Noncompliance to iodine supplementation recommendation is a risk factor for iodine insufficiency in Portuguese pregnant women: results from the IoMum cohort.

PURPOSE: After a recommendation for iodine supplementation in pregnancy has been issued in 2013 in Portugal, there were no studies covering iodine status in pregnancy in the country. The aim of this study was to assess iodine status in pregnant women in Porto region and its association with iodine supplementation. METHODS: A cross-sectional study was conducted at Centro Hospitalar Universitário São João, Porto, from April 2018 to April 2019. Pregnant women attending the 1st trimester ultrasound scan were invited to participate. Exclusion criteria were levothyroxine use, gestational age < 10 and ≥ 14 weeks, non-evolutive pregnancy at recruitment and non-signing of informed consent. Urinary iodine concentration (UIC) was measured in random spot urine by inductively coupled plasma-mass spectrometry. RESULTS: Median UIC was 104 µg/L (IQR 62-189) in the overall population (n = 481) of which 19% had UIC < 50 µg/L. Forty three percent (n = 206) were not taking an iodine-containing supplement (ICS) and median UIC values were 146 µg/L (IQR 81-260) and 74 µg/L (IQR 42-113) in ICS users and non-users, respectively (p < 0.001). Not using an ICS was an independent risk factor for iodine insufficiency [adjusted OR (95% CI) = 6.00 (2.74, 13.16); p < 0.001]. Iodised salt use was associated with increased median iodine-to-creatinine ratio (p < 0.014). CONCLUSIONS: A low compliance to iodine supplementation recommendation in pregnancy accounted for a mild-to-moderately iodine deficiency. Our results evidence the need to support iodine supplementation among pregnant women in countries with low household coverage of iodised salt. Trial registration number NCT04010708, registered on the 8th July 2019.

Investigating multiple vegetable oils and recycled variant for microplastics extraction from water, integrated with raman spectroscopy.

The global production and disposal of plastics have led to pervasive contamination of natural environments, representing considerable risks to human health and ecosystems. This study introduces a novel oil-based method for extracting microplastics (MPs) from water samples, with a focus on optimizing extraction conditions and improving the quality of MPs identification using Raman spectroscopy. Various parameters including the type of oil, salinity, temperature, air incorporation, and washing solvent were investigated to enhance extraction efficiency and spectroscopic identification accuracy. Sunflower oil emerged as the preferred extraction medium due to its compatibility with Raman spectroscopy, offering high recovery efficiencies for polypropylene (PP) and polystyrene (PS). Additionally, ethanol was identified as a superior washing solvent compared to hexane, facilitating better MPs identification. The optimised method was then applied to environmental water samples, revealing matrix effects and challenges with digestion step. Despite these challenges, the proposed method represents a significant advancement in microplastic analysis, offering reliable detection and quantification in aquatic environments. Further optimization is needed to address matrix effects and improve recovery efficiency, especially for smaller microplastics to contribute to effective mitigation strategies in environmental management.