Iodine status remains critical in mother and infant in Central Anatolia (Kayseri) of Turkey
| Autor: | Celebi Kocaoglu, Mustafa Akcakus, Tamer Gunes, Inci Karaküçük, Mehmet Emre Atabek, François Delange, Selim Kurtoglu, Nurten Budak |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Turkey Health Status medicine.medical_treatment Thyroid Gland Nutritional Status Thyrotropin Medicine (miscellaneous) chemistry.chemical_element Urine Breast milk Iodine Excretion Pregnancy Internal medicine medicine Humans Nutrition and Dietetics Milk Human business.industry Infant Newborn Fetal Blood medicine.disease Iodine deficiency Pregnancy Complications Thyroxine Cross-Sectional Studies Endocrinology chemistry Triiodothyronine Female Thyroglobulin Thyroid function business |
| Zdroj: | European Journal of Nutrition. 43:297-303 |
| ISSN: | 1436-6215 1436-6207 |
| DOI: | 10.1007/s00394-004-0474-2 |
| Popis: | Background Severe iodine deficiency disorders have been eradicated in many parts of the world, but milder forms still exist and may escape detection. Turkey has long been known to be a mild to moderate iodine deficiency area. Aim of the study The aim of this study was to assess the iodine nutritional status and the thyroid function of pregnant women and their neonates in the region of Kayseri (central Anatolia of Turkey) that appeared to be iodine deficient in previous studies performed before the introduction of mandatory salt iodization. Methods A cross-sectional voluntary screening study was performed in the Maternity Unit of a university hospital. A total of 70 mothers and their healthy full-term neonates were included in this study. Urinary iodine concentration was estimated in spot urine samples obtained from mothers and their neonates on day 5. All the neonates were breastfed. The iodine content was determined in the breast milk of all mothers on day 5. Serum concentrations of TSH, thyroglobulin (Tg), free triiodothyronine (FT3) and free thyroxine (FT4) were investigated in the cord serum of neonates and compared to those of mothers immediately after parturition Results The median urinary iodine on day 5 in mothers and their babies were 30.20 and 23.80 mug/l, respectively. These figures are much lower than normal for these age groups (150-200 mug/1). The median iodine content of breast-milk was 73 mug/l. It is again much lower than in iodine sufficient areas, indicating that the status of iodine nutrition of pregnant and lactating women is clearly insufficient. The median concentrations (and ranges) of neonatal TSH, Tg, FT3 and FT4 were 7.44 mU/l, 71.62 ng/ml, 1.30 pg/ml and 1.34 ng/dl respectively. The corresponding levels for the mothers during labor were 2.19 mU/l, 25.65 ng/ml, 1.31 pg/ml and 1.23 ng/dl respectively. The median neonatal serum concentrations of TSH and Tg were significantly higher than the corresponding maternal levels (P |
| Databáze: | OpenAIRE |
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