Evidence map›Paper›PMID 42163862›Full record

ArticleCurrent developments in nutrition2026

Population-Level Changes in Folate, Iodine, and Vitamin D Status over More than 20 Years: Biomarker Data from the Cross-Sectional National Health and Nutrition Examination Survey (NHANES 1999-2000 through August 2021-August 2023).

Christine M Pfeiffer, Maya R Sternberg, Carissa D Powers, Cynthia L Ogden, Maria Elena D Jefferds, Krista S Crider, WenYen Juan, Jaime J Gahche, Michael E Rybak, Zia Fazili and 3 more

Abstract read
In one paragraph

Article in Current developments in nutrition, 2026. 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. Article
  2. 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

13 authors.

Christine M PfeifferCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.
Maya R SternbergCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.
Carissa D PowersCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.
Cynthia L OgdenCDC, National Center for Health Statistics, Division of Health and Nutrition Examination Surveys, Hyattsville, MD, United States.
Maria Elena D JefferdsCDC, National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity and Obesity, Atlanta, GA, United States.
Krista S CriderCDC, National Center on Birth Defects and Developmental Disabilities, Division of Birth Defects and Infant Disorders, Atlanta, GA, United States.
WenYen JuanFood and Drug Administration, Human Foods Program, College Park, MD, United States.
Jaime J GahcheNational Institutes of Health, Office of Dietary Supplements, Division of Program Coordination, Planning, and Strategic Initiatives, Bethesda, MD, United States.
Michael E RybakCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.
Zia FaziliCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.
Ming ZhangCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.
Ekaterina M MinevaCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.
Jeffery M JarrettCenters for Disease Control and Prevention (CDC), National Center for Environmental Health, Division of Laboratory Sciences, Atlanta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The National Health and Nutrition Examination Survey (NHANES) has monitored biomarkers for 4 key nutrients important for pregnancy outcomes, neurological development, and healthy growth-folate, vitamin D, iodine, and iron-during most survey cycles from 1999 to 2000 through August 2021-August 2023 as part of the continuous NHANES. These biomarker data offer a unique opportunity to assess long-term trends in the US population. Objectives: This study aimed to describe concentration trends for 7 biomarkers/indicators after adjusting for demographic changes over time. Methods: We used the following NHANES data: serum folate (SFOL) and red blood cell folate (RBF) for persons aged ≥3 y and women of reproductive age (WRA, 12-49 y) for 1999-August 2023 (except 2017-2018), serum 25-hydroxyvitamin D (25OHD) for persons aged ≥3 y for 2001-August 2023, urine iodine (UI) for persons aged ≥3 y for 2001-2018, and serum ferritin [(FER) and FER adjusted for inflammation (FER Results: After adjusting for demographic changes, mean concentrations of all 7 biomarkers/indicators showed significant overall temporal changes (except for FER in children and BII in WRA) and significant linear trends (except for FER Conclusions: Considering the long monitoring period, biomarker changes were moderate. Nonetheless, these changes highlight the need to address declining iodine, iron, and folate status in WRA and increasing vitamin D status in supplement users.

Indexed as

biomarkerfolateiodineiron indicatortrendvitamin Dvitamins

Identifiers

PMID42163862
PMCPMC13185982

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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.