Evidence map›Paper›PMID 36227457›Full record

ReviewReviews in endocrine & metabolic disorders2023

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

Laura Croce, Luca Chiovato, Massimo Tonacchera, Elena Petrosino, Maria Laura Tanda, Mariacarla Moleti, Flavia Magri, Antonella Olivieri, Elizabeth N Pearce, Mario Rotondi

Registry-linked trialFull text readReview
In one paragraph

Review in Reviews in endocrine & metabolic disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07579988 (Ultrasound Measurement of Thyroid Volume in Term Newborns), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07579988 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Ultrasound Measurement of Thyroid Volume in Term Newborns : a Single-centre Cross Sectional Observational Study

Typeobservational_patient_registrySponsorIRCCS Ospedale San RaffaeleRan2026 to 2027Enrolled400ConditionsThyroid Volume, Thyroid Ultrasound, Congenital Hypothyroidism, Healthy NewbornsArmsThyroid ultrasound
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Iodine Supplementation Before, During and After Pregnancy.Geburtshilfe und Frauenheilkunde · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Overview of thyroid disorders in pregnancy.Maternal health, neonatology and perinatology · 2025
    Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laura CroceDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia (PV), 27100, Pavia, Italy.ORCID 0000-0001-7668-8276
Luca ChiovatoDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia (PV), 27100, Pavia, Italy.ORCID 0000-0001-7457-7353
Massimo TonaccheraEndocrinology Section, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0001-5431-5823
Elena PetrosinoDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia (PV), 27100, Pavia, Italy.
Maria Laura TandaDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.ORCID 0000-0001-7551-1751
Mariacarla MoletiDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID 0000-0002-8686-1615
Flavia MagriDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia (PV), 27100, Pavia, Italy.ORCID 0000-0003-4846-9847
Antonella OlivieriDepartment of Cardiovascular and Endocrine-Metabolic Diseases and Aging, Italian National Institute of Health, Rome, Italy.ORCID 0000-0002-7565-4370
Elizabeth N PearceSection of Endocrinology Diabetes, and Nutrition, Boston University School of Medicine, Boston, MA, USA.ORCID 0000-0003-3799-0354
Mario RotondiDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia (PV), 27100, Pavia, Italy. mario.rotondi@icsmaugeri.it.ORCID 0000-0001-6464-2334

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Iodine supplementation during pregnancy in areas with mild-moderate deficiency 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 deficiency. 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 benefits of iodine supplementation in pregnant women in areas with mild-moderate iodine deficiency. 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 deficiency, and pooling studies conducted in areas with different iodine intake, may account for the lack of benefits reported by meta-analyses 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.

Indexed as

IodineMalnutritionPregnancy ComplicationsChildDietary SupplementsFemaleHumansInfant, NewbornPregnancyIodineAutoimmunityHypothyroidismIodineMeta-analysesPregnancyThyroid

Identifiers

PMID36227457
PMCPMC10023614

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read33
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.