Evidence map›Paper›PMID 33620551›Full record

Trial reportEuropean journal of nutrition2021

A randomized, double-blind study of iodine supplementation during pregnancy in Sweden: pilot evaluation of maternal iodine status and thyroid function.

Sofia Manousou, Robert Eggertsen, Lena Hulthén, Helena Filipsson Nyström

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02378246 (The Importance of Iodine During Pregnancy for Future Brain Function), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT02378246 naactive not recruitingnot on this map

The Importance of Iodine During Pregnancy for Future Brain Function : a Randomized Placebo-controlled Trial. Swedish Iodine in Pregnancy and Development in Children (SWIDDICH) Study

TypeinterventionalSponsorGöteborg UniversityRan2012 to 2032Enrolled1,337ConditionsThyroid Gland, Node, Pregnancy, Cognitive Developmental DelayArmsIodine, Placebo
3 · Its place in the literature

Who cites it

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

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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

4 authors at 3 institutions in 1 country.

Sofia ManousouDepartment of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden. sofia.manousou@vgregion.se.ORCID http://orcid.org/0000-0002-7965-0772
Robert EggertsenSchool of Public Health and Community Medicine/General Medicine, R and D Centre Gothenburg and Södra Bohuslän, University of Gothenburg, Göteborg, Sweden.ORCID http://orcid.org/0000-0003-3807-3769
Lena HulthénDepartment of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.ORCID http://orcid.org/0000-0002-7687-8368
Helena Filipsson NyströmDepartment of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.ORCID http://orcid.org/0000-0002-4670-3401
University of Gothenburg · SEFrölunda Specialist Hospital · SESahlgrenska University Hospital · SE

Funding

Healthcare Board, Region Västra Götaland VGFOUREG-291101Healthcare Board, Region Västra Götaland VGFOUREG-366351Healthcare Board, Region Västra Götaland VGFOUREG-458361The ALF agreement ALFGBG-717311The ALF agreement ALFGBG-770691
6 · The paper itself

Abstract

purposePregnant women in Sweden are mildly iodine deficient. We investigated the effect of daily iodine supplementation on the iodine and thyroid status of pregnant women.

methodsIn this pilot, randomized, double-blind trial, 200 thyroid-healthy pregnant women were recruited at mean (standard deviation) pregnancy week 8.85 (1.62) and assigned (1:1) to daily intake of a multivitamin tablet with or without 150 μg of iodine. Urine and serum samples were collected at baseline and once during the second and third trimesters. Urinary iodine concentration (UIC), serum thyroglobulin (Tg), thyroid-stimulating hormone (TSH), free thyroxine (FT4), and thyroid peroxidase antibodies (TPOabs) were analyzed. Neonatal TSH data were collected. UIC and Tg were also analyzed in a group of 89 thyroid-healthy non-pregnant women of reproductive age (WRA).

resultsAt baseline, the intervention and the control groups had similar median UIC (interquartile range (IQR)): 110 μg/L (74-119) and 111 μg/L (66-168), respectively. The intervention group reached iodine sufficiency with median UIC (IQR) 139 μg/L (89-234) and 136 μg/L (91-211) in the second and third trimester, respectively, without significant difference from the lower limit of the recommended range, i.e. 150-250 μg/L (p = 0.42 and p = 0.87, respectively). The intervention group had higher median UIC and lower median Tg compared to the control group during the second (p < 0.001 and p = 0.019, respectively) and third trimester (p < 0.001 and p = 0.003, respectively), whereas thyroid hormones, serum TPOabs, and neonatal TSH were similar. The WRA group presented median UIC (IQR) 65 μg/L (30-98) and median Tg (IQR) 18 μg/L (13-27).

conclusionA daily supplement containing 150 μg of iodine to a group of pregnant women with mild iodine deficiency improved the iodine status from mild ID to iodine sufficiency. This improvement seems to have had a positive impact on maternal thyroglobulin. This study is now under extension to investigate the children's neuropsychological development.

trial registrationClinicalTrials.gov Identifier NCT02378246, May 3, 2015, retrospectively registered.

Indexed as

IodineChildDietary SupplementsDouble-Blind MethodFemaleHumansInfant, NewbornNutritional StatusPilot ProjectsPregnancySwedenThyroid GlandThyrotropinThyroxineIodineThyrotropinThyroxineIodine supplementationPregnancyRandomized controlled trialSwedenThyroglobulinUrinary iodine concentration

Identifiers

PMID33620551
PMCPMC8354996
OpenAlexW3131979545

What OpenQuestion holds

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LicenceCC BY
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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.