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Maternal Urinary Iodine Concentration during Pregnancy and Its Impact on Child Growth and Neurodevelopment: An
Carla A Lopes1,2, Marta Duarte1, Susana Prazeres3
1CICS-UBI, Health Sciences Research Centre, University of Beira Interior, 6200-506 Covilhã, Portugal.
Insights
Maternal iodine intake during pregnancy did not directly impact child growth or neurodevelopment in this study. Socioeconomic factors, like maternal education, played a more significant role in child development outcomes.
Area of Science:
- Maternal and Child Health
- Nutritional Epidemiology
- Neurodevelopmental Studies
Background:
- Mild-to-moderate iodine deficiency in pregnancy is common globally.
- The precise effects of maternal iodine status on child health remain unclear.
Purpose of the Study:
- To examine the association between maternal iodine intake during pregnancy and offspring growth and neurodevelopment at age 11.
- To identify potential confounding factors in this relationship.
Main Methods:
- A cohort study of 70 children aged 11, utilizing data from maternal urinary iodine concentration (UIC) surveys during pregnancy.
- Analysis of gestational, neonatal, anthropometric, intelligence quotient (IQ), and socioeconomic parameters correlated with maternal UIC.
Main Results:
- Positive trends observed between maternal UIC and child height, IQ, family income, and maternal education.
- Negative trend between maternal UIC and neonatal thyroid-stimulating hormone (TSH) levels.
- Maternal UIC was not an independent predictor of child development; maternal education was significantly associated with child height and IQ.
Conclusions:
- No direct evidence found linking maternal iodine intake during pregnancy to long-term child growth and neurodevelopment.
- Socioeconomic factors significantly confound the relationship between maternal iodine intake and child outcomes, requiring careful consideration in future research.
Abstract:
Mild-to-moderate iodine deficiency during pregnancy is prevalent worldwide, but its consequences for maternal and child health are not clear. We aimed to investigate the impact of maternal iodine intake during pregnancy on the child's growth and neurodevelopment. This study involved a cohort of 11-year-old children (n = 70) whose mothers had participated in an iodine intake survey during pregnancy. Gestational, neonatal, anthropometric, intelligence quotient (IQ), and socioeconomic parameters were analyzed according to maternal urinary iodine concentration (UIC). There was a positive linear trend of current height Z-score, full-scale IQ, verbal IQ, family income, maternal education, and a negative trend of neonatal TSH levels with increasing maternal UIC levels. However, regression analysis indicated that maternal UIC was not an independent predictor of any gestational, neonatal, or childhood development parameter. Only maternal school education was positively associated with child height and IQ. In conclusion, we did not find any evidence of a direct effect of maternal iodine intake during pregnancy on the long-term growth and neurodevelopment of children. The results suggest that socioeconomic factors are important confounding factors that affect both maternal iodine intake and child development and must be considered when investigating the association between maternal iodine intake and child outcomes.
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