Poor knowledge and practices related to iodine nutrition during pregnancy and lactation in australian women: Pre- and post-iodine fortification
Open accessAbstract
A before-after review was undertaken to assess whether knowledge and practices related to iodine nutrition, supplementation and fortification has improved in Australian women since the introduction of mandatory iodine fortification in 2009. Surveys of pregnant (n = 139) and non-pregnant (n = 75) women in 2007-2008 are compared with surveys of pregnant (n = 147) and lactating women (n = 60) one to two years post-fortification in a regional area of New South Wales, Australia. A self-administered questionnaire was completed and dietary intake of iodine was assessed using a validated food frequency questionnaire. A generally poor knowledge about the role and sources of iodine in the diet remained after fortification. Post-fortification, iodine-containing supplements were being taken by 60% (up from 20% pre-fortification) and 45% of pregnant and lactating women, respectively. Dairy foods were the highest contributors to dietary iodine intake (57%-62%). A low intake of fish and seafood resulted in this food group contributing only 3%-8% of total intake. A low level of public awareness regarding the role of iodine in health supports the need for public health strategies in addition to fortification, such as an accompanying consumer education campaign, increased uptake of supplementation, and on-going monitoring.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The available data suggest that, even in industrialized countries, some infants who are breastfed may not be receiving optimal amounts of certain micronutrients, as the levels found in breastmilk, maternal serum or urine did not always reach recommended levels in all women.
“The available data suggest that, even in industrialized countries, some infants who are breastfed may not be receiving optimal amounts of certain micronutrients, as the levels found in breastmilk, maternal serum or urine did not always reach recommended levels in all women [73,85,86,87,88,89,90,91,92,93,94,95].”
From Immune function and micronutrient requirements change over the life course (2018) · cites this paper as [91]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Zimmermann, M. B., Jooste, P. L., & Pandav, C. S. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61005-3 · Cited by 1,047 · see citing works
Nutrient reference values for Australia and New Zealand: Including recommended dietary intakes
Capra, S. M. (2006) · Cited by 801 · see citing works
Maternal Fish Consumption, Hair Mercury, and Infant Cognition in a U.S. Cohort
Oken, E., Wright, R. O., KLEINMAN, K. P., et al. (2005) · Environmental Health Perspectives · doi:10.1289/ehp.8041 · Cited by 495 · see citing works
The effects of iodine on intelligence in children: a meta-analysis of studies conducted in China.
Qian, M., Wang, D., We, W., Gebski, V., Yq, Y., Li, M., & Zp, C. (2005) · PubMed · Cited by 246 · see citing works
The importance of iodine nutrition during pregnancy
Glinoer, D. (2007) · Public Health Nutrition · doi:10.1017/s1368980007360886 · Cited by 238 · see citing works
Iodine supplementation improves cognition in mildly iodine-deficient children
Gordon, R., Rose, M. C., Skeaff, S. A., Gray, A. R., Morgan, K., & Ruffman, T. (2009) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.28145 · Cited by 192 · see citing works
Belitz, H., Grosch, W., & Schieberle, P. (2004) · Food Chemistry · doi:10.1007/978-3-662-07279-0_16 · Cited by 123 · see citing works
Zimmermann, M. B. (2009) · Proceedings of The Nutrition Society · doi:10.1017/s0029665109991819 · Cited by 101 · see citing works
Simpson, J. L., Bailey, L. B., Pietrzik, K. F., Shane, B., & Holzgreve, W. (2010) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767051003678226 · Cited by 90 · see citing works
Charlton, K. E., Gemming, L., Yeatman, H. R., et al. (2010) · Nutrition · doi:10.1016/j.nut.2009.08.016 · Cited by 76 · see citing works
Self-citationClarkson, T. W., Cox, C., Davidson, P. W., & MYERS, G. J. (1998) · Science · doi:10.1126/science.279.5350.459c · Cited by 69 · see citing works
Burgess, J. R., Seal, J. A., Stilwell, G. M., et al. (2007) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01057.x · Cited by 56 · see citing works
Charlton, K. E., & Skeaff, S. A. (2011) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e32834b2b30 · Cited by 51 · see citing works
Self-citationKnowledge of iodine nutrition in the South African adult population
Jooste, P. L., Upson, N., & Charlton, K. E. (2005) · Public Health Nutrition · doi:10.1079/phn2004696 · Cited by 50 · see citing works
Self-citationGallego, G., Goodall, S., & Eastman, C. J. (2010) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2010.tb03586.x · Cited by 45 · see citing works
Where has all our iodine gone?
Eastman, C. J. (1999) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1999.tb123745.x · Cited by 45 · see citing works
Iodine Supplementation During Pregnancy and Lactation
Stagnaro‐Green, A., SULLIVAN, S. A., & Pearce, E. N. (2012) · JAMA · doi:10.1001/jama.2012.45423 · Cited by 44 · see citing works
Iodine deficiency in industrialized countries*
Zimmermann, M. B. (2011) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2011.04168.x · Cited by 43 · see citing works
Li, M., Chapman, S. F., Agho, K., & Eastman, C. J. (2007) · Health Education Research · doi:10.1093/her/cym028 · Cited by 42 · see citing works
Iodine status in pregnant women living in Melbourne differs by ethnic group.
Hamrosi, M. A., Wallace, E. M., & Riley, M. D. (2005) · PubMed · Cited by 40 · see citing works
Iodine deficiency and goitre in schoolchildren in Melbourne, 2001
McDonnell, C. M., Harris, M. A., & Zacharin, M. (2003) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2003.tb05131.x · Cited by 37 · see citing works
Charlton, K. E., Yeatman, H. R., & Houweling, F. (2010) · PubMed · Cited by 36 · see citing works
Self-citationZebic, D. S., Yeatman, H. R., Cameron, D., & Meyer, B. J. (2008) · Public Health Nutrition · doi:10.1017/s1368980008002425 · Cited by 33 · see citing works
Self-citationImproved iodine status in breastfeeding women following mandatory fortification
Axford, S., Charlton, K. E., Yeatman, H. R., et al. (2011) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2011.00791.x · Cited by 27 · see citing works
Self-citationLi‐Min, T. A. N., Charlton, K. E., Tan, S., Ma, G., & Batterham, M. J. (2012) · Nutrition & Dietetics · doi:10.1111/j.1747-0080.2012.01626.x · Cited by 26 · see citing works
Self-citationKamien, M. (2006) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2006.tb00422.x · Cited by 14 · see citing works
Iodine deficiency in pregnant women in the ACT
Nguyen, B., Baker, D. A., SOUTHCOTT, E. K., et al. (2010) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/j.1479-828x.2010.01239.x · Cited by 11 · see citing works
Axford, S., Charlton, K. E., Yeatman, H. R., & Ma, G. (2012) · Nutrition & Dietetics · doi:10.1111/j.1747-0080.2012.01579.x · Cited by 10 · see citing works
Self-citationLeventhal, M. L. (1931) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)35877-1 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [22]Charlton K.E. Yeatman H. Ma G. Has Iodine Status Improved in Australian Women Following Mandatory Iodine Fortification Introduction? Program & Abstract Book: Public Health Association Australia 2nd National Food Futures Conference Public Health Association of Australia Inc. Curtin, Australia 2011 29 22151171
Cited by
Sorted by citations
Immune function and micronutrient requirements change over the life course
Maggini, S., Pierre, A., & Calder, P. C. (2018) · Nutrients · doi:10.3390/nu10101531 · Cited by 710 · see citing works
Schaefer, E. (2016) · Journal of Nutritional Disorders & Therapy · doi:10.4172/2161-0509.1000199 · Cited by 12 · see citing works
“The situation was similar in pregnant women, where insufficient intakes ranged from 21% to 97% of the recommended amount [7,40-78].”
Background
- Authors
- Charlton, K., Yeatman, H., Lucas, C., Axford, S., Gemming, L., Houweling, F., Goodfellow, A., & Ma, G.
- Affiliations
- University of Wollongong (AU)
- Illawarra Shoalhaven Local Health District (AU)
- Westmead Hospital (AU)
- Corresponding author
- Charlton, Karen
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2012-09-20
- Volume
- 4
- Issue
- 9
- Pages
- 1317-1327
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC3475241
- OpenAlex
- W2069541626
- Cited by
- 67
- References
- 29
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 9 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 6 · 2017: 5 · 2016: 9 · 2015: 3 · 2014: 6 · 2013: 5
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion)
- Funders
- Mahidol University International College
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Selenium in Biological Systems
- Keywords
- iodine nutrition, iodine fortification, pregnancy, lactation, maternal iodine supplementation, iodine intake, dairy products, fish and seafood consumption, public awareness, consumer education, New South Wales
- MeSH terms
- Adolescent, Adult, Dairy Products, Diet, Female, Humans, Iodine, Health Knowledge, Attitudes, Practice, Lactation, Middle Aged, New South Wales, Nutritional Status, Pregnancy, Surveys and Questionnaires, Dietary Supplements, Prenatal Nutritional Physiological Phenomena, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review