Evidence map›Paper›PMID 39940399›Full record

Observational studyNutrients2025

Women with Autoimmune Thyroiditis Taking Levothyroxine During Pregnancy: Is Iodine Supplementation Needed?

Simona Censi, Giulia Messina, Emma Feligiotti, Cristina Clausi, Ilaria Piva, Daniela Basso, Isabella Merante Boschin, Loris Bertazza, Fiammetta Battheu, Susi Barollo and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Evolving Concepts in Gestational Iodine Requirements.Healthcare (Basel, Switzerland) · 2026
    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

12 authors.

Simona CensiEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.
Giulia MessinaEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.
Emma FeligiottiEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.
Cristina ClausiEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.
Ilaria PivaEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.
Daniela BassoLaboratory Medicine, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.ORCID 0000-0001-8745-6171
Isabella Merante BoschinDepartment of Medical and Surgical Sciences (DiSCOG), University of Padua, 35100 Padua, Italy.
Loris BertazzaEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.ORCID 0000-0001-7931-0084
Fiammetta BattheuEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.
Susi BarolloEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.ORCID 0000-0002-5821-2693
Marta CamilotDepartment of Paediatrics, Regional Centre for Newborn Screening, Diagnosis and Treatment of Inherited Metabolic Diseases and Congenital Endocrine Diseases, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy.ORCID 0000-0002-7550-8461
Caterina MianEndocrinology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, Italy.ORCID 0000-0003-2615-8001

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIodine is fundamental for the synthesis of thyroid hormones, which play a central role in foetal neurological development. The need for an iodine-containing supplement (ICS) in L-T4-treated women during pregnancy is still a subject of debate. AIM OF THE STUDY: The aim of the study is to investigate the iodine status in women with autoimmune thyroiditis (AT) who have or have not been treated with L-T4.

methodsThis was a cross-sectional, observational study involving pregnant women with AT, treated with/without L-T4. Upon enrolment, women provided a urine sample (to measure the urinary iodine concentration (UIC), which was normalised to urinary creatinine values (UI/Creat)), and completed a questionnaire. TSH, FT4, and neonatal TSH were also obtained.

resultsAmong women taking an ICS, 74.1% had a UI/Creat level ≥ 150 μg/g, compared with only 46.2% of those not taking an ICS (

conclusionsWomen with AT taking L-T4 still need iodine supplementation, although the amount should be regulated on the basis of their L-T4 dosage.

Indexed as

Dietary SupplementsIodinePregnancy ComplicationsThyroiditis, AutoimmuneThyroxineAdultCross-Sectional StudiesFemaleHumansInfant, NewbornPregnancyThyrotropinIodineThyrotropinThyroxinedietiodinepregnancysupplements

Identifiers

PMID39940399
PMCPMC11820718

What OpenQuestion holds

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Registered trials

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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.