NCT03710148

Brief Summary

This study determined the effects of different iodine intake on the maternal and infant health and provide evidence for studying the RNI and UL of iodine in pregnant women.

  1. 1.The study of effect on mothers and their infants of the lack of iodine at different gestation in adequate iodine area.
  2. 2.The study of recommended iodine intake (RNI) for healthy pregnant women in three pregnancy.
  3. 3.The study of effect of different levels of high iodine exposure on pregnant women, delivery women and their infants.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
2,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jan 2014

Longer than P75 for all trials

Geographic Reach
1 country

3 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2014

Completed
4.8 years until next milestone

First Submitted

Initial submission to the registry

October 15, 2018

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 18, 2018

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2018

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2020

Completed
Last Updated

October 18, 2018

Status Verified

October 1, 2018

Enrollment Period

5 years

First QC Date

October 15, 2018

Last Update Submit

October 15, 2018

Conditions

Keywords

IodineEstimated Average RequirementRecommended Nutritent IntakeTolerable Upper Intake LevelPregnant WomenPregnancyEARRNIUL

Outcome Measures

Primary Outcomes (4)

  • Thyroid goiter confirmed by ultrasonographic thyroid volume

    Thyroid lobe volume was calculated according to the following formula: V (mL)=0.479Ă—dĂ—wĂ—l (mm)/1000, and TV was records as the sum of both lobes.

    3 years

  • Thyroid dysfunction confirmed by serum concentrations of FT3, FT4, TSH ,TPOAB and TGAb

    Thyroid function is not in the normal reference range and is defined as thyroid dysfunction

    3 years

  • Evaluation of neuropsychological development of children at age 2

    Children were tested by the neurodevelopmental scale compiled by the Capital Institute of Pediatrics.In this experiment, DQ (\> 130) was classified as excellent, 115-129 as upper, 85-114 as middle, 70-84 as lower, and (\< 69) as mental retardation.

    2 years

  • Iodine intake were measured by Iodine balance experiment

    24h iodine intake =24h dietary iodine intake + 24h water iodine intake + 24h respiratory iodine intake

    1 years

Interventions

Natural exposure of deficient iodine from diet \& drinking water, and of excessive iodine intake from drinking water

Eligibility Criteria

Age18 Years - 35 Years
Sexfemale(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodProbability Sample
Study Population

Pregnant women were recruited at Tanggu Maternity Hospital and Maternal, Tianjin Child Health Care Service Center and the Maternal and Gaoqing Child Health Hospital, Shandong.

You may qualify if:

  • \) aged between 18-35 years old; 2) singleton pregnancy; 3) Living in Tianjin or Shandong at least 5 years; 4) no history of any thyroid diseases; 5) no medication or supplementation of iodine.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Gaoqing Maternal and Child Health Care Center

Zibo, Shandong, China

RECRUITING

Tanggu Maternity Hospital

Tianjin, China

RECRUITING

Tianjin Maternal and Child Health Care Center

Tianjin, China

COMPLETED

Related Publications (32)

  • Sang Z, Wang PP, Yao Z, Shen J, Halfyard B, Tan L, Zhao N, Wu Y, Gao S, Tan J, Liu J, Chen Z, Zhang W. Exploration of the safe upper level of iodine intake in euthyroid Chinese adults: a randomized double-blind trial. Am J Clin Nutr. 2012 Feb;95(2):367-73. doi: 10.3945/ajcn.111.028001. Epub 2011 Dec 28.

    PMID: 22205314BACKGROUND
  • Boyages SC. Clinical review 49: Iodine deficiency disorders. J Clin Endocrinol Metab. 1993 Sep;77(3):587-91. doi: 10.1210/jcem.77.3.8370679. No abstract available.

    PMID: 8370679BACKGROUND
  • Zimmermann MB, Andersson M. Update on iodine status worldwide. Curr Opin Endocrinol Diabetes Obes. 2012 Oct;19(5):382-7. doi: 10.1097/MED.0b013e328357271a.

    PMID: 22892867BACKGROUND
  • Caldwell KL, Makhmudov A, Ely E, Jones RL, Wang RY. Iodine status of the U.S. population, National Health and Nutrition Examination Survey, 2005-2006 and 2007-2008. Thyroid. 2011 Apr;21(4):419-27. doi: 10.1089/thy.2010.0077.

    PMID: 21323596BACKGROUND
  • Hollowell JG, Haddow JE. The prevalence of iodine deficiency in women of reproductive age in the United States of America. Public Health Nutr. 2007 Dec;10(12A):1532-9; discussion 1540-1. doi: 10.1017/S1368980007360862.

    PMID: 18053275BACKGROUND
  • Fuse Y, Ohashi T, Yamaguchi S, Yamaguchi M, Shishiba Y, Irie M. Iodine status of pregnant and postpartum Japanese women: effect of iodine intake on maternal and neonatal thyroid function in an iodine-sufficient area. J Clin Endocrinol Metab. 2011 Dec;96(12):3846-54. doi: 10.1210/jc.2011-2180. Epub 2011 Sep 28.

    PMID: 21956426BACKGROUND
  • Vandevijvere S, Amsalkhir S, Mourri AB, Van Oyen H, Moreno-Reyes R. Iodine deficiency among Belgian pregnant women not fully corrected by iodine-containing multivitamins: a national cross-sectional survey. Br J Nutr. 2013 Jun 28;109(12):2276-84. doi: 10.1017/S0007114512004473. Epub 2012 Oct 19.

    PMID: 23084115BACKGROUND
  • Zou S, Wu F, Guo C, Song J, Huang C, Zhu Z, Yu H, Guo Y, Lu X, Ruan Y. Iodine nutrition and the prevalence of thyroid disease after salt iodization: a cross-sectional survey in Shanghai, a coastal area in China. PLoS One. 2012;7(7):e40718. doi: 10.1371/journal.pone.0040718. Epub 2012 Jul 27.

    PMID: 22911705BACKGROUND
  • Swanson CA, Zimmermann MB, Skeaff S, Pearce EN, Dwyer JT, Trumbo PR, Zehaluk C, Andrews KW, Carriquiry A, Caldwell KL, Egan SK, Long SE, Bailey RL, Sullivan KM, Holden JM, Betz JM, Phinney KW, Brooks SP, Johnson CL, Haggans CJ. Summary of an NIH workshop to identify research needs to improve the monitoring of iodine status in the United States and to inform the DRI. J Nutr. 2012 Jun;142(6):1175S-85S. doi: 10.3945/jn.111.156448. Epub 2012 May 2.

    PMID: 22551802BACKGROUND
  • Zimmermann M, Delange F. Iodine supplementation of pregnant women in Europe: a review and recommendations. Eur J Clin Nutr. 2004 Jul;58(7):979-84. doi: 10.1038/sj.ejcn.1601933.

    PMID: 15220938BACKGROUND
  • Brucker-Davis F, Ferrari P, Gal J, Berthier F, Fenichel P, Hieronimus S. Iodine status has no impact on thyroid function in early healthy pregnancy. J Thyroid Res. 2012;2012:168764. doi: 10.1155/2012/168764. Epub 2012 Nov 28.

    PMID: 23251828BACKGROUND
  • Zimmermann MB. The adverse effects of mild-to-moderate iodine deficiency during pregnancy and childhood: a review. Thyroid. 2007 Sep;17(9):829-35. doi: 10.1089/thy.2007.0108.

    PMID: 17956157BACKGROUND
  • Delange F. Iodine requirements during pregnancy, lactation and the neonatal period and indicators of optimal iodine nutrition. Public Health Nutr. 2007 Dec;10(12A):1571-80; discussion 1581-3. doi: 10.1017/S1368980007360941.

    PMID: 18053281BACKGROUND
  • Burns R, O'Herlihy C, Smyth PP. The placenta as a compensatory iodine storage organ. Thyroid. 2011 May;21(5):541-6. doi: 10.1089/thy.2010.0203. Epub 2011 Mar 21.

    PMID: 21417918BACKGROUND
  • Lazarus JH. Thyroid function in pregnancy. Br Med Bull. 2011;97:137-48. doi: 10.1093/bmb/ldq039. Epub 2010 Dec 23.

    PMID: 21186204BACKGROUND
  • Institute of Medicine (US) Panel on Micronutrients. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington (DC): National Academies Press (US); 2001. Available from http://www.ncbi.nlm.nih.gov/books/NBK222310/

    PMID: 25057538BACKGROUND
  • Delange F, Burgi H. Iodine deficiency disorders in Europe. Bull World Health Organ. 1989;67(3):317-25.

    PMID: 2670299BACKGROUND
  • Yu KW, Chin NX, Neu HC. Comparative in vitro activity and beta-lactamase stability of RU29246, the active metabolite of HR916B. Eur J Clin Microbiol Infect Dis. 1992 Jul;11(7):652-9. doi: 10.1007/BF01961678.

    PMID: 1396779BACKGROUND
  • Berghout A, Wiersinga W. Thyroid size and thyroid function during pregnancy: an analysis. Eur J Endocrinol. 1998 May;138(5):536-42. doi: 10.1530/eje.0.1380536.

    PMID: 9625365BACKGROUND
  • Romano R, Jannini EA, Pepe M, Grimaldi A, Olivieri M, Spennati P, Cappa F, D'Armiento M. The effects of iodoprophylaxis on thyroid size during pregnancy. Am J Obstet Gynecol. 1991 Feb;164(2):482-5. doi: 10.1016/s0002-9378(11)80004-9.

    PMID: 1992688BACKGROUND
  • Glinoer D. Iodine supplementation during pregnancy: importance and biochemical assessment. Exp Clin Endocrinol Diabetes. 1998;106 Suppl 3:S21. doi: 10.1055/s-0029-1212040. No abstract available.

    PMID: 9865548BACKGROUND
  • Dworkin HJ, Jacquez JA, Beierwaltes WH. Relationship of iodine ingestion to iodine excretion in pregnancy. J Clin Endocrinol Metab. 1966 Dec;26(12):1329-42. doi: 10.1210/jcem-26-12-1329. No abstract available.

    PMID: 5959526BACKGROUND
  • Teng W, Shan Z, Teng X, Guan H, Li Y, Teng D, Jin Y, Yu X, Fan C, Chong W, Yang F, Dai H, Yu Y, Li J, Chen Y, Zhao D, Shi X, Hu F, Mao J, Gu X, Yang R, Tong Y, Wang W, Gao T, Li C. Effect of iodine intake on thyroid diseases in China. N Engl J Med. 2006 Jun 29;354(26):2783-93. doi: 10.1056/NEJMoa054022.

    PMID: 16807415BACKGROUND
  • Laurberg P, Bulow Pedersen I, Knudsen N, Ovesen L, Andersen S. Environmental iodine intake affects the type of nonmalignant thyroid disease. Thyroid. 2001 May;11(5):457-69. doi: 10.1089/105072501300176417.

    PMID: 11396704BACKGROUND
  • Dunn JT. Iodine should be routinely added to complementary foods. J Nutr. 2003 Sep;133(9):3008S-10S. doi: 10.1093/jn/133.9.3008S.

    PMID: 12949401BACKGROUND
  • Moon S, Kim J. Iodine content of human milk and dietary iodine intake of Korean lactating mothers. Int J Food Sci Nutr. 1999 May;50(3):165-71. doi: 10.1080/096374899101201.

    PMID: 10627832BACKGROUND
  • Andersson M, Karumbunathan V, Zimmermann MB. Global iodine status in 2011 and trends over the past decade. J Nutr. 2012 Apr;142(4):744-50. doi: 10.3945/jn.111.149393. Epub 2012 Feb 29.

    PMID: 22378324BACKGROUND
  • Leung AM, Pearce EN, Braverman LE. Iodine nutrition in pregnancy and lactation. Endocrinol Metab Clin North Am. 2011 Dec;40(4):765-77. doi: 10.1016/j.ecl.2011.08.001.

    PMID: 22108279BACKGROUND
  • Mao IF, Ko YC, Chen ML. The stability of iodine in human sweat. Jpn J Physiol. 1990;40(5):693-700. doi: 10.2170/jjphysiol.40.693.

    PMID: 2086989BACKGROUND
  • Wang Y, Tian X, Song Q, Wang W, Guo X, Cui T, Pan Z, Chen Y, Chen W, Tan L, Zhang W. Application and Comparison of Different Regression Models in Iodine Balance Experiment on Women of Childbearing Age and Pregnant Women. Biol Trace Elem Res. 2024 Jun;202(6):2474-2487. doi: 10.1007/s12011-023-03867-x. Epub 2023 Oct 9.

  • Wu W, Chen Y, Guo W, Zhang K, Chen W, Fu M, Pan Z, Yang Y, Zhang N, Zhang W. The Relationship Between Iodine Excess and Thyroid Function During Pregnancy and Infantile Neurodevelopment at 18-24 Months. J Nutr. 2023 Aug;153(8):2320-2327. doi: 10.1016/j.tjnut.2023.05.012. Epub 2023 May 12.

  • Chen W, Wang W, Gao M, Chen Y, Guo W, Dong S, Sun H, Pan Z, Pearce EN, Tan L, Shen J, Zhang W. Iodine Intakes of <150 mug/day or >550 mug/day are Not Recommended during Pregnancy: A Balance Study. J Nutr. 2023 Jul;153(7):2041-2050. doi: 10.1016/j.tjnut.2022.10.017. Epub 2022 Dec 22.

Study Officials

  • Ping Shao, Master

    Tianjin Maternal and Child Health Care Center

    PRINCIPAL INVESTIGATOR
  • Xiaoming Wang, Master

    Shandong Institute for Endemic Disease Control and Research

    PRINCIPAL INVESTIGATOR
  • Laixing Lin, Master

    Tianjin Medical University Metabolic Diseases Hospital

    PRINCIPAL INVESTIGATOR
  • Jun Shen, Master

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Long Tan, PhD

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Wen Chen, PhD

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Wei Wang, BA

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Tingkai Cui, BA

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Min Gao, BA

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Yanting Chen, BA

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Wenxing Guo, BA

    Tianjin Medical University

    PRINCIPAL INVESTIGATOR
  • Chongdan Wang, BA

    Tanggu Maternity Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Wanqi Zhang, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Vice Dean for School of Public Health

Study Record Dates

First Submitted

October 15, 2018

First Posted

October 18, 2018

Study Start

January 1, 2014

Primary Completion

December 31, 2018

Study Completion

December 31, 2020

Last Updated

October 18, 2018

Record last verified: 2018-10

Locations