Evidence map›Paper›PMID 34255063›Full record

ArticleThe Journal of nutrition2021

Iodine Nutrition and Iodine Supplement Initiation in Association with Thyroid Function in Mildly-to-Moderately Iodine-Deficient Pregnant and Postpartum Women.

Synnøve Næss, Maria W Markhus, Tor A Strand, Marian Kjellevold, Lisbeth Dahl, Ann-Elin M Stokland, Bjørn G Nedrebø, Inger Aakre

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in The 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 2 registered trials, which are not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 11% 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.

NCT02610959 nacompletednot on this map

Iodine Status During Pregnancy and Its Effect on Infant Development; a Randomized Intervention Study With Cod

TypeinterventionalSponsorNational Institute of Nutrition and Seafood Research, NorwayRan2015 to 2018Enrolled137ConditionsDiet, NeurodevelopmentArmsIntervention group, Control group
NCT05730803 not yet recruitingnot on this mapstarted 2023, after this paper: background citation

Study on the Displacement of Iodine Balance Value During Pregnancy and the Mechanism of Breast Iodine Homeostasis During Lactation Under Different Iodine Exposure

TypeobservationalSponsorTianjin Medical UniversityRan2023 to 2027Enrolled1,200ConditionsNutritional RequirementsArmsdietary intervention
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 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

8 authors at 4 institutions in 1 country.

Synnøve NæssSeafood, Nutrition and Environmental State, Institute of Marine Research, Bergen, Norway.ORCID 0000-0002-0677-618X
Maria W MarkhusSeafood, Nutrition and Environmental State, Institute of Marine Research, Bergen, Norway.
Tor A StrandCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Marian KjellevoldSeafood, Nutrition and Environmental State, Institute of Marine Research, Bergen, Norway.
Lisbeth DahlSeafood, Nutrition and Environmental State, Institute of Marine Research, Bergen, Norway.
Ann-Elin M StoklandDepartment of Endocrinology, Stavanger University Hospital, Stavanger, Norway.
Bjørn G NedrebøDepartment of Internal Medicine, Haugesund Hospital, Haugesund, Norway.ORCID 0000-0003-1635-8325
Inger AakreSeafood, Nutrition and Environmental State, Institute of Marine Research, Bergen, Norway.
Norwegian Institute of Marine Research · NOInnlandet Hospital Trust · NOPrivatsykehuset Haugesund · NOStavanger University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhereas the adverse effects of severe iodine deficiency during pregnancy are well documented, the effects of mild-to-moderate deficiency are not well established.

objectivesWe aimed to explore whether iodine nutrition and timing of iodine supplement initiation are associated with thyroid function in pregnant and postpartum women.

methodsIn this cohort study, 137 pregnant women were enrolled and followed up at gestational weeks (GWs) 18 and 36, and 3 and 6 mo postpartum. Thyroid function tests [thyroid-stimulating hormone (TSH), free triiodothyronine (fT3), and free thyroxine (fT4)], urinary iodine and creatinine concentration (UIC:Cr), and iodine intake (including iodine supplement use) were measured at each time point. The associations between thyroid hormone concentrations and UIC:Cr, iodine intakes, and iodine supplement use were estimated using multiple generalized estimating equation models.

resultsThe median UIC at GW18 was 94 μg/L, indicating mild-to-moderate iodine deficiency. UIC:Cr (β; 95% CI) per 100 μg/g was negatively associated with fT3 (-0.191; -0.331, -0.051) and fT4 (-0.756; -1.372, -0.141) concentrations. Iodine intake (β; 95% CI) per 100 μg/d was positively associated with TSH (0.099; 0.022, 0.177), and negatively associated with fT3 (-0.084; -0.0141, -0.027) and fT4 (-0.390; -0.599, -0.182) concentrations. Compared with no use of supplement, those initiating an iodine-containing supplement prepregnancy and continuing through pregnancy had lower TSH (estimated means) (1.35 compared with 1.68 mIU/L, P = 0.021), and higher fT3 (4.48 compared with 4.28 pmol/L, P = 0.035) and fT4 (15.2 compared with 14.4 pmol/L, P = 0.024) concentrations.

conclusionsLower iodine availability during pregnancy and postpartum was associated with lower TSH, and higher fT3 and fT4 concentrations. The use of an iodine-containing supplement that was initiated prepregnancy and continuing through pregnancy was associated with lower TSH, and higher fT3 and fT4 concentrations, which may suggest improved thyroid function. These findings support the notion that optimization of iodine intake should start before pregnancy.This trial was registered at clinicaltrials.gov as NCT02610959.

Indexed as

IodineCohort StudiesFemaleHumansPostpartum PeriodPregnancyThyroid Function TestsThyroid GlandThyrotropinThyroxineIodineThyrotropinThyroxineiodineiodine deficiencyiodine supplementationpregnancythyroid hormones

Identifiers

PMID34255063
PMCPMC8485914
OpenAlexW3178792210

What OpenQuestion holds

Textmetadata
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.