Evidence map›Paper›PMID 30920622›Full record

SynthesisThe Journal of clinical endocrinology and metabolism2019

Association of Maternal Iodine Status With Child IQ: A Meta-Analysis of Individual Participant Data.

Deborah Levie, Tim I M Korevaar, Sarah C Bath, Mario Murcia, Mariana Dineva, Sabrina Llop, Mercedes Espada, Antonius E van Herwaarden, Yolanda B de Rijke, Jesús M Ibarluzea and 5 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of clinical endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 6 pooled it
13.2field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 6 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Iodine Status of Women and Infants in Russia: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
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  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Review
  14. Article
  15. Iodine Supplementation Before, During and After Pregnancy.Geburtshilfe und Frauenheilkunde · 2026
    Article
  16. Review
  17. Critical Role of Iodine and Thyroid Hormones During Pregnancy.International journal of molecular sciences · 2025
    Review
  18. Article
  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 4 countries.

Deborah LevieThe Generation R Study Group, Erasmus University Medical Centre, CA Rotterdam, Netherlands.
Tim I M KorevaarThe Generation R Study Group, Erasmus University Medical Centre, CA Rotterdam, Netherlands.
Sarah C BathDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom.
Mario MurciaSpanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain.
Mariana DinevaDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom.
Sabrina LlopSpanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain.
Mercedes EspadaSpanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain.
Antonius E van HerwaardenDepartment of Laboratory Medicine, Radboud University Nijmegen Medical Centre, GA Nijmegen, Netherlands.
Yolanda B de RijkeDepartment of Internal Medicine, Academic Center For Thyroid Diseases, Erasmus University Medical Centre, CA Rotterdam, Netherlands.
Jesús M IbarluzeaSpanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain.
Jordi SunyerISGlobal, Barcelona, Spain.
Henning TiemeierDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Centre-Sophia Children's Hospital, CB Rotterdam, Netherlands.
Margaret P RaymanDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom.
Mònica GuxensDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Centre-Sophia Children's Hospital, CB Rotterdam, Netherlands.
Robin P PeetersDepartment of Internal Medicine, Academic Center For Thyroid Diseases, Erasmus University Medical Centre, CA Rotterdam, Netherlands.
Erasmus MC · NLUniversitat Pompeu Fabra · ESUniversity of Surrey · GBUniversitat Jaume I · ESBasque Government · ESHarvard University · USRadboud University Nijmegen · NLUniversity of the Basque Country · ES

Funding

HSRD VA TPR 15-230Medical Research Council G9815508Medical Research Council MC_PC_19009Wellcome Trust
6 · The paper itself

Abstract

contextAlthough the consequences of severe iodine deficiency are beyond doubt, the effects of mild to moderate iodine deficiency in pregnancy on child neurodevelopment are less well established.

objectiveTo study the association between maternal iodine status during pregnancy and child IQ and identify vulnerable time windows of exposure to suboptimal iodine availability.

designMeta-analysis of individual participant data from three prospective population-based birth cohorts: Generation R (Netherlands), INMA (Spain), and ALSPAC (United Kingdom); pregnant women were enrolled between 2002 and 2006, 2003 and 2008, and 1990 and 1992, respectively.

settingGeneral community.

participants6180 mother-child pairs with measures of urinary iodine and creatinine concentrations in pregnancy and child IQ. Exclusion criteria were multiple pregnancies, fertility treatment, medication affecting the thyroid, and preexisting thyroid disease.

main outcome measureChild nonverbal and verbal IQ assessed at 1.5 to 8 years of age.

resultsThere was a positive curvilinear association of urinary iodine/creatinine ratio (UI/Creat) with mean verbal IQ only. UI/Creat <150 µg/g was not associated with lower nonverbal IQ (-0.6 point; 95% CI: -1.7 to 0.4 points; P = 0.246) or lower verbal IQ (-0.6 point; 95% CI: -1.3 to 0.1 points; P = 0.082). Stratified analyses showed that the association of UI/Creat with verbal IQ was only present up to 14 weeks of gestation.

conclusionsFetal brain development is vulnerable to mild to moderate iodine deficiency, particularly in the first trimester. Our results show that potential randomized controlled trials investigating the effect of iodine supplementation in women with mild to moderate iodine deficiency on child neurodevelopment should begin supplementation not later than the first trimester.

Indexed as

AdultChildChild, PreschoolFemaleHumansInfantIntelligenceIodineMaleMaternal ExposureNetherlandsNeurodevelopmental DisordersPregnancyPregnancy ComplicationsPregnancy TrimestersPrenatal Exposure Delayed EffectsIodine

Identifiers

PMID30920622
PMCPMC6804415
OpenAlexW2910065257

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.