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孕妇尿碘浓度与新生儿人体测量学之间的关联

The Association Between Maternal Urinary Iodine Concentration and Neonatal Anthropometry.

作者信息

Shenhav Simon, Tsur Shenhav Leah, Gefel Dov, Rosen Shani R, Shenhav Amit, Shapin Rachel, Anteby Eyal Y, Ovadia Yaniv S

机构信息

Obstetrics and Gynecology Division, Barzilai University Medical Center, Ashkelon 7830604, Israel.

Faculty of Health Sciences, Ben-Gurion University of Negev, Beersheba 8410501, Israel.

出版信息

Nutrients. 2025 May 9;17(10):1624. doi: 10.3390/nu17101624.

DOI:10.3390/nu17101624
PMID:40431364
Abstract

: Iodine deficiency disorders remain a global public health concern, as acknowledged by the World Health Organization (WHO). Adequate maternal iodine intake during pregnancy is essential for normal fetal development, yet the relationship between maternal iodine status and fetal growth remains controversial. Urinary Iodine Concentration (UIC) is a commonly used marker for assessing iodine status. This study evaluates the association between maternal UIC and neonatal anthropometric parameters. : This prospective single-center cohort study included 202 pregnant women without known or reported thyroid disease, recruited between 2018 and 2021. Maternal iodine status was assessed by UIC from spot urine samples collected at the time of recruitment. Correlations were analyzed between maternal UIC and neonatal anthropometric measures, including birth weight (g), length (cm), and head circumference (cm). Analyses stratified by fetal sex were also performed. : No statistically significant association was found between UIC and neonatal anthropometric measures. Analysis of these correlations, stratified by fetal sex, did not reveal any statistically significant associations either. : Maternal UIC showed no association with neonatal anthropometric outcomes in this study, regardless of fetal sex. Further research is needed to investigate the additional effects of maternal iodine status in healthy, euthyroid pregnant women on neonatal outcomes.

摘要

世界卫生组织(WHO)承认,碘缺乏病仍然是一个全球公共卫生问题。孕期母亲摄入足够的碘对胎儿正常发育至关重要,但母亲碘状态与胎儿生长之间的关系仍存在争议。尿碘浓度(UIC)是评估碘状态常用的指标。本研究评估母亲UIC与新生儿人体测量参数之间的关联。 这项前瞻性单中心队列研究纳入了2018年至2021年间招募的202名无已知或报告甲状腺疾病的孕妇。在招募时通过即时尿样的UIC评估母亲的碘状态。分析母亲UIC与新生儿人体测量指标之间的相关性,包括出生体重(克)、身长(厘米)和头围(厘米)。还按胎儿性别进行了分层分析。 UIC与新生儿人体测量指标之间未发现统计学上显著的关联。按胎儿性别分层对这些相关性进行分析,也未发现任何统计学上显著的关联。 在本研究中,无论胎儿性别如何,母亲UIC与新生儿人体测量结果均无关联。需要进一步研究以调查健康、甲状腺功能正常的孕妇碘状态对新生儿结局的其他影响。

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本文引用的文献

1
Maternal Iodine Status and Birth Outcomes: A Systematic Literature Review and Meta-Analysis.母体碘营养状况与出生结局:系统文献回顾和荟萃分析。
Nutrients. 2023 Jan 12;15(2):387. doi: 10.3390/nu15020387.
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Change in prevalence of preterm birth in Israel following publication of national guidelines recommending routine sonographic cervical-length measurement at 19-25 weeks' gestation.以色列在发布建议在 19-25 孕周常规超声宫颈长度测量的国家指南后,早产患病率的变化。
Ultrasound Obstet Gynecol. 2023 May;61(5):610-616. doi: 10.1002/uog.26093. Epub 2023 Apr 7.
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Editorial: Consequences of Iodine Deficiency in Pregnancy.
社论:孕期碘缺乏的后果
Front Endocrinol (Lausanne). 2021 Jul 28;12:740239. doi: 10.3389/fendo.2021.740239. eCollection 2021.
4
Maternal iodine status, intrauterine growth, birth outcomes and congenital anomalies in a UK birth cohort.英国出生队列研究中母体碘营养状况、宫内生长、出生结局和先天畸形。
BMC Med. 2020 Jun 11;18(1):132. doi: 10.1186/s12916-020-01602-0.
5
Low intake of iodized salt and iodine containing supplements among pregnant women with apparently insufficient iodine status - time to change policy?孕妇碘营养状况明显不足,碘盐和含碘补充剂摄入量低-是时候改变政策了吗?
Isr J Health Policy Res. 2020 Mar 30;9(1):9. doi: 10.1186/s13584-020-00367-4.
6
Maternal and neonatal outcomes and determinants of iodine deficiency in third trimester of pregnancy in an iodine sufficient area.碘充足地区妊娠晚期碘缺乏的母婴结局及其决定因素。
BMC Pregnancy Childbirth. 2020 Mar 18;20(1):174. doi: 10.1186/s12884-020-02863-6.
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Variability of iodine concentrations in the human placenta.人体胎盘内碘浓度的变化。
Sci Rep. 2020 Jan 13;10(1):161. doi: 10.1038/s41598-019-56775-3.
8
Do maternal urinary iodine concentration or thyroid hormones within the normal range during pregnancy affect growth parameters at birth? A systematic review and meta-analysis.孕妇孕期内尿碘浓度或甲状腺激素处于正常范围内是否会影响出生时的生长参数?系统评价和荟萃分析。
Nutr Rev. 2020 Sep 1;78(9):747-763. doi: 10.1093/nutrit/nuz105.
9
Maternal Urinary Iodine Concentration and Pregnancy Outcomes in Euthyroid Pregnant Women: a Systematic Review and Meta-analysis.母体尿碘浓度与甲状腺功能正常孕妇妊娠结局的关系:系统评价和荟萃分析。
Biol Trace Elem Res. 2020 Oct;197(2):411-420. doi: 10.1007/s12011-019-02020-x. Epub 2019 Dec 24.
10
Maternal thyroid function during pregnancy and child brain morphology: a time window-specific analysis of a prospective cohort.妊娠期间母体甲状腺功能与儿童脑形态:一项前瞻性队列的特定时间窗分析。
Lancet Diabetes Endocrinol. 2019 Aug;7(8):629-637. doi: 10.1016/S2213-8587(19)30153-6. Epub 2019 Jun 28.