Evidence map›Paper›PMID 40114096›Full record

Observational studyBMC pregnancy and childbirth2025

Iodine nutritional status in different trimesters of pregnancy and its association with dietary habits: a prospective observational study in Taiwan.

Li-Hsin Pan, Chang-Ching Yeh, Shun-Jie Yang, Chen-Chang Yang, Chii-Min Hwu, Harn-Shen Chen, Fan-Fen Wang, Chun-Jui Huang

Abstract readObservational Study
In one paragraph

Observational study in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Li-Hsin PanDivision of Endocrinology and Metabolism, Department of Medicine, Taipei City Hospital Zhongxiao Branch, Taipei, 115006, Taiwan.
Chang-Ching YehDepartment of Obstetrics & Gynecology, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Shun-Jie YangDivision of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Chen-Chang YangDepartment of Occupational Medicine and Clinical Toxicology, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Chii-Min HwuDivision of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Harn-Shen ChenDivision of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Fan-Fen WangDivision of Endocrinology and Metabolism, Department of Medicine, Taipei City Hospital Yangming Branch, Taipei, 111024, Taiwan.
Chun-Jui HuangDivision of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, Taipei, 11217, Taiwan. chunjui0501@yahoo.com.tw.

Funding

National Science and Technology Council NSTC 109-2314-B-075-068, 110-2314-B-075-007, 111-2314-B-075-071, 112-2314-B-075-025, 112-2314-B-A49-081Yin Shu-Tien Foundation Taipei Veterans General Hospital-National Yang-Ming Chiao Tung University Excellent Physician Scientists Cultivation Program No. 113-V-B-035
6 · The paper itself

Abstract

backgroundPregnant women are susceptible to iodine deficiency. Most iodine nutritional studies in pregnant women have involved cross-sectional evaluations of iodine status. This prospective observational study was designed to longitudinally follow the iodine status of pregnant women in different trimesters of pregnancy and to assess the demographic characteristics and dietary influences on iodine status.

methodsA prospective cohort study was conducted at Taipei Veterans General Hospital from March 2019 to July 2022. A total of 211 women were enrolled and each subject was asked to provide a spot urine sample at each trimester. Urinary iodine concentration (UIC) was measured using inductively coupled plasma-mass spectrometry. Dietary habit was assessed via food frequency questionnaires (FFQs) at each trimester.

resultsThe median UICs for the first, second and third trimesters were 156.3 µg/L (interquartile range [IQR]: 100.7-241.1), 146.2 µg/L (84.6-224.4), and 169.9 µg/L (94.4-283.5), respectively. Compared to the first trimester, participants consumed seaweed (p = 0.004 and p < 0.001, respectively), fish (p < 0.001 for both), and prenatal multivitamins (p < 0.001 for both) more frequently during the second and third trimesters. Additionally, an increasing number of women raised their intake of dairy products as their pregnancies progressed. Multivariate analysis indicated a positive association between nulliparity and UIC < 150 µg/L (adjusted odds ratio [OR]: 2.258, 95% confidence interval [CI]: 1.167-4.367, p = 0.02). Additionally, less prenatal iodine-containing multivitamin intake increased the odds of UIC < 150 µg/L across all trimesters (adjusted OR: 2.562, 95% CI: 1.234-5.319; p = 0.01 for the first trimester; adjusted OR: 2.264, 95% CI: 1.167-4.395; p = 0.02 for the second trimester; and adjusted OR: 2.022, 95% CI: 1.031-3.967; p = 0.04 for the third trimester).

conclusionsMild iodine deficiency was observed in the second trimester despite adequate iodine status in the first and third trimesters. Nulliparous women and those not ingesting iodine-containing multivitamins are at greater risk of iodine deficiency, highlighting the need for targeted dietary education and interventions.

Indexed as

DietFeeding BehaviorIodineNutritional StatusPregnancy TrimestersAdultFemaleHumansPregnancyProspective StudiesTaiwanIodineDietGestationIodinePregnancyTaiwan

Identifiers

PMID40114096
PMCPMC11924752

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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.