Evidence map›Paper›PMID 34350728›Full record

ArticleMaternal & child nutrition2022

Iodine and thyroid status during pregnancy and risk of stillbirth: A population-based nested case-control study.

Alexandra C Purdue-Smithe, Tuija Männistö, Elijah Reische, Kurunthachalam Kannan, Un-Jung Kim, Eila Suvanto, Heljä-Marja Surcel, Mika Gissler, James L Mills

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 86% 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

3 citing papers in PubMed, 0 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

9 authors at 5 institutions in 3 countries.

Alexandra C Purdue-SmitheDivision of Intramural Population Health Research, National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.ORCID 0000-0002-7356-3651
Tuija MännistöNorthern Finland Laboratory Center NordLab, Oulu University Hospital, Oulu, Finland.
Elijah ReischeDivision of Intramural Population Health Research, National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.
Kurunthachalam KannanDepartment of Pediatrics and Department of Environmental Medicine, New York University School of Medicine, New York, New York, USA.
Un-Jung KimDepartment of Earth and Environmental Sciences, University of Texas at Arlington, Arlington, Texas, USA.
Eila SuvantoOulu University Hospital, Department of Children and Women and Oulu University Medical Faculty PEDEGO Research Unit, Medical Research Center, Oulu, Finland.
Heljä-Marja SurcelBiobank Borealis of Northern Finland, Oulu University Hospital, Oulu, Finland.
Mika GisslerInformation Services Department, Finnish Institute of Health and Welfare, Helsinki, Finland.
James L MillsDivision of Intramural Population Health Research, National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.
Eunice Kennedy Shriver National Institute of Child Health and Human Development · USOulu University Hospital · FIKarolinska Institutet · SENew York University · USThe University of Texas at Arlington · US

Funding

Iodine and ReproductionZIAHD008984 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI MILLS, JAMES · 2019 to 2022
$614k
NICHD NIH HHS HHSN275201100001CNICHD NIH HHS HHSN275201100001GNICHD NIH HHS HHSN275201100001I
6 · The paper itself

Abstract

Prior research suggests that severe iodine deficiency in pregnancy may be associated with stillbirth. However, the relationship between mild to moderate iodine insufficiency, which is prevalent even in developed countries, and risk of stillbirth is unclear. We thus examined associations of iodine status and risk of stillbirth in a prospective population-based nested case-control study in Finland, a mild to moderately iodine insufficient population. Stillbirth cases (n = 199) and unaffected controls (n = 249) were randomly selected from among all singleton births in Finland from 2012 to 2013. Serum samples were collected between 10 and 14 weeks gestation and analysed for iodide, thyroglobulin (Tg) and thyroid-stimulating hormone (TSH). Odds ratios (ORs) and 95% confidence intervals (CIs) for stillbirth were estimated using logistic regression. After adjusting for maternal age, prepregnancy body mass index, socio-economic status and other factors, neither high nor low serum iodide was associated with risk of stillbirth (Q1 vs. Q2-Q3 OR = 0.92, 95% CI = 0.78-1.09; Q4 vs. Q2-Q3 OR = 0.78; 95% CI = 0.45-1.33). Tg and TSH were also not associated with risk of stillbirth in adjusted models. Maternal iodine status was not associated with stillbirth risk in this mildly to moderately iodine-deficient population. Tg and TSH, which reflect functional iodine status, were also not associated with stillbirth risk. The lack of associations observed between serum iodide, TSH and Tg and risk of stillbirth is reassuring, given that iodine deficiency in pregnancy is prevalent in developed countries.

Indexed as

IodineCase-Control StudiesFemaleHumansIodidesPregnancyProspective StudiesStillbirthThyroglobulinThyroid GlandIodidesIodineThyroglobuliniodinepregnancypregnancy lossstillbirththyroglobulinthyroid hormonesthyroid-stimulating hormone

Identifiers

PMID34350728
PMCPMC8710109
OpenAlexW3187974503

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.