Effects of Two Weekly Servings of Cod for 16 Weeks in Pregnancy on Maternal Iodine Status and Infant Neurodevelopment: Mommy's Food, a Randomized-Controlled Trial

Markhus, Maria Wik; Hysing, Mari; Midtbø, Lisa Kolden; Nerhus, Ive; Næss, Synnøve; Aakre, Inger; Kvestad, Ingrid; Dahl, Lisbeth; Kjellevold, Marian

doi:10.1089/thy.2020.0115

Cited by 14 publications

(9 citation statements)

References 49 publications

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“…In contrast, the adverse influences of an unhealthy diet during pregnancy on the neurodevelopment of offspring remains after birth and even for long term. For instance, a randomized-controlled trial demonstrated that the maternal diet of two servings of cod per week during pregnancy might have adverse effects on infants' neurodevelopment [11]. A prospective birth cohort study found that maternal intake of excess folic acid supplements during pregnancy was associated with adverse psychomotor development in children after the first year of life [12].…”

Section: Introductionmentioning

confidence: 99%

Association of Maternal Dietary Patterns during Gestation and Offspring Neurodevelopment

Qin

Jiang

et al. 2022

Nutrients

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The health effects of diet are long term and persistent. Few cohort studies have investigated the influence of maternal dietary patterns during different gestational periods on offspring’s health outcomes. This study investigated the associations between maternal dietary patterns in the mid- and late-gestation and infant’s neurodevelopment at 1 year of age in the Jiangsu Birth Cohort (JBC) Study. A total of 1178 mother–child pairs were available for analysis. A semiquantitative food frequency questionnaire (FFQ) was used to investigate dietary intake at 22–26 and 30–34 gestational weeks (GWs). Neurodevelopment of children aged 1 year old was assessed using Bayley-Ⅲ Screening Test. Principal component analysis (PCA) and Poisson regression were used to extract dietary patterns and to investigate the association between dietary patterns and infant neurodevelopment. After adjusting for potential confounders, the maternal ‘Aquatic products, Fresh vegetables and Homonemeae’ pattern in the second trimester was associated with a lower risk of being non-competent in cognitive and gross motor development, respectively (cognition: aRR = 0.84; 95% CI 0.74–0.94; gross motor: aRR = 0.80; 95% CI 0.71–0.91), and the similar pattern, ‘Aquatic products and Homonemeae’, in the third trimester also showed significant association with decreased risk of failing age-appreciate cognitive and receptive communication development (cognition: aRR = 0.89; 95% CI 0.80–0.98; receptive communication: aRR = 0.91; 95% CI 0.84–0.99). Notably, adherence to the dietary pattern with relatively high aquatic and homonemeae products in both trimesters demonstrated remarkable protective effects on child neurodevelopment with the risk of being non-competent in cognitive and gross motor development decreasing by 59% (95% CI 0.21–0.79) and 63% (95% CI 0.18–0.77), respectively. Our findings suggested that adherence to the ‘Aquatic products and Homonemeae’ dietary pattern during pregnancy may have optimal effects on offspring’s neurodevelopment.

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Section: Introductionmentioning

confidence: 99%

Association of Maternal Dietary Patterns during Gestation and Offspring Neurodevelopment

Qin

Jiang

et al. 2022

Nutrients

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“…A moderate I deficiency is present in many countries, especially for pregnant women [ 48 ]. Due to this, there has been a focus on enriching meat or fish with I, for which seaweed could be a suitable source.…”

Section: Discussionmentioning

confidence: 99%

Fecal Excretion and Whole-Body Retention of Macro and Micro Minerals in Atlantic Salmon Fed Torula Yeast Grown on Sugar Kelp Hydrolysate

Sharma

Horn

Eijsink

et al. 2021

Animals

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Yeast is a microbial feed ingredient that can be produced from non-food biomasses. Brown seaweed contains high levels of complex carbohydrates that are not digested to any extent by monogastric animals but can be used as carbon sources for yeast production. The objective of this study was to investigate how minerals originating from brown macroalgae (Saccharina latissima) are incorporated in Cyberlindnera jadinii yeast and to assess the bioavailability of these different minerals as well as their accumulation into different organs of Atlantic salmon. The yeast C. jadinii was produced on a seaweed hydrolysate mixed with a sugar-rich wood hydrolysate in a 9:1 volume ratio and fed to Atlantic salmon (Salmo salar) in two different experiments: a digestibility experiment with 30% dietary inclusion of yeast and a retention experiment with increasing inclusion of yeast (5, 10, and 20%). Seaweed minerals such as zinc (Zn), copper (Cu), iodine (I), manganese (Mn), and cobalt (Co) were incorporated to a high degree in the yeast. The apparent fecal excretion of minerals was similar in both experiments, in general, with low excretion of, I, bromine (Br), and arsenic (As) (ranging from 18.0% to 63.5%) and high excretion of iron (Fe), Cu, Mn, aluminum (Al), cadmium (Cd) and lead (Pb) (ranging from 56.9% to <100%), despite the different fish size and fecal sampling method. High levels of Cu, I, Br, and Co in the yeast resulted in a linear decrease (p < 0.05) in retention of these minerals in salmon fed increasing levels of yeast. Despite increasing amounts of these minerals in the feed, whole-body levels of Cu and Mn remained stable, whereas whole-body levels of Co, somewhat unexpectedly, decreased with increased dietary yeast inclusion. The Cd from the yeast had low bioavailability but was concentrated more in the kidney (0.038 mg kg−1) and liver (0.025 mg kg−1) than in muscle (0.0009 mg kg−1). The given Cd level in fish strengthens the indication that it is safe to feed salmon with up to 20% inclusion of seaweed yeast without exceeding the maximum limit for Cd of 0.05 mg kg−1 w.w. in fish meat. The level and retention (p < 0.05) of As were lower in the yeast compared to fishmeal. The high level of iodine in S. latissima (3900 mg kg−1) was partly transferred to the yeast, and salmon fed increasing levels of yeast displayed a linear increase in whole-body I content (p < 0.05). There is, however, a need for a growth experiment with larger fish to draw any firm conclusions regarding food safety. Overall, this study shows that yeast grown on hydrolyzed seaweed can be a suitable mineral source for Atlantic salmon, especially when diets are low in fishmeal.

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“…The current investigation is a secondary analysis from the study “Mommy's Food” (NCT02610959), which is a 2-armed randomized controlled trial (RCT) where pregnant women were randomly assigned to either receive dietary Atlantic cod ( Gadus morhua ) or continue with their habitual diet during the second and third trimesters of pregnancy (GWs 20–36) ( 26 ). The intervention increased the median UIC in the intervention group but had no effects on thyroid function ( 27 ). Therefore, in the current article, we wanted to explore potential associations between markers of iodine nutrition (UIC and iodine intake) and thyroid function tests in an observational design.…”

Section: Methodsmentioning

confidence: 99%

“…The study visits during pregnancy (GWs 18 and 36) and postpartum (3 and 6 mo) included the collection of biological samples (blood and urine samples) and questionnaires regarding demography, dietary intake, and supplement use. Further information about the study, including study design, power calculation, enrolment, and study procedures, has been published elsewhere ( 26 , 27 ).…”

Section: Methodsmentioning

confidence: 99%

Iodine Nutrition and Iodine Supplement Initiation in Association with Thyroid Function in Mildly-to-Moderately Iodine-Deficient Pregnant and Postpartum Women

Næss

Markhus

Strand

et al. 2021

The Journal of Nutrition

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Background Whereas the adverse effects of severe iodine deficiency during pregnancy are well documented, the effects of mild-to-moderate deficiency are not well established. Objectives We aimed to explore whether iodine nutrition and timing of iodine supplement initiation are associated with thyroid function in pregnant and postpartum women. Methods In this cohort study, 137 pregnant women were enrolled and followed up at gestational weeks (GWs) 18 and 36, and 3 and 6 mo postpartum. Thyroid function tests [thyroid-stimulating hormone (TSH), free triiodothyronine (fT3), and free thyroxine (fT4)], urinary iodine and creatinine concentration (UIC:Cr), and iodine intake (including iodine supplement use) were measured at each time point. The associations between thyroid hormone concentrations and UIC:Cr, iodine intakes, and iodine supplement use were estimated using multiple generalized estimating equation models. Results The median UIC at GW18 was 94 μg/L, indicating mild-to-moderate iodine deficiency. UIC:Cr (β; 95% CI) per 100 μg/g was negatively associated with fT3 (−0.191; −0.331, −0.051) and fT4 (−0.756; −1.372, −0.141) concentrations. Iodine intake (β; 95% CI) per 100 μg/d was positively associated with TSH (0.099; 0.022, 0.177), and negatively associated with fT3 (−0.084; −0.0141, −0.027) and fT4 (−0.390; −0.599, −0.182) concentrations. Compared with no use of supplement, those initiating an iodine-containing supplement prepregnancy and continuing through pregnancy had lower TSH (estimated means) (1.35 compared with 1.68 mIU/L, P = 0.021), and higher fT3 (4.48 compared with 4.28 pmol/L, P = 0.035) and fT4 (15.2 compared with 14.4 pmol/L, P = 0.024) concentrations. Conclusions Lower iodine availability during pregnancy and postpartum was associated with lower TSH, and higher fT3 and fT4 concentrations. The use of an iodine-containing supplement that was initiated prepregnancy and continuing through pregnancy was associated with lower TSH, and higher fT3 and fT4 concentrations, which may suggest improved thyroid function. These findings support the notion that optimization of iodine intake should start before pregnancy. This trial was registered at clinicaltrials.gov as NCT02610959.

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Effects of Two Weekly Servings of Cod for 16 Weeks in Pregnancy on Maternal Iodine Status and Infant Neurodevelopment: Mommy's Food, a Randomized-Controlled Trial

Cited by 14 publications

References 49 publications

Association of Maternal Dietary Patterns during Gestation and Offspring Neurodevelopment

Association of Maternal Dietary Patterns during Gestation and Offspring Neurodevelopment

Fecal Excretion and Whole-Body Retention of Macro and Micro Minerals in Atlantic Salmon Fed Torula Yeast Grown on Sugar Kelp Hydrolysate

Iodine Nutrition and Iodine Supplement Initiation in Association with Thyroid Function in Mildly-to-Moderately Iodine-Deficient Pregnant and Postpartum Women

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