Evidence map›Paper›PMID 25524327›Full record

Trial reportEuropean journal of nutrition2016

Effect of low-dose selenium on thyroid autoimmunity and thyroid function in UK pregnant women with mild-to-moderate iodine deficiency.

Jinyuan Mao, Victor J Pop, Sarah C Bath, Huib L Vader, Christopher W G Redman, Margaret P Rayman

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. The role of nutrition on thyroid health and disease: myths and facts.Journal of endocrinological investigation · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Selenium and thyroid diseases.Frontiers in endocrinology · 2023
    Review
  14. An update on thyroid disorders in the postpartum period.Journal of endocrinological investigation · 2022
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Jinyuan MaoDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, GU2 7XH, UK.
Victor J PopDepartment of Clinical Health Psychology, Tilburg University, Tilburg, The Netherlands.
Sarah C BathDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, GU2 7XH, UK.
Huib L VaderClinical Laboratories, Máxima Medical Center Eindhoven, Veldhoven, The Netherlands.
Christopher W G RedmanNuffield Department of Obstetrics and Gynaecology, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Margaret P RaymanDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, GU2 7XH, UK. m.rayman@surrey.ac.uk.
University of Surrey · GBChina Medical University · CNJohn Radcliffe Hospital · GBMáxima Medisch Centrum · NLTilburg University · NL

Funding

Nutritional and Metabolic Significance of SeleniumR37ES002497 · NIEHS · VANDERBILT UNIVERSITY · PI BURK, RAYMOND F. · 2004 to 2013
$4.7M
NUTRITIONAL &METABOLIC SIGNIFICANCE OF SELENIUMR01ES002497 · NIEHS · VANDERBILT UNIVERSITY · PI BURK, RAYMOND F. · 1985 to 2003
$1.3M
Medical Research Council MR/K02132X/1NIEHS NIH HHS ES02497NIEHS NIH HHS R01 ES002497NIEHS NIH HHS R37 ES002497Wellcome Trust
6 · The paper itself

Abstract

purposeSelenium is an essential trace mineral and a component of selenoproteins that are involved in the production of thyroid hormones and in regulating the immune response. We aimed to explore the effect of low-dose selenium supplementation on thyroid peroxidase antibody (TPO-Ab) concentration and thyroid function in pregnant women from a mild-to-moderate iodine-deficient population.

methodsSamples and data were from a secondary analysis of Selenium in PRegnancy INTervention (SPRINT), a double-blind, randomized, placebo-controlled study that recruited 230 women with singleton pregnancies from a UK antenatal clinic at 12 weeks of gestation. Women were randomized to receive 60 µg/day selenium or placebo until delivery. Serum thyroid peroxidase antibodies (TPO-Ab), thyrotropin (TSH) and free thyroxine (FT4) were measured at 12, 20 and 35 weeks and thyroglobulin antibodies (Tg-Ab) at 12 weeks.

results93.5% of participants completed the study. Se supplementation had no more effect than placebo in decreasing TPO-Ab concentration or the prevalence of TPO-Ab positivity during the course of pregnancy. In women who were either TPO-Ab or Tg-Ab negative at baseline (Thy-Ab(-ve)), TSH increased and FT4 decreased significantly throughout gestation (P < 0.001), with no difference between treatment groups. In women who were Thy-Ab(+ve) at baseline, TSH tended to decrease and was lower than placebo at 35 weeks (P = 0.050). FT4 fell more on Se than placebo supplementation and was significantly lower at 35 weeks (P = 0.029).

conclusionsLow-dose selenium supplementation in pregnant women with mild-to-moderate deficiency had no effect on TPO-Ab concentration, but tended to change thyroid function in Thy-Ab(+ve) women.

Indexed as

AutoantibodiesBody Mass IndexDietary SupplementsDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansIodinePregnancySeleniumThyroid GlandThyrotropinThyroxineUnited Kingdomanti-thyroglobulinAutoantibodiesIodineSeleniumthyroid microsomal antibodiesThyrotropinThyroxineIodinePregnancySeleniumThyroid autoimmunityThyroid functionThyroid peroxidase antibodies

Identifiers

PMID25524327
PMCPMC4737786
OpenAlexW2170117900

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.