دورية أكاديمية

Iodine status and supplementation in pregnancy: an overview of the evidence provided by meta-analyses

التفاصيل البيبلوغرافية
العنوان: Iodine status and supplementation in pregnancy: an overview of the evidence provided by meta-analyses
المؤلفون: Croce, Laura, Chiovato, Luca, Tonacchera, Massimo, Petrosino, Elena, Tanda, Maria Laura, Moleti, Mariacarla, Magri, Flavia, Olivieri, Antonella, Pearce, Elizabeth N., Rotondi, Mario
المساهمون: Croce, Laura, Chiovato, Luca, Tonacchera, Massimo, Petrosino, Elena, Tanda, Maria Laura, Moleti, Mariacarla, Magri, Flavia, Olivieri, Antonella, Pearce, Elizabeth N., Rotondi, Mario
سنة النشر: 2022
المجموعة: IRInSubria - Institutional Repository Insubria (Università degli Studi dell’Insubria)
مصطلحات موضوعية: Iodine, Thyroid, Pregnancy, Hypothyroidism, Autoimmunity, Meta-analyses
الوصف: Iodine supplementation during pregnancy in areas with mild-moderate defciency is still a matter of debate. The present study aimed at systematically reviewing currently available evidences provided by meta-analyses with the aim to further clarify controversial aspects regarding the need of iodine supplementation in pregnancy as well as to provide guidance on clinical decision-making, even in areas with mild-moderate defciency. Medline, Embase and Cochrane search from 1969 to 2022 were performed. For the purpose of this review, only studies containing meta-analytic data were selected. A total of 7 meta-analyses were retrieved. Four meta-analyses evaluated the relationship between iodine status during pregnancy and neonatal and maternal outcomes suggesting the existence of a U-shaped correlation between iodine status and several maternal and neonatal consequences, especially if iodine status is evaluated at the beginning of pregnancy. Three meta-analyses evaluating the results of intervention trials failed to provide straightforward conclusions on the benefts of iodine supplementation in pregnant women in areas with mild-moderate iodine defciency. Although evidence coming from meta-analyses suggests a role of iodine status during pregnancy in determining maternal and child outcomes, results of meta-analyses of intervention trials are still controversial. Several factors including, degree of iodine defciency, and pooling studies conducted in areas with diferent iodine intake, may account for the lack of benefts reported by metaanalyses of intervention trials. More high-quality, randomized, controlled trials including information on timing, dose and regimen of iodine supplementation are needed to further elucidate this issue.
نوع الوثيقة: article in journal/newspaper
وصف الملف: ELETTRONICO
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/36227457; info:eu-repo/semantics/altIdentifier/wos/WOS:000867594800001; volume:-; firstpage:1; lastpage:10; numberofpages:10; journal:REVIEWS IN ENDOCRINE & METABOLIC DISORDERS; http://hdl.handle.net/11383/2141451Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85139755152; https://link.springer.com/article/10.1007/s11154-022-09760-7Test
DOI: 10.1007/s11154-022-09760-7
الإتاحة: https://doi.org/10.1007/s11154-022-09760-7Test
http://hdl.handle.net/11383/2141451Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.86B2F8C7
قاعدة البيانات: BASE