Subclinical hypothyroidism and pregnancy outcomes. Obstet Gynecol. 2005;105(2):239–45.
. Iglesias P, Díez JJ. Thyroid dysfunction and kidney disease. Eur J Endocrinol. 2009;160(4):503–15.
. Kaptein EM. Thyroid hormone metabolism and thyroid diseases in chronic renal failure. Endocr Rev. 1996;17(1):45–63.
. Kreisman SH, Hennessey JV. Consistent reversible elevations of serum creatinine levels in severe hypothyroidism. Arch Intern Med. 1999;159(1):79–82.
. Lindheimer MD, Katz AI. Renal function and disease in pregnancy. In: Chesley LC, ed. Hypertensive Disorders in Pregnancy. New York: Appleton-Century-Crofts; 1978.
. Avasthi G, Malhotra S, Dabadghao P. Serum creatinine and urea in normal pregnancy. Indian J Physiol Pharmacol. 1991;35(1):43–6.
. Heuer H, Visser TJ. Pathophysiological importance of thyroid hormone transporters. Endocrinology. 2009;150(3):1078–83.
Sidhu GK, Malek RR, Khubchandani A, et al. A study of serum urea, creatinine and uric acid levels in hypothyroid patients. Int J Res Med. 2016;5(2):115–8.
. Shilpa M, Raghunandana R. Case control study of renal function in patients with hypothyroidism. MedPulse Int J Biochem. 2021;17(3):1–4.
. Rathi M, et al. J Clin Diagn Res. 2020;14(2):BC10–13.
. Gupta R, et al. J Obstet Gynaecol Res. 2020;46(4):615–621.
Meng W, et al. BMC Nephrol. 2022;23(1):91.
. Iglesias P, Díez JJ. J Endocrinol Invest. 2017;40(9):925–935.
. Kandula P, et al. Am J Kidney Dis. 2011;58(4):554–561.
Shrestha S, et al. Ann Med Health Sci Res. 2021;11(2):478–483.
. Marwah R, et al. J Clin Diagn Res. 2017;11(5):BC01–BC03.
. Farwell AP. Semin Dial. 2013;26(1):75–79.
Nazarpour S, et al. Int J Endocrinol Metab. 2020;18(1):e91294.
Yao Y, et al. Reprod Biol Endocrinol. 2022;20(1):7.
Chandra K, Mishra A. Evaluation of thyroid function during pregnancy and its impact on perinatal outcomes. J Neonatal Surg. 2025;14(31s):575–579.
. Sidhu GK, Malek RR, Khubchandani A, Mansuri SH, Patel MS, Oza RH. A study of serum urea, creatinine and uric acid levels in hypothyroid patients. Int J Res Med. 2016;5(2):115–118.
. Mamatha M, et al. Serum urea and creatinine levels in subclinical hypothyroidism. Medica Innovatica. 2016;5(2):[2484–87].
. Iglesias P, Díez JJ. Thyroid dysfunction and kidney disease. Eur J Endocrinol. 2009;160(4):503-15.
. Marwah R, Tandon N, Gupta N, Gahlot S. Renal function impairment in hypothyroid pregnant women: A cross-sectional study. J Obstet Gynaecol India. 2023;73(1):55-60.
. Nazarpour S, Simbar M, Tehrani FR, Alavi-Majd H. Association of hypothyroidism and pregnancy outcomes. Iran J Reprod Med. 2022;20(1):1–10.
. Sharma R, Aggarwal R, Choudhary M. Correlation of thyroid hormone levels with renal function in pregnancy. Int J Med Sci Public Health. 2023;12(4):567–71.
. Deshmukh VL, Moorthy S, Thomas N, Bhatia V. Subclinical hypothyroidism and its impact on renal profile in pregnancy. Indian J Endocrinol Metab. 2023;27(2):189–94..
..
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.