Maternal Iodine Status is Associated with Offspring Language Skills in Infancy and Toddlerhood

Maria Wik Markhus1, Lisbeth Dahl2, Vibeke Moe3

  • 1Institute of Marine Research, P.O box 1870 Nordnes, 5817 Bergen, Norway. maria.wik.markhus@hi.no.

Nutrients
|September 13, 2018
PubMed

Insights

Maternal iodine deficiency during pregnancy is linked to lower infant language development. Insufficient iodine intake, indicated by urinary iodine concentration (UIC) below 100 µg/L, was associated with reduced language skills up to 18 months.

Area of Science:

  • Maternal and child health
  • Nutritional science
  • Neurodevelopmental research

Background:

  • Iodine is crucial for thyroid hormone synthesis, essential for fetal brain development.
  • Inadequate iodine status during pregnancy can negatively impact neurodevelopment.
  • Urinary iodine concentration (UIC) is a key biomarker for assessing population iodine status.

Purpose of the Study:

  • To investigate the association between maternal iodine status during pregnancy and child neurodevelopment.
  • To assess neurodevelopmental outcomes at 6, 12, and 18 months of age.
  • To explore the role of maternal iodine intake and supplement use on infant development.

Main Methods:

  • A population-based cohort study in Norway (Little in Norway cohort) included 851 mother-child pairs.
  • Maternal urinary iodine concentration (UIC) measured pregnancy iodine status.
  • Child neurodevelopment assessed using Bayley Scales of Infant and Toddler Development (third edition).
  • Multivariable mixed models analyzed associations between UIC, supplement use, and developmental outcomes.

Main Results:

  • Median UIC was 78 µg/L, indicating insufficient iodine intake by WHO standards.
  • Lower UIC (<100 µg/L) was associated with reduced receptive (p=0.025) and expressive language skills (p=0.002).
  • No significant association found between low UIC and cognitive or motor skill development.
  • Maternal use of iodine-containing supplements was linked to lower gross motor skills (p=0.02), not beneficial effects.

Conclusions:

  • Insufficient maternal iodine intake during pregnancy, indicated by UIC <100 µg/L, is associated with impaired infant language development up to 18 months.
  • The findings highlight the importance of adequate iodine status for optimal neurodevelopment, particularly language skills.
  • Maternal iodine-containing supplement use did not demonstrate a positive association with developmental outcomes in this cohort.

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