Thus , regardless of study design , iodine deficiency had a substantial impact on mental development .
Several review s and meta-analyses have examined the effects of iodine on mental development .
None focused on young children , so they were incomplete in summarizing the effects on this important age group .
The current systematic review therefore examined the relationship between iodine and mental development of children 5 years old and under .
Iodine supplementation improves cognition in iodine-deficient schoolchildren in Albania: a randomized, controlled, double-blind study.
BACKGROUND Iodine is required for the production of thyroid hormones , which are necessary for normal brain development and cognition . Although several r and omized trials examined the effect of iodine supplementation on cognitive performance in schoolchildren , the results were equivocal . OBJECTIVE We aim ed to ascertain whether providing iodized oil to iodine-deficient children would affect their cognitive and motor performance . DESIGN In a double-blind intervention trial , 10 - 12-y-old children ( n = 310 ) in primary schools in rural southeastern Albania were r and omly assigned to receive 400 mg I ( as oral iodized oil ) or placebo . We measured urinary iodine ( UI ) , thyroid-stimulating hormone ( TSH ) , and total thyroxine ( TT4 ) concentrations and thyroid gl and volume ( by ultrasound ) . The children were given a battery of 7 cognitive and motor tests , which included measures of information processing , working memory , visual problem solving , visual search , and fine motor skills .  Thyroid ultrasound and the biochemical and psychological tests were repeated after 24 wk . RESULTS At baseline , the children 's median UI concentration was 43 microg/L ; 87 % were goitrous , and nearly one-third had low concentrations of circulating TT4 . Treatment with iodine markedly improved iodine and thyroid status : at 24 wk , median UI in the treated group was 172 microg/L , mean TT4 was approximately 40 % higher , and the prevalence of hypothyroxinemia was < 1 % . In the placebo group after the intervention , these variables did not differ significantly from baseline . Compared with placebo , iodine treatment significantly improved performance on 4 of 7 tests : rapid target marking , symbol search , rapid object naming , and Raven 's Coloured Progressive Matrices ( P < 0.0001 ) . CONCLUSION Information processing , fine motor skills , and visual problem solving are improved by iodine repletion in moderately iodine-deficient schoolchildren
Thus , regardless of study design , iodine deficiency had a substantial impact on mental development .
Several review s and meta-analyses have examined the effects of iodine on mental development .
None focused on young children , so they were incomplete in summarizing the effects on this important age group .
The current systematic review therefore examined the relationship between iodine and mental development of children 5 years old and under .