Maria José Costeira

  • Neonatology
  • Hospital management and clinical governance
  • Iodine and thyroid hormones
  • Quality and patient safety
  • Hospital accreditation
  • Humanitarian medicine
  • Portuguese health cooperation

Maria José Costeira is a senior MD (Neonatologist) skilled in hospital management, teaching and Humanitarian Medicine, with research activities focusing on child and maternal care. Her research contributed to changes in health guidelines towards the iodine supplementation of women in preconception, pregnancy and lactation, and also in the timing of evaluation of premature babies in the neonatal screening program for congenital hypothyroidism.
Beyond her clinical activity, she had been the Clinical Director of the hospital (2012-2018), which gave her chances to develop “management” and “Patient Safety and Quality” competences: during that period Hospital obtained best results at lower cost, kept Safety and Quality standard and acquired the JCI’s Gold Seal of Approval in 2016 (the only Portuguese Public Hospital with an Academic Medical Centre accredited).
Affiliation to the University of Minho Medical School and to the Life and Health Sciences Research Institute (ICVS) allows her to pursuit research in thyroid hormones, besides teaching Humanitarian Medicine.
Experience in executive and coordination of non-profitable organization management was gained in 2010, 2011, 2018 and mostly 2020-2021 working as the Clinical Coordinator of PIMI´s Programme in Guinea-Bissau- EU´s project intending to reduce maternal and children mortality, implemented by IMVF, EMI and UNICEF.
She is used to teamwork, manage projects and human resources and has work performed both in Europe and Africa

Scientific Highlights

1- Mode of neonatal delivery influences the nutrient composition of human milk: results from a multicenter European cohort of lactating women, by Tinu Mary Samuel, Frank Thielecke, Luca Lavalle, Cheng Chen, Paul Fogel, Francesca Giuffrida, Stephane Dubascoux, Cecilia Martinez, Kirsti Haaland, Giovanna Marchini, Massimo Agosti, Thameur Rakza, Maria Jose Costeira, Jean-charles Picaud, Claude Billeaud, Sagar K. Thakkar, published in Frontiers in Nutrition, 2022.
2- Human milk fatty acid composition and its association with maternal blood and adipose tissue fatty acid content in a cohort of women from Europe.
Giuffrida F, Fleith M, Goyer A, Samuel TM, Elmelegy-Masserey I, Fontannaz P, Cruz-Hernandez C, Thakkar SK, Monnard C, De Castro CA, Lavalle L, Rakza T, Agosti M, Al-Jashi I, Pereira AB, Costeira MJ, Marchini G, Vanpee M, Stiris T, Stoicescu S, Silva MG, Picaud JC, Martinez-Costa C, Domellöf M, Billeaud C.
Eur J Nutr. 2022 Jan 24. doi: 10.1007/s00394-021-02788-6. European Journal of Nutrition
3- “Analysis of dietary patterns and nutritional adequacy in lactating women: a multicentre European cohort (ATLAS study).” Wang D, Thielecke F, Fleith M, Afeiche MC, De Castro CA, Martínez-Costa C, Haaland K, Marchini G, Agosti M, Domellöf M, Costeira MJ, Billeaud C, Vanapee M, Picaud JC, Samuel TM. J Nutr Sci. 2021 Mar 11;10:e17. doi: 10.1017/jns.2021.7. eCollection 2021. PMID: 33889400.
4- “Human milk oligosaccharides, infant growth, and adiposity over the first 4 months of lactation.” Binia A, Lavalle L, Chen C, Austin S, Agosti M, Al-Jashi I, Pereira AB, Costeira MJ, Silva MG, Marchini G, Martínez-Costa C, Stiris T, Stoicescu SM, Vanpée M, Rakza T, Billeaud C, Picaud JC, Domellöf M, Adams R, Castaneda-Gutierrez E, Sprenger N. Pediatr Res. 2021 Jan 14. doi: 10.1038/s41390-020-01328-y. Online ahead of print.PMID: 33446921.
5- “Subclinical Mastitis in a European Multicenter Cohort: Prevalence, Impact on Human Milk (HM) Composition, and Association with Infant HM Intake and Growth. “Samuel Tinu Mary, De Castro Carlos Antonio, Dubascoux Stephane, Affolter Michael, Giuffrida Francesca, Billeaud Claude, Picaud Jean-Charles, Agosti Massimo, Al-Jashi Isam, Pereira Almerinda Barroso, Costeira Maria Jose, et al. Nutrients 2020, 12, 105; doi:10.3390/nu12010105.
6-“Impact of maternal characteristics on human milk oligosaccharide composition over the first 4 months of lactation in a cohort of healthy European mothers”. Samuel TM, Binia A, de Castro CA, Thakkar SK, Billeaud C, Agosti M, Al-Jashi I, Costeira MJ, Marchini G, Martínez-Costa C, Picaud JC, Stiris T, Stoicescu SM, Vanpeé M, Domellöf M, Austin S, Sprenger N. Sci Rep. 2019 Aug 13;9(1):11767. doi: 10.1038/s41598-019-48337-4.
7- “Psychomotor Development of Children from an Iodine-Deficient Region”. MJ Costeira, Pedro Oliveira, Nadine Correia Santos, Susana Ares, Belen Saenz-Rico, Gabriella Morreale de Escobar and Joana Almeida Palha. J Pediatr 2011, DOI: 10.1016/j.peds.2011.02.034.
8- “Parameters of Thyroid Function Throughout and After Pregnancy in an Iodine-Deficient Population”. MJ Costeira, P Oliveira, S Ares, S Roque, GM Escobar, J Palha. Thyroid 2010; 20: 995-1001.
9- “Iodine Status of Pregnant Women and Their Progeny in the Minho Region of Portugal”. MJ Costeira, P Oliveira, S Ares, GM Escobar, J Palha. Thyroid 2009; 19: 157-63.


Iodine and maternal and child’s health

Iodine deficiency is the most common cause of PREVENTABLE brain damage in infants, impairing the achievement of their full intellectual capabilities. Iodine is needed for the synthesis of thyroid hormones (TH)…

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