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Iodine deficiency in Egyptian autistic children and their mothers: relation to disease severity
Rasha T Hamza1, Doaa H Hewedi, Mahmoud T Sallam
1Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Insights
Iodine deficiency (ID) is common in Egyptian autistic children and their mothers, correlating with increased autism severity. This suggests ID may be a contributing factor to the etiology of autism.
Area of Science:
- Neuroscience
- Endocrinology
- Public Health
Background:
- Autism spectrum disorder (ASD) is increasingly recognized as a neurodevelopmental disorder with potential origins in early fetal development.
- Maternal hypothyroxinemia during early pregnancy, often caused by iodine deficiency (ID), is hypothesized to play a role in ASD etiology.
Purpose of the Study:
- To investigate the iodine nutritional status of Egyptian children diagnosed with autism and their mothers.
- To explore the relationship between iodine status and the characteristics of autism in these children.
Main Methods:
- A comparative study involving 50 autistic children and their mothers, contrasted with 50 control subjects.
- Assessment included clinical evaluation, measurement of urinary iodine (UI), thyroid hormones (fT3, fT4), TSH, and thyroid volume (TV).
- Autistic children also underwent electroencephalography (EEG) and intelligence quotient (IQ) testing.
Main Results:
- Iodine deficiency was prevalent in 54% of autistic children and 58% of their mothers, with no deficiency observed in controls.
- Lower urinary iodine levels were significantly associated with autism in both children and mothers (p <0.001).
- Childhood Autism Rating Scale (CARS) scores showed a negative correlation with urinary iodine (r = -0.94, p <0.001), indicating greater severity with lower iodine levels. Autism diagnosis was significantly associated with low UI (OR: 9.5) and non-iodized salt intake (OR: 6.82).
Conclusions:
- Iodine deficiency is highly prevalent among Egyptian autistic children and their mothers.
- Lower iodine levels are inversely related to autism severity, suggesting a potential role in its etiology.
- These findings highlight the importance of adequate iodine nutrition in pregnancy for neurodevelopment and autism prevention.
Background And Aims:
Because autism may be a disease of early fetal brain development, maternal hypothyroxinemia (HT) in early pregnancy secondary to iodine deficiency (ID) may be related to etiology of autism. The aim of the study was to assess the iodine nutritional status in Egyptian autistic children and their mothers and its relationship with disease characteristics.
Methods:
Fifty autistic children and their mothers were studied in comparison to 50 controls. All subjects were subjected to clinical evaluation, measurement of urinary iodine (UI), free triiodothyronine (fT3), free tetraiodothyronine (fT4) and thyroid-stimulating hormone (TSH) along with measurement of thyroid volume (TV). In addition, electroencephalography (EEG) and intelligence quotient (IQ) assessment were done for all autistic children.
Results:
Of autistic children and their mothers, 54% and 58%, respectively, were iodine deficient. None of the control children or their mothers was iodine deficient. UI was lower among autistic patients (p <0.001) and their mothers (p <0.001). Childhood Autism Rating Scale (CARS) score correlated negatively with UI (r = -0.94, p <0.001). Positive correlations were detected between autistic patients and their mothers regarding UI (r = 0.88, p <0.001), fT3 (r = 0.79, p = 0.03), fT4 (r = 0.91, p <0.001) and TSH (r = 0.69, p = 0.04). Autism had a significant risk for association with each of low UI (OR: 9.5, 95% CI: 2.15-33.8, p = 0.02) and intake of noniodized salt (OR: 6.82, 95% CI = 1.36-34.27, p = 0.031).
Conclusions:
ID is prevalent in Egyptian autistic children and their mothers and was inversely related to disease severity and could be related to its etiology.
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