Document Detail


Teratology public affairs committee position paper: iodine deficiency in pregnancy.
MedLine Citation:
PMID:  22903940     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Iodine deficiency is an important nutritional deficiency, with more than 2 billion people worldwide estimated to be at risk. The developing fetus and young children are particularly at risk. During pregnancy and lactation, iodine requirements increase, whether in iodine-poor or iodine-sufficient countries, making the mother and the developing fetus vulnerable. The American Thyroid Association (ATA) recommends 250 micrograms per day of iodine intake for pregnant and lactating women. The thyroid gland is able to adapt to the changes associated with pregnancy as long as sufficient iodine is present. Dietary intake is the sole source of iodine, which is essential to the synthesis of thyroid hormones. Iodine is found in multiple dietary sources including iodized salt, dairy products, seaweed, and fish. Prenatal vitamins containing iodine are a good source of iodine, but iodine content in multivitamin supplements is highly variable. Congenital hypothyroidism is associated with cretinism. Clinical hypothyroidism has been associated with increased risk of poor perinatal outcome including prematurity, low birth weight, miscarriage, preeclampsia, fetal death, and impaired fetal neurocognitive development. Subclinical hypothyroidism is also associated with poor pregnancy outcomes and potential fetal neurocognitive deficits, but the data are more variable than those for clinical hypothyroidism. We concur with the ATA recommendation that all pregnant and lactating women should ingest (through diet and supplements) 250 micrograms of iodine daily. To achieve this goal, we recommend that all pregnant and lactating women take daily iodine supplementation of 150 micrograms.
Authors:
Sarah G Obican; Gloria D Jahnke; Offie P Soldin; Anthony R Scialli
Publication Detail:
Type:  Journal Article     Date:  2012-08-18
Journal Detail:
Title:  Birth defects research. Part A, Clinical and molecular teratology     Volume:  94     ISSN:  1542-0760     ISO Abbreviation:  Birth Defects Res. Part A Clin. Mol. Teratol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-10     Completed Date:  2013-06-19     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101155107     Medline TA:  Birth Defects Res A Clin Mol Teratol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  677-82     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Affiliation:
Department of Obstetrics and Gynecology, George Washington University, Washington, DC, USA. sarahobican@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Congenital Hypothyroidism / metabolism,  prevention & control*
Dietary Supplements / standards,  supply & distribution*
Female
Fishes
Humans
Iodine / administration & dosage,  deficiency*,  metabolism
Malnutrition
Nutritional Requirements / physiology
Pregnancy
Seaweed
Sodium Chloride, Dietary / administration & dosage
Teratology
Thyroid Gland / drug effects,  metabolism
Thyroid Hormones / biosynthesis
Vitamins
Grant Support
ID/Acronym/Agency:
R01 AG033867/AG/NIA NIH HHS
Chemical
Reg. No./Substance:
0/Sodium Chloride, Dietary; 0/Thyroid Hormones; 0/Vitamins; 0/iodized salt; 7553-56-2/Iodine
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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