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Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
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.
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.
Abstract:
Inadequate iodine status affects the synthesis of the thyroid hormones and may impair brain development in fetal life. The aim of this study was to explore the association between maternal iodine status in pregnancy measured by urinary iodine concentration (UIC) and child neurodevelopment at age 6, 12 and 18 months in a population-based cohort. In total, 1036 families from nine locations in Norway were enrolled in the little in Norway cohort. The present study includes n = 851 mother-child pairs with singleton pregnancies, no use of thyroid medication in pregnancy, no severe genetic disorder, data on exposure (UIC) in pregnancy and developmental outcomes (Bayley Scales of Infant and Toddler Development, third edition). Data collection also included general information from questionnaires. We examined associations between UIC (and use of iodine-containing supplements) and repeated measures of developmental outcomes using multivariable mixed models. The median UIC in pregnancy was 78 µg/L (IQR 46⁻130), classified as insufficient iodine intake according to the WHO. Eighteen percent reported use of iodine-containing multisupplements. A UIC below ~100 was associated with reduced receptive (p = 0.025) and expressive language skills (p = 0.002), but not with reduced cognitive or fine- and gross motor skills. Maternal use of iodine-containing supplements was associated with lower gross motor skills (b = -0.18, 95% CI = -0.33, -0.03, p = 0.02), but not with the other outcome measures. In conclusion, an insufficient iodine intake in pregnancy, reflected in a UIC below ~100 µg/L, was associated with lower infant language skills up to 18 months. The use of iodine-containing supplements was not associated with beneficial effects.
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