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Association between Elevated Iodine Intake and IQ among School Children in Portugal

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Resumo:The goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, were dichotomized to <250 µg/g and ≥250 µg/g, according to the European Commission/Scientific Committee on Food’s tolerable upper level of daily iodine intake for young children. Data were examined with Chi-square tests, logistic regression, and GLM univariate analysis. The sample (N = 1965) was classified as generally iodine-adequate (median urinary iodine concentration = 129 µg/L; median iodine-to-creatinine ratio = 126 µg/g) according to the WHO’s criteria. A greater proportion of children in the ≥250 µg/g group had below-average IQs, compared to children with less than 250 µg/g (p = 0.037), despite a sizable (though non-significant) proportion of children in the less-than-250 µg/g group also presenting below-average IQs, at the bottom of the iodine distribution (<50 µg/g). The proportion of below-average IQs increased with increasingly elevated iodine concentrations (p = 0.047). The association remained significant after the adjustment for confounders, with the elevated iodine group showing increased odds of having below-average IQs when compared with the non-elevated iodine group (OR 1.55; 95% CI 1.11–2.17; p = 0.011). Consistently, the former group presented a lower mean IQ than the latter (p = 0.006). High iodine intake was associated with lower IQs even in a population classified as iodine-adequate. These results bear on child cognition and on initiatives involving iodine supplementation
Autores principais:Carvalho, Irene P.
Outros Autores:Peixoto, Bruno; Caldas, José Carlos; Costa, Ana; Silva, Sofia; Moreira, Bárbara; Almeida, Agostinho; Moreira-Rosário, André; Guerra, António; Delerue-Matos, Cristina; Sintra, Diana; Pestana, Diogo; Pinto, Edgar; Mendes, Francisca Castro; Martins, Inês; Leite, João Costa; Fontoura, Manuel; Maia, Maria Luz; Queirós, Pedro; Moreira, Roxana; Leal, Sandra; Norberto, Sónia; Costa, Vera; Fernandes, Virgínia Cruz; Keating, Elisa; Azevedo, Luís; Calhau, Conceição
Assunto:Excessive iodine Cognition School ages Iodine-adequate population Representative sample
Ano:2022
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico do Porto
Idioma:inglês
Origem:Repositório Científico do Instituto Politécnico do Porto
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author Carvalho, Irene P.
author2 Peixoto, Bruno
Caldas, José Carlos
Costa, Ana
Silva, Sofia
Moreira, Bárbara
Almeida, Agostinho
Moreira-Rosário, André
Guerra, António
Delerue-Matos, Cristina
Sintra, Diana
Pestana, Diogo
Pinto, Edgar
Mendes, Francisca Castro
Martins, Inês
Leite, João Costa
Fontoura, Manuel
Maia, Maria Luz
Queirós, Pedro
Moreira, Roxana
Leal, Sandra
Norberto, Sónia
Costa, Vera
Fernandes, Virgínia Cruz
Keating, Elisa
Azevedo, Luís
Calhau, Conceição
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Carvalho, Irene P.
Peixoto, Bruno
Caldas, José Carlos
Costa, Ana
Silva, Sofia
Moreira, Bárbara
Almeida, Agostinho
Moreira-Rosário, André
Guerra, António
Delerue-Matos, Cristina
Sintra, Diana
Pestana, Diogo
Pinto, Edgar
Mendes, Francisca Castro
Martins, Inês
Leite, João Costa
Fontoura, Manuel
Maia, Maria Luz
Queirós, Pedro
Moreira, Roxana
Leal, Sandra
Norberto, Sónia
Costa, Vera
Fernandes, Virgínia Cruz
Keating, Elisa
Azevedo, Luís
Calhau, Conceição
author_role author
contributor_name_str_mv REPOSITÓRIO P.PORTO
country_str PT
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datacite.contributors.contributor.contributorName.fl_str_mv REPOSITÓRIO P.PORTO
datacite.creators.creator.creatorName.fl_str_mv Carvalho, Irene P.
Peixoto, Bruno
Caldas, José Carlos
Costa, Ana
Silva, Sofia
Moreira, Bárbara
Almeida, Agostinho
Moreira-Rosário, André
Guerra, António
Delerue-Matos, Cristina
Sintra, Diana
Pestana, Diogo
Pinto, Edgar
Mendes, Francisca Castro
Martins, Inês
Leite, João Costa
Fontoura, Manuel
Maia, Maria Luz
Queirós, Pedro
Moreira, Roxana
Leal, Sandra
Norberto, Sónia
Costa, Vera
Fernandes, Virgínia Cruz
Keating, Elisa
Azevedo, Luís
Calhau, Conceição
datacite.date.Accepted.fl_str_mv 2022-10-26T00:00:00Z
datacite.date.available.fl_str_mv 2023-01-31T09:07:39Z
datacite.date.embargoed.fl_str_mv 2023-01-31T09:07:39Z
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datacite.subjects.subject.fl_str_mv Excessive iodine
Cognition
School ages
Iodine-adequate population
Representative sample
datacite.titles.title.fl_str_mv Association between Elevated Iodine Intake and IQ among School Children in Portugal
dc.contributor.none.fl_str_mv REPOSITÓRIO P.PORTO
dc.creator.none.fl_str_mv Carvalho, Irene P.
Peixoto, Bruno
Caldas, José Carlos
Costa, Ana
Silva, Sofia
Moreira, Bárbara
Almeida, Agostinho
Moreira-Rosário, André
Guerra, António
Delerue-Matos, Cristina
Sintra, Diana
Pestana, Diogo
Pinto, Edgar
Mendes, Francisca Castro
Martins, Inês
Leite, João Costa
Fontoura, Manuel
Maia, Maria Luz
Queirós, Pedro
Moreira, Roxana
Leal, Sandra
Norberto, Sónia
Costa, Vera
Fernandes, Virgínia Cruz
Keating, Elisa
Azevedo, Luís
Calhau, Conceição
dc.date.Accepted.fl_str_mv 2022-10-26T00:00:00Z
dc.date.available.fl_str_mv 2023-01-31T09:07:39Z
dc.date.embargoed.fl_str_mv 2023-01-31T09:07:39Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.22/22015
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv MDPI
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Excessive iodine
Cognition
School ages
Iodine-adequate population
Representative sample
dc.title.fl_str_mv Association between Elevated Iodine Intake and IQ among School Children in Portugal
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description The goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, were dichotomized to <250 µg/g and ≥250 µg/g, according to the European Commission/Scientific Committee on Food’s tolerable upper level of daily iodine intake for young children. Data were examined with Chi-square tests, logistic regression, and GLM univariate analysis. The sample (N = 1965) was classified as generally iodine-adequate (median urinary iodine concentration = 129 µg/L; median iodine-to-creatinine ratio = 126 µg/g) according to the WHO’s criteria. A greater proportion of children in the ≥250 µg/g group had below-average IQs, compared to children with less than 250 µg/g (p = 0.037), despite a sizable (though non-significant) proportion of children in the less-than-250 µg/g group also presenting below-average IQs, at the bottom of the iodine distribution (<50 µg/g). The proportion of below-average IQs increased with increasingly elevated iodine concentrations (p = 0.047). The association remained significant after the adjustment for confounders, with the elevated iodine group showing increased odds of having below-average IQs when compared with the non-elevated iodine group (OR 1.55; 95% CI 1.11–2.17; p = 0.011). Consistently, the former group presented a lower mean IQ than the latter (p = 0.006). High iodine intake was associated with lower IQs even in a population classified as iodine-adequate. These results bear on child cognition and on initiatives involving iodine supplementation
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person_str_mv Carvalho, Irene P.
Peixoto, Bruno
Caldas, José Carlos
Costa, Ana
Silva, Sofia
Moreira, Bárbara
Almeida, Agostinho
Moreira-Rosário, André
Guerra, António
Delerue-Matos, Cristina
Delerue-Matos, Cristina
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Sintra, Diana
Pestana, Diogo
Pinto, Edgar
Mendes, Francisca Castro
Martins, Inês
Leite, João Costa
Fontoura, Manuel
Maia, Maria Luz
Maia, Maria Luz
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Queirós, Pedro
Moreira, Roxana
Leal, Sandra
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Costa, Vera
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Calhau, Conceição
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spelling engMDPIpt_PTThe goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, were dichotomized to <250 µg/g and ≥250 µg/g, according to the European Commission/Scientific Committee on Food’s tolerable upper level of daily iodine intake for young children. Data were examined with Chi-square tests, logistic regression, and GLM univariate analysis. The sample (N = 1965) was classified as generally iodine-adequate (median urinary iodine concentration = 129 µg/L; median iodine-to-creatinine ratio = 126 µg/g) according to the WHO’s criteria. A greater proportion of children in the ≥250 µg/g group had below-average IQs, compared to children with less than 250 µg/g (p = 0.037), despite a sizable (though non-significant) proportion of children in the less-than-250 µg/g group also presenting below-average IQs, at the bottom of the iodine distribution (<50 µg/g). The proportion of below-average IQs increased with increasingly elevated iodine concentrations (p = 0.047). The association remained significant after the adjustment for confounders, with the elevated iodine group showing increased odds of having below-average IQs when compared with the non-elevated iodine group (OR 1.55; 95% CI 1.11–2.17; p = 0.011). Consistently, the former group presented a lower mean IQ than the latter (p = 0.006). High iodine intake was associated with lower IQs even in a population classified as iodine-adequate. These results bear on child cognition and on initiatives involving iodine supplementationapplication/pdfpt_PTAssociation between Elevated Iodine Intake and IQ among School Children in PortugalCarvalho, Irene P.Peixoto, BrunoCaldas, José CarlosCosta, AnaSilva, SofiaMoreira, BárbaraAlmeida, AgostinhoMoreira-Rosário, AndréGuerra, AntónioPersonalDelerue-Matos, CristinaDSpacehttp://dspace.org/items/09f6a7bd-2f15-42b0-adc5-04bd22210519DSpacehttp://dspace.org/items/09f6a7bd-2f15-42b0-adc5-04bd22210519Delerue-MatosCristinaCiência IDhttps://www.ciencia-id.pt9A1A-43FB-5C27ORCIDhttp://orcid.org0000-0002-3924-776XResearcher IDhttps://www.researcherid.comD-4990-2013Scopus Author IDhttps://www.scopus.com6603741848Sintra, DianaPestana, DiogoPinto, EdgarMendes, Francisca CastroMartins, InêsLeite, João CostaFontoura, ManuelPersonalMaia, Maria LuzDSpacehttp://dspace.org/items/15a6606a-fb99-4acf-be43-d8e900e2a77aDSpacehttp://dspace.org/items/15a6606a-fb99-4acf-be43-d8e900e2a77aGalante MaiaMaria da LuzCiência IDhttps://www.ciencia-id.pt161F-62CC-7A37ORCIDhttp://orcid.org0000-0003-4383-3822Scopus Author IDhttps://www.scopus.com56436939000Queirós, PedroMoreira, RoxanaLeal, SandraNorberto, SóniaCosta, VeraPersonalFernandes, Virgínia CruzDSpacehttp://dspace.org/items/e30d74c3-1a3a-4e3e-ada0-5e79362cdd6eDSpacehttp://dspace.org/items/e30d74c3-1a3a-4e3e-ada0-5e79362cdd6eFernandesVirgíniaCiência IDhttps://www.ciencia-id.pt5A16-3713-E0CEORCIDhttp://orcid.org0000-0003-3979-7523Researcher IDhttps://www.researcherid.comG-4985-2010Scopus Author IDhttps://www.scopus.com37045954500Keating, ElisaAzevedo, LuísCalhau, ConceiçãoHostingInstitutionOrganizationalREPOSITÓRIO P.PORTOe-mailmailto:recipp@sc.ipp.ptrecipp@sc.ipp.ptDOIIsPartOf10.3390/nu142144932023-01-31T09:07:39Z2022-10-262022-10-26T00:00:00ZHandlehttp://hdl.handle.net/10400.22/22015http://purl.org/coar/access_right/c_abf2open accessExcessive iodineCognitionSchool agesIodine-adequate populationRepresentative sample343976 bytesFundação para a Ciência e a TecnologiaSalmon consumption: metabolic and epigenetic risk-benefit considerations in obesityinfo:eu-repo/grantAgreement/FCT/FARH/SFRH%2FBPD%2F109158%2F2015/PTSFRH/BPD/109158/2015FARHCrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaFruitec-Modern analytical technologies for assess Persistent and Emergent Organic Pollutants in red fruitsinfo:eu-repo/grantAgreement/FCT/POR_NORTE/SFRH%2FBPD%2F109153%2F2015/PTSFRH/BPD/109153/2015POR_NORTECrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaAssociated Laboratory for Green Chemistry - Clean Technologies and Processesinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F50006%2F2020/PTUIDB/50006/20206817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaAssociated Laboratory for Green Chemistry - Clean Technologies and Processesinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F50006%2F2020/PTUIDP/50006/20206817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal article2022-10-26http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://recipp.ipp.pt/bitstreams/92e93cda-0690-483d-a55b-19e4efe30507/downloadNutrients14214493
spellingShingle Association between Elevated Iodine Intake and IQ among School Children in Portugal
Carvalho, Irene P.
Excessive iodine
Cognition
School ages
Iodine-adequate population
Representative sample
status SINGLETON
subject.fl_str_mv Excessive iodine
Cognition
School ages
Iodine-adequate population
Representative sample
title Association between Elevated Iodine Intake and IQ among School Children in Portugal
title_full Association between Elevated Iodine Intake and IQ among School Children in Portugal
title_fullStr Association between Elevated Iodine Intake and IQ among School Children in Portugal
title_full_unstemmed Association between Elevated Iodine Intake and IQ among School Children in Portugal
title_short Association between Elevated Iodine Intake and IQ among School Children in Portugal
title_sort Association between Elevated Iodine Intake and IQ among School Children in Portugal
topic Excessive iodine
Cognition
School ages
Iodine-adequate population
Representative sample
topic_facet Excessive iodine
Cognition
School ages
Iodine-adequate population
Representative sample
url http://hdl.handle.net/10400.22/22015
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