Browsing by Author "Keating, Elisa"
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- Association between Elevated Iodine Intake and IQ among School Children in PortugalPublication . Carvalho, Irene P.; Peixoto, Bruno; Caldas, José Carlos; Costa, Ana; Silva, Sofia; Moreira, Bárbara; Almeida, Agostinho; Moreira-Rosário, André; Guerra, António; Delerue-Matos, Cristina; Sintra, Diana; Pestana, Diogo; Pinto, Edgar; Mendes, Francisca Castro; Martins, Inês; Leite, João Costa; Fontoura, Manuel; Maia, Maria Luz; Queirós, Pedro; Moreira, Roxana; Leal, Sandra; Norberto, Sónia; Costa, Vera; Fernandes, Virgínia Cruz; Keating, Elisa; Azevedo, Luís; Calhau, ConceiçãoThe goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, were dichotomized to <250 µg/g and ≥250 µg/g, according to the European Commission/Scientific Committee on Food’s tolerable upper level of daily iodine intake for young children. Data were examined with Chi-square tests, logistic regression, and GLM univariate analysis. The sample (N = 1965) was classified as generally iodine-adequate (median urinary iodine concentration = 129 µg/L; median iodine-to-creatinine ratio = 126 µg/g) according to the WHO’s criteria. A greater proportion of children in the ≥250 µg/g group had below-average IQs, compared to children with less than 250 µg/g (p = 0.037), despite a sizable (though non-significant) proportion of children in the less-than-250 µg/g group also presenting below-average IQs, at the bottom of the iodine distribution (<50 µg/g). The proportion of below-average IQs increased with increasingly elevated iodine concentrations (p = 0.047). The association remained significant after the adjustment for confounders, with the elevated iodine group showing increased odds of having below-average IQs when compared with the non-elevated iodine group (OR 1.55; 95% CI 1.11–2.17; p = 0.011). Consistently, the former group presented a lower mean IQ than the latter (p = 0.006). High iodine intake was associated with lower IQs even in a population classified as iodine-adequate. These results bear on child cognition and on initiatives involving iodine supplementation
- Association between elevated iodine intake and IQ among school children in PortugalPublication . Carvalho, Irene P.; Peixoto, Bruno; Caldas, José Carlos; Costa, Ana; Silva, Sofia; Moreira, Bárbara; Almeida, Agostinho; Moreira-Rosário, André; Guerra, António; Delerue-Matos, Cristina; Sintra, Diana; Pestana, Diogo; Pinto, Edgar; Mendes, Francisca Castro; Martins, Inês; Leite, João Costa; Fontoura, Manuel; Maia, Maria Luz; Queirós, Pedro; Moreira, Roxana; Leal, Sandra; Norberto, Sónia; Costa, Vera; Fernandes, Virgínia Cruz; Keating, Elisa; Azevedo, Luís; Calhau, ConceiçãoThe goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, were dichotomized to <250 µg/g and ≥250 µg/g, according to the European Commission/Scientific Committee on Food’s tolerable upper level of daily iodine intake for young children. Data were examined with Chi-square tests, logistic regression, and GLM univariate analysis. The sample (N = 1965) was classified as generally iodine-adequate (median urinary iodine concentration = 129 µg/L; median iodine-to-creatinine ratio = 126 µg/g) according to the WHO’s criteria. A greater proportion of children in the ≥250 µg/g group had below-average IQs, compared to children with less than 250 µg/g (p = 0.037), despite a sizable (though non-significant) proportion of children in the less-than-250 µg/g group also presenting below-average IQs, at the bottom of the iodine distribution (<50 µg/g). The proportion of below-average IQs increased withncreasingly elevated iodine concentrations (p = .047). The association remained significant after the adjustment for confounders, with the elevated iodine group showing increased odds of having below-average IQs when compared with the non-elevated iodine group (OR 1.55; 95% CI 1.11–2.17; p = 0.011). Consistently, the former group presented a lower mean IQ than the latter (p = 0.006). High iodine intake was associated with lower IQs even in a population classified as iodine-adequate. These results bear on child cognition and on initiatives involving iodine supplementation.
- Association of 3-Phenoxybenzoic Acid Exposure during Pregnancy with Maternal Outcomes and Newborn Anthropometric Measures: Results from the IoMum Cohort StudyPublication . Guimarães, Juliana; Bracchi, Isabella; Pinheiro, Cátia; Moreira, Nara Xavier; Coelho, Cláudia Matta; Pestana, Diogo; Prucha, Maria do Carmo; Martins, Cristina; Domingues, Valentina F.; Delerue-Matos, Cristina; Dias, Cláudia C.; Azevedo, Luís Filipe R.; Calhau, Conceição; Leite, João Costa; Ramalho, Carla; Keating, Elisa; Fernandes, Virgínia CruzThe aims of this study were to characterize the exposure of pregnant women living in Portugal to 3-phenoxybenzoic acid (3-PBA) and to evaluate the association of this exposure with maternal outcomes and newborn anthropometric measures. We also aimed to compare exposure in summer with exposure in winter. Pregnant women attending ultrasound scans from April 2018 to April 2019 at a central hospital in Porto, Portugal, were invited to participate. Inclusion criteria were: gestational week between 10 and 13, confirmed fetal vitality, and a signature of informed consent. 3-PBA was measured in spot urine samples by gas chromatography with mass spectrometry (GC-MS). The median 3-PBA concentration was 0.263 (0.167; 0.458) μg/g creatinine (n = 145). 3-PBA excretion was negatively associated with maternal pre-pregnancy body mass index (BMI) (p = 0.049), and it was higher during the summer when compared to winter (p < 0.001). The frequency of fish or yogurt consumption was associated positively with 3-PBA excretion, particularly during the winter (p = 0.002 and p = 0.015, respectively), when environmental exposure is low. Moreover, 3-PBA was associated with levothyroxine use (p = 0.01), a proxy for hypothyroidism, which could be due to a putative 3-PBA—thyroid hormone antagonistic effect. 3-PBA levels were not associated with the anthropometric measures of the newborn. In conclusion, pregnant women living in Portugal are exposed to 3-PBA, particularly during summer, and this exposure may be associated with maternal clinical features.
- Early-life exposure to non-nutritive sweeteners: effects on hepatic FGF21 pathways and mitochondrial functionPublication . Brandão, Sofia; Bracchi, Isabella; Felipe, Stela Mirla; Magalhães, José; Keating, Elisa; Negrão, RitaTo combat obesity, diets and food products containing non-nutritive sweeteners (NNS), which provide sweetness without caloric intake, have gained popularity, even among pregnant women who reported intentional NNS consumption during gestation. In 2023, the World Health Organization warned about NNS consumption, as their long-term effects may be associated with an increased risk of type 2 diabetes, cardiovascular diseases, and mortality. Importantly, the environment during early life can induce permanent changes in metabolic health in adult life, suggesting that fetal exposure to NNS may induce long-term metabolic dysfunction in offspring. Fibroblast growth factor 21 (FGF21) is a key regulator of metabolic homeostasis. So, this branch of the MHSWEET project aims to study the effects of Rebaudioside A (RebA, the major sweetener component of stevia) exposure during the perigestational period on hepatic lipid metabolism of adult offspring and the involvement of FGF21. Female Sprague-Dawley rats were administered RebA in the drinking water or water as control from 4 weeks before mating until weaning. Food and beverage consumption, morphometric parameters, fasting glucose, oral glucose tolerance, and insulin sensitivity were measured before sacrifice at 10 months of age. Functionality of G1 hepatic mitochondria (OROBOROS® Oxygraph-2k system), hepatic triglyceride levels (Oil-Red-O staining), genes involved in hepatic lipid metabolic pathways and inflammation (RT-PCR) will be evaluated. The results obtained so far, showed that RebA exposure increased body weight in adult female offspring and induced dysglycemia in adult male offspring. The remaining studies are still being conducted. Results seem to support the hypothesis that intrauterine exposure to RebA may program offspring to a dysmetabolic state. These results will be useful to improve knowledge, and support public health policies regarding NNS use throughout life.
- Early-life exposure to non-nutritive sweeteners: Impact on adipose tissue morphology and metabolic functionPublication . Oliveira-Barbosa, Margarida; Bracchi, Isabella; Keating, Elisa; Negrão, RitaNon-sugar sweeteners (NSS) are sugar alternatives widely incorporated into food and beverages (1), providing sweetness with negligible caloric contribution (2). Over the past two decades, their consumption has increased among pregnant women (3,4). In 2023, WHO discouraged NSS intake highlighting the need for studies regarding exposure during critical windows of development (5), such as pregnancy and childhood (6). The MHSWEET project explores the role of NSS consumption on fetal programming of metabolic dysfunction. This branch of the MHSWEET aims to evaluate metabolic function of adipose tissue of adult mice exposed in utero to Rebaudioside A (RebA), the main sweetener component of the NSS Stevia. It also seeks to determine if this early-life exposure affects offspring’s susceptibility to metabolic dysfunction induced by a high-fat diet (HFD). Female Sprague-Dawley rats (G0) ingested RebA in drinking water (4mg steviol eq/kg body weight/day – EFSA’s ADI, n=8), or regular water (C, n=8), before mating until weaning (13 weeks). After weaning, offspring (G1) were fed a standard diet (STD) until 8 months of age, when they were administered STD or HFD until 10 months of age, creating 4 groups of study: C/STD, C/HFD, RebA/STD and RebA/HFD. Mesenteric adipose tissue morphology (H&E staining), as well as lipid and mitochondrial metabolic pathways (RT-PCR) will be assessed. The results so far showed that RebA exposure increased body weight in female offspring from 30 weeks of age onwards compared to controls (p=0.0165). Blind histological and RT-PCR analyses are ongoing to search for: a) adipocyte hypertrophy potentially induced by RebA exposure or HFD, mainly in RebA exposed offspring and b) alterations in lipid and mitochondrial metabolic pathways that may explain the observed changes in body weight and any changes in adipocyte morphology. This study will be crucial to assess health implications of NSS consumption during vulnerable stages of life.
- Editorial: Iodine in health and diseasePublication . Keating, Elisa; Pinto, Edgar; Almeida, AgostinhoIodine is an essential micronutrient, used by the thyroid gland to synthesize thyroid hormones that perform pleiotropic functions in the human organism. These roles include stimulating somatic growth and regulating metabolism, cardiac function, and neurodevelopment, the latter through the control of synapse formation, neuronal migration, and myelination.
- Essential trace elements status in portuguese pregnant women and their association with maternal and neonatal outcomes: A prospective study from the IoMum CohortPublication . Bracchi, Isabella; Guimarães, Juliana; Rodrigues, Catarina; Azevedo, Rui; Coelho, Cláudia Matta; Pinheiro, Cátia; Morais, Juliana; Barreiros-Mota, Inês; Fernandes, Virgínia Cruz; Delerue-Matos, Cristina; Pinto, Edgar; Moreira-Rosário, André; Azevedo, Luís Filipe Ribeiro de; Dias, Cláudia Camila; Lima, Jorge; Sapinho, Inês; Ramalho, Carla; Calhau, Conceição; Leite, João Costa; Almeida, Agostinho; Pestana, Diogo; Keating, ElisaCobalt (Co), copper (Cu), manganese (Mn), molybdenum (Mo), and zinc (Zn) are essential trace elements (ETEs) important in cellular chemical reactions and antioxidant defense. Ingestion of ETEs during pregnancy is crucial but their role in specific pregnancy outcomes is largely unknown. This study aimed to quantify urinary levels of these ETEs in pregnancy and to evaluate their role in pregnancy health. First trimester pregnant women of Porto and Lisbon regions provided a urine sample, and sociodemographic and lifestyle data. Clinical data were obtained from clinical records. Urinary ETEs were quantified by inductively coupled plasma mass spectrometry (ICP-MS). Our results show that having urinary Zn levels above the 50th percentile (P50) increases the risk of pre-eclampsia (PE). On the other hand, urinary Zn levels above the P50 decreased the risk of being born with head circumference small for gestational age but it increased the risk having length small for gestational age at birth. This study may provide valuable information for public health policies related to prenatal nutrition, while informing future efforts to de-fine urinary reference intervals for ETEs in pregnant women
- Exposure to naturally occurring metals during early-pregnancy and pregnancy outcomes: results from the IoMum cohortPublication . Marques, Beatriz; Dias, Ana; Brachi, Isabella; Guimarães, Juliana; Coelho, Cláudia M.; Pinheiro, Cátia; Prucha, Carmo; Martins, Cristina; Pinto, Edgar; Azevedo, Rui; Delerue-Matos, Cristina; Fernandes, Vírginia C.; Almeida, Agostinho; Ramalho, Carla; Keating, ElisaThis work aimed to characterize exposure to Aluminium (Al), Lithium (Li), Barium (Ba), and Strontium (Sr) and their association with sociodemographic and lifestyle factors, anthropometric parameters of the newborn and pregnancy complications. Spot urine samples (n=349) of eligible pregnant women attending the routine 1st-trimester ultrasound scan from April 2018 to April 2019 at Centro Hospitalar Universitário de S. João were analysed through ICP-MS to quantify the metals’ urinary concentrations (MUC). Inclusion criteria were: gestational age between 10 weeks and 13 weeks plus 6 days with confirmed foetal vitality and signature of the informed consent. MUCs are presented through median (IQR) in µg/L or µg/g creatinine.
- High-performance electrochemical immunomagnetic assay for breast cancer analysisPublication . Freitas, Maria; Nouws, Henri P. A.; Keating, Elisa; Delerue-Matos, CristinaDespite the evolution of targeted therapies in oncology, some challenges such as screening and early diagnosis of cancer-related biomarkers still remain. The analysis of the Human Epidermal growth factor Receptor 2 (HER2) in biological fluids provides essential information for effective treatments. In this work we report the development of an electrochemical immunomagnetic bioassay for the analysis of the extracellular domain of HER2 (HER2-ECD) in human serum and cancer cells. Biomodified carboxylic acid functionalized magnetic beads (COOH-MBs) were used as the capture probe and an antibody labelled with alkaline phosphatase (AP) as the signalling probe. In the presence of HER2-ECD a sandwich complex was formed on the MBs, which were magnetically attracted to the surface of a screen-printed carbon electrode (SPCE). After the addition of 3-indoxyl phosphate and silver ions, used as the enzymatic substrate, the immunological interaction was detected by linear sweep voltammetry. Two linear concentration ranges were established: one between 5.0 and 50 ng/mL and another between 50 and 100 ng/mL. The developed assay provided a clinically useful detection limit (2.8 ng/mL) and has an adequate precision (Vx0 < 5%). The assay provided accurate results and was selective towards the target biomarker. Additionally, CTCs were analysed in human serum and a detection limit of 3 cells/mL was achieved for the HER+ breast cancer cell line SK-BR-3.
- Iodine knowledge is associated with iodine status in Portuguese pregnant women: results from the IoMum cohort studyPublication . Pinheiro, Cátia; Moreira, Nara Xavier; Ferreira, Pedro; Coelho, Cláudia Matta; Guimarães, Juliana; Pereira, Gonçalo; Cortez, Alice; Bracchi, Isabella; Pestana, Diogo; Mota, Inês Barreiros; Prucha, Carmo; Martins, Cristina; Ribeiro, Célia Alves; Pinto, Edgar; Almeida, Agostinho; Delerue-Matos, Cristina; Montenegro, Nuno; Dias, Cláudia Camila; Moreira-Rosário, André; Azevedo, Luís Filipe; Brantsæter, Anne-Lise; Ramalho, Carla; Fernandes, Virgínia Cruz; Leite, João Costa; Calhau, Conceição; Keating, ElisaLack of knowledge about iodine has been suggested as a risk factor for iodine deficiency in pregnant women, but no studies have addressed this issue in Portugal. So, the aim of this study was to investigate iodine knowledge among Portuguese pregnant women and its association with iodine status. IoMum, a prospective observational study, included 485 pregnant women recruited at Centro Hospitalar e Universitário de S. João, Porto, between the 10th and 13th gestational weeks. Partial scores for knowledge on iodine importance, on iodine food sources or on iodised salt were obtained through the application of a structured questionnaire. Then, a total iodine knowledge score was calculated and grouped into low, medium and high knowledge categories. Urinary iodine concentration (UIC) was measured in spot urine samples by inductively coupled plasma MS. Of the pregnant women, 54 % correctly recognised iodine as important to neurocognitive development, 32 % were unable to identify any iodine-rich food and 71 % presented lack of knowledge regarding iodised salt. Of the women, 61 % had a medium total score of iodine knowledge. Knowledge on iodine importance during pregnancy was positively associated with iodine supplementation and also with UIC. Nevertheless, median UIC in women who correctly recognised the importance of iodine was below the cut-off for adequacy in pregnancy (150 µg/l). In conclusion, knowledge on iodine importance is positively associated with iodine status. Despite this, recognising iodine importance during pregnancy may not be sufficient to ensure iodine adequacy. Literacy-promoting actions are urgently needed to improve iodine status in pregnancy.