Iodine deficiency, pollutant chemicals, and the thyroid: new information on an old problem.

Abstract:

:Many women of reproductive age in the United States are marginally iodine deficient, perhaps because the salt in processed foods is not iodized. Iodine deficiency, per se, can interfere with normal brain development in their offspring; in addition, it increases vulnerability to the effects of certain environmental pollutants, such as nitrate, thiocyanate, and perchlorate. Although pregnant and lactating women should take a supplement containing adequate iodide, only about 15% do so. Such supplements, however, may not contain enough iodide and may not be labeled accurately. The American Thyroid Association recommends that pregnant and lactating women take a supplement with adequate iodide. The American Academy of Pediatrics recommends that pregnant and lactating women also avoid exposure to excess nitrate, which would usually occur from contaminated well water, and thiocyanate, which is in cigarette smoke. Perchlorate is currently a candidate for regulation as a water pollutant. The Environmental Protection Agency should proceed with appropriate regulation, and the Food and Drug Administration should address the mislabeling of the iodine content of prenatal/lactation supplements.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Council on Environmental Health.,Rogan WJ,Paulson JA,Baum C,Brock-Utne AC,Brumberg HL,Campbell CC,Lanphear BP,Lowry JA,Osterhoudt KC,Sandel MT,Spanier A,Trasande L

doi

10.1542/peds.2014-0900

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

1163-6

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2014-0900

journal_volume

133

pub_type

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