Evidence map›Paper›PMID 33276760›Full record

ArticleBMC pediatrics2020

Maternal iodine status in a multi-ethnic UK birth cohort: associations with autism spectrum disorder.

Kirsten Jade Cromie, Diane Erin Threapleton, Charles Jonathan Peter Snart, Elizabeth Taylor, Dan Mason, Barry Wright, Brian Kelly, Stephen Reid, Rafaq Azad, Claire Keeble and 13 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03552341 (Assessing Iodine Status and Associated Health Outcomes in British Women During Pregnancy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

NCT03552341 completednot on this map

Assessing Iodine Status and Associated Health Outcomes in British Women During Pregnancy

TypeobservationalSponsorUniversity of LeedsRan2016 to 2019Enrolled246ConditionsCognitive Developmental Delay, Birth WeightArmsMaternal iodine status
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
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

23 authors at 6 institutions in 2 countries.

Kirsten Jade CromieLeeds Institute of Cardiovascular & Metabolic Medicine, School of Medicine, University of Leeds, Leeds, LS2 9JT, UK.
Diane Erin ThreapletonLeeds Institute of Cardiovascular & Metabolic Medicine, School of Medicine, University of Leeds, Leeds, LS2 9JT, UK.
Charles Jonathan Peter SnartLeeds Institute of Cardiovascular & Metabolic Medicine, School of Medicine, University of Leeds, Leeds, LS2 9JT, UK.
Elizabeth TaylorLeeds Institute of Cardiovascular & Metabolic Medicine, School of Medicine, University of Leeds, Leeds, LS2 9JT, UK.
Dan MasonBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, UK.
Barry WrightThe Hull York Medical School, University of York, Heslington, York, YO10 5DD, UK.
Brian KellyBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, UK.
Stephen ReidEarth Surface Science Institute, School of Earth and Environment, University of Leeds, Leeds, LS2 9JT, UK.
Rafaq AzadBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, UK.
Claire KeebleLeeds Institute for Data Analytics, University of Leeds, Leeds, LS2 9JT, UK.
Amanda H WatermanSchool of Psychology, University of Leeds, Leeds, LS2 9JT, UK.
Sarah MeadowsElsie Widdowson Laboratory, Cambridge, CB1 9NL, UK NIHR Nutritional Biomarker Laboratory, MRC Epidemiology Unit, University of Cambridge, Clifford Allbutt Building, Hills Road, Cambridge, CB2 0AH, UK.
Amanda McKillionElsie Widdowson Laboratory, Cambridge, CB1 9NL, UK NIHR Nutritional Biomarker Laboratory, MRC Epidemiology Unit, University of Cambridge, Clifford Allbutt Building, Hills Road, Cambridge, CB2 0AH, UK.
Nisreen A AlwanSchool of Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD, UK.
Janet Elizabeth CadeNutritional Epidemiology Group, School of Food Science & Nutrition, University of Leeds, Leeds, LS2 9JT, UK.
Nigel A B SimpsonDivision of Women's and Children's Health, School of Medicine, University of Leeds, Leeds, LS2 9JT, UK.
Paul M StewartFaculty of Medicine and Health, University of Leeds, Leeds, LS2 9JT, UK.
Michael ZimmermannLaboratory for Human Nutrition, Institute of Food, Nutrition and Health, ETH Zurich, 8092, Zürich, Switzerland.
John WrightBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, UK.
Dagmar WaiblingerBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, UK.
Mark Mon-WilliamsSchool of Psychology, University of Leeds, Leeds, LS2 9JT, UK.
Laura J HardieLeeds Institute of Cardiovascular & Metabolic Medicine, School of Medicine, University of Leeds, Leeds, LS2 9JT, UK.
Darren Charles GreenwoodLeeds Institute of Cardiovascular & Metabolic Medicine, School of Medicine, University of Leeds, Leeds, LS2 9JT, UK. d.c.greenwood@leeds.ac.uk.ORCID 0000-0001-7035-3096
University of Leeds · GBBradford Teaching Hospitals NHS Foundation Trust · GBUniversity of Cambridge · GBETH Zurich · CHSouthampton General Hospital · GBUniversity of York · GB

Funding

National Institute for Health Research PR-R10-0514-11004
6 · The paper itself

Abstract

backgroundMaternal iodine requirements increase during pregnancy to supply thyroid hormones essential for fetal brain development. Maternal iodine deficiency can lead to hypothyroxinemia, a reduced fetal supply of thyroid hormones which, in the first trimester, has been linked to an increased risk of autism spectrum disorder (ASD) in the child. No study to date has explored the direct link between maternal iodine deficiency and diagnosis of ASD in offspring.

methodsUrinary iodine concentrations (UIC) and iodine/creatinine ratios (I:Cr) were measured in 6955 mothers at 26-28 weeks gestation participating in the Born in Bradford (BiB) cohort. Maternal iodine status was examined in relation to the probability of a Read (CTV3) code for autism being present in a child's primary care records through a series of logistic regression models with restricted cubic splines.

resultsMedian (inter-quartile range) UIC was 76 μg/L (46, 120) and I:Cr was 83 μg/g (59, 121) indicating a deficient population according to WHO guidelines. Ninety two children (1·3%) in our cohort had received a diagnosis of ASD by the census date. Overall, there was no evidence to support an association between I:Cr or UIC and ASD risk in children aged 8-12 years (p = 0·3).

conclusionsThere was no evidence of an increased clinical ASD risk in children born to mothers with mild-to-moderate iodine deficiency at 26 weeks gestation. Alternative functional biomarkers of exposure and a wider range of conditions may provide further insight.

Indexed as

Autism Spectrum DisorderIodineChildFemaleFetal DevelopmentGestational AgeHumansPregnancyUnited KingdomIodineAutism spectrum disorderDeficiencyFetal developmentIodinePregnancyThyroid

Identifiers

PMID33276760
PMCPMC7718710
OpenAlexW3110319649

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.