Evidence map›Paper›PMID 30843107›Full record

ArticleEuropean journal of nutrition2020

Effectiveness of increased salt iodine concentration on iodine status: trend analysis of cross-sectional national studies in Switzerland.

Maria Andersson, Sandra Hunziker, Ralph Fingerhut, Michael B Zimmermann, Isabelle Herter-Aeberli

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in European journal of nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02312466 (Swiss National Iodine Survey 2015; A Cross-sectional Study to Assess Iodine Status in School Children, Women of Reproductive Age and Pregnant Women), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT02312466 completednot on this map

Swiss National Iodine Survey 2015; A Cross-sectional Study to Assess Iodine Status in School Children, Women of Reproductive Age and Pregnant Women

TypeobservationalSponsorIsabelle Herter-AeberliRan2015 to 2016Enrolled1,430ConditionsHealthy Subjects
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  15. Salt reduction and iodine intake in Italy.Journal of endocrinological investigation · 2022
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  17. Article
  18. Swiss Cohort & Biobank - The White Paper.Public health reviews · 2022
    Article
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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

5 authors at 2 institutions in 2 countries.

Maria AnderssonDivision of Gastroenterology and Nutrition, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland. maria.andersson@kispi.uzh.ch.ORCID http://orcid.org/0000-0003-4859-1383
Sandra HunzikerHuman Nutrition Laboratory, Institute of Food Nutrition and Health, ETH Zurich, LFV D16.2, Schmelzbergstrasse 7, 8092, Zurich, Switzerland.
Ralph FingerhutSwiss Newborn Screening Laboratory and Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
Michael B ZimmermannIodine Global Network, Ottawa, ON, Canada.
Isabelle Herter-AeberliHuman Nutrition Laboratory, Institute of Food Nutrition and Health, ETH Zurich, LFV D16.2, Schmelzbergstrasse 7, 8092, Zurich, Switzerland.
ETH Zurich · CHUniversity Children's Hospital Zurich · CH

Funding

Bundesamt f?r Lebensmittelsicherheit und Veterin?rwesen No number available
6 · The paper itself

Abstract

purposeDespite longstanding voluntary salt iodisation in Switzerland, data suggest inadequate iodine intake in vulnerable population groups. In response, the salt iodine concentration was increased from 20 to 25 mg/kg and we assessed the impact on iodine status.

methodsWe conducted a cross-sectional national study in school-age children (n = 731), women of reproductive age (n = 353) and pregnant women (n = 363). We measured urinary iodine concentration (UIC) and urinary sodium concentration (UNaC) in spot urine samples. The current median UIC was compared with national data from 1999, 2004 and 2009. We measured TSH, total T4 and thyroglobulin (Tg) on dried blood spot samples collected in women.

resultsThe median UIC (bootstrapped 95% CI) was 137 µg/L (131, 143 µg/L) in school children, 88 µg/L (72, 103 µg/L) in women of reproductive age and 140 µg/L (124, 159 µg/L) in pregnant women. Compared to 2009, the median UIC increased modestly in school children (P < 0.001), but did not significantly change in pregnant women (P = 0.417). Estimated sodium intake exceeded the recommendations in all population groups. The prevalence of thyroid disorders in women was low, but Tg was elevated in 13% of the pregnant women.

conclusionIodine intake is overall adequate in Swiss school-age children, but only borderline sufficient in pregnant and non-pregnant women, despite high salt intakes and satisfactory household coverage with iodized salt. Our findings suggest increasing the concentration of iodine in salt may not improve iodine intakes in women if iodised salt is not widely used in processed foods. REGISTRATION: This trial was registered at clinicaltrials.gov as NCT02312466.

Indexed as

Nutritional StatusAdolescentAdultChildCross-Sectional StudiesFemaleHumansIodineLongitudinal StudiesMalePregnancySodium Chloride, DietarySwitzerlandYoung AdultIodineiodized saltSodium Chloride, DietaryIodineIodine deficiencySalt iodisationSwitzerlandUrinary iodine concentration

Identifiers

PMID30843107
OpenAlexW2919188213

What OpenQuestion holds

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Registered trials

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.