Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022

BackgroundIodine is essential for the proper development of the central nervous system. In Portugal, despite of self-reports of iodine supplements intake by pregnant women, iodine deficiency still prevails. This study intended to characterize the pharmacy sales of iodine-containing supplements and t...

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Main Authors: Sarai Isabel Machado, Susana Roque, Maria Lopes-Pereira, Maria José Costeira, Patrício Costa, Nuno Borges, Ruben Pereira, Zilda Mendes, António Teixeira Rodrigues, Joana Almeida Palha
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1582610/full
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author Sarai Isabel Machado
Susana Roque
Maria Lopes-Pereira
Maria Lopes-Pereira
Maria José Costeira
Maria José Costeira
Patrício Costa
Nuno Borges
Ruben Pereira
Zilda Mendes
António Teixeira Rodrigues
António Teixeira Rodrigues
Joana Almeida Palha
author_facet Sarai Isabel Machado
Susana Roque
Maria Lopes-Pereira
Maria Lopes-Pereira
Maria José Costeira
Maria José Costeira
Patrício Costa
Nuno Borges
Ruben Pereira
Zilda Mendes
António Teixeira Rodrigues
António Teixeira Rodrigues
Joana Almeida Palha
author_sort Sarai Isabel Machado
collection DOAJ
description BackgroundIodine is essential for the proper development of the central nervous system. In Portugal, despite of self-reports of iodine supplements intake by pregnant women, iodine deficiency still prevails. This study intended to characterize the pharmacy sales of iodine-containing supplements and their use by women in Portugal.MethodsData from all available supplements with indication for use in the prenatal time, for the period 2008-2022, was obtained from the Portuguese Association of Pharmacies. To infer from the use of iodine supplements by women during preconception, pregnancy and lactation, pharmacy dispenses, between 2019 and 2021, were collected from a sample of female consumers, identified with at least one prescription of iodine-containing supplements.ResultsEighty-eight per cent of the iodine-containing supplements state the recommended iodine concentration. The annual sales increased continuously, reaching an estimated of 109 µg per day in 2022. Estimated mean duration of supplementation to women prescribed with iodine-containing supplements for preconception/pregnancy/lactation was of 4.5 months (SD = 3.8) and less than 1% of women was covered for the advisable period of 18 months.ConclusionThe estimated duration of iodine supplementation to women during preconception, pregnancy and lactation is below recommendations. Additional public health measures, such as universal salt iodization and literacy campaigns are needed to ensure iodine sufficiency to women and their developing fetus.
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spelling doaj-art-616eac14ba244f9e99e22a7d76a3c3c82025-08-20T01:55:31ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-05-011610.3389/fendo.2025.15826101582610Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022Sarai Isabel Machado0Susana Roque1Maria Lopes-Pereira2Maria Lopes-Pereira3Maria José Costeira4Maria José Costeira5Patrício Costa6Nuno Borges7Ruben Pereira8Zilda Mendes9António Teixeira Rodrigues10António Teixeira Rodrigues11Joana Almeida Palha12Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, PortugalLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, PortugalLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, PortugalHospital de Braga, Braga, PortugalLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, PortugalHospital da Senhora da Oliveira Guimarães, Guimarães, PortugalLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, PortugalFaculty of Nutrition and Food Sciences, University of Porto, Porto, PortugalCentre for Health Evaluation & Research of the National Association of Pharmacies (CEFAR-ANF), Lisboa, PortugalCentre for Health Evaluation & Research of the National Association of Pharmacies (CEFAR-ANF), Lisboa, PortugalLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, PortugalCentre for Health Evaluation & Research of the National Association of Pharmacies (CEFAR-ANF), Lisboa, PortugalLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, PortugalBackgroundIodine is essential for the proper development of the central nervous system. In Portugal, despite of self-reports of iodine supplements intake by pregnant women, iodine deficiency still prevails. This study intended to characterize the pharmacy sales of iodine-containing supplements and their use by women in Portugal.MethodsData from all available supplements with indication for use in the prenatal time, for the period 2008-2022, was obtained from the Portuguese Association of Pharmacies. To infer from the use of iodine supplements by women during preconception, pregnancy and lactation, pharmacy dispenses, between 2019 and 2021, were collected from a sample of female consumers, identified with at least one prescription of iodine-containing supplements.ResultsEighty-eight per cent of the iodine-containing supplements state the recommended iodine concentration. The annual sales increased continuously, reaching an estimated of 109 µg per day in 2022. Estimated mean duration of supplementation to women prescribed with iodine-containing supplements for preconception/pregnancy/lactation was of 4.5 months (SD = 3.8) and less than 1% of women was covered for the advisable period of 18 months.ConclusionThe estimated duration of iodine supplementation to women during preconception, pregnancy and lactation is below recommendations. Additional public health measures, such as universal salt iodization and literacy campaigns are needed to ensure iodine sufficiency to women and their developing fetus.https://www.frontiersin.org/articles/10.3389/fendo.2025.1582610/fullpregnancypublic healthiodineiodine deficiencysupplementation
spellingShingle Sarai Isabel Machado
Susana Roque
Maria Lopes-Pereira
Maria Lopes-Pereira
Maria José Costeira
Maria José Costeira
Patrício Costa
Nuno Borges
Ruben Pereira
Zilda Mendes
António Teixeira Rodrigues
António Teixeira Rodrigues
Joana Almeida Palha
Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022
Frontiers in Endocrinology
pregnancy
public health
iodine
iodine deficiency
supplementation
title Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022
title_full Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022
title_fullStr Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022
title_full_unstemmed Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022
title_short Iodine supplementation for pregnancy in Portugal: identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008-2022
title_sort iodine supplementation for pregnancy in portugal identification of nutritional composition of iodine containing supplements and characterization of pharmacy dispenses from 2008 2022
topic pregnancy
public health
iodine
iodine deficiency
supplementation
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1582610/full
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