scholarly journals The Swiss Iodized Salt Program Provides Adequate Iodine for School Children and Pregnant Women, but Weaning Infants Not Receiving Iodine-Containing Complementary Foods as well as Their Mothers Are Iodine Deficient

2010 ◽  
Vol 95 (12) ◽  
pp. 5217-5224 ◽  
Author(s):  
Maria Andersson ◽  
Isabelle Aeberli ◽  
Nadja Wüst ◽  
Alberta M. Piacenza ◽  
Tamara Bucher ◽  
...  
Keyword(s):  
At Risk ◽  
Breast Milk ◽  
Pregnant Women ◽  
School Children ◽  
Urinary Iodine ◽  
Iodized Salt ◽  
Complementary Foods ◽  
Formula Milk ◽  
Cross Sectional ◽  
Breast Fed

Background: If children and pregnant women in the population are iodine sufficient, it is generally assumed infants are also sufficient. But weaning infants may be at risk of iodine deficiency because iodized salt contributes little dietary iodine during this period. To fill this gap, iodine fortification of infant formula milk (IFM) and complementary foods (CF) is likely important. Objectives: The objective of the study was to first confirm that Swiss school children and pregnant women remain iodine sufficient and then to assess iodine status in infancy and the relative contribution of breast milk and IFM/CF to their iodine intakes. Methods: We measured urinary iodine concentrations (UIC) in national cross-sectional samples of: 1) pregnant women (n = 648); 2) school children (n = 916); 3) infants at three time points: at 3–4 d after birth and at 6 and 12 months (n = 875); and 4) breast-feeding mothers (n = 507). We measured breast milk iodine concentrations in the mothers, assessed iodine sources in infant diets, and analyzed iodine content of commercial IFM/CFs (n = 22) and salt samples from the school children’s households (n = 266). Results: Median (m) UICs in pregnant women (162 μg/liter) and school children (120 μg/liter) were sufficient, and 80% of the household salt was adequately iodized (≥15 ppm). However, mUICs in infants not receiving IFM/CF were not sufficient: 1) mUIC in breast-fed infants (82 μg/liter) was lower than in non-breast-fed infants (105 μg/liter) (P < 0.001) and 2) mUIC in breast-fed weaning infants not receiving IFM/CF (70 μg/liter) was lower than infants receiving IFM (109 μg/liter) (P < 0.01). mUIC was low in lactating mothers (67 μg/liter) and median breast milk iodine concentration was 49 μg/kg. Conclusions: In countries in which iodized salt programs supply sufficient iodine to older children and pregnant women, weaning infants, particularly those not receiving iodine-containing IFM, may be at risk of inadequate iodine intakes.

scholarly journals Amniotic fluid iodine concentrations do not vary in pregnant women with varying iodine intake

2008 ◽  
Vol 99 (6) ◽  
pp. 1178-1181 ◽  
Author(s):  
Eduardo García-Fuentes ◽  
Manuel Gallo ◽  
Laureano García ◽  
Stephanie Prieto ◽  
Javier Alcaide-Torres ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Pregnant Women ◽  
Urinary Iodine ◽  
Public Health Problem ◽  
Iodine Concentration ◽  
Iodine Intake ◽  
Iodized Salt ◽  
Cross Sectional ◽  
International Agencies ◽  
Multivitamin Supplement

Iodine deficiency is an important clinical and public health problem. Its prevention begins with an adequate intake of iodine during pregnancy. International agencies recommend at least 200 μg iodine per d for pregnant women. We assessed whether iodine concentrations in the amniotic fluid of healthy pregnant women are independent of iodine intake. This cross-sectional, non-interventional study included 365 consecutive women who underwent amniocentesis to determine the fetal karyotype. The amniocentesis was performed with abdominal antisepsis using chlorhexidine. The iodine concentration was measured in urine and amniotic fluid. The study variables were the intake of iodized salt and multivitamin supplements or the prescription of a KI supplement. The mean level of urinary iodine was 139·0 (sd94·5) μg/l and of amniotic fluid 15·81 (sd7·09) μg/l. The women who consumed iodized salt and those who took a KI supplement had significantly higher levels of urinary iodine than those who did not (P = 0·01 andP = 0·004, respectively). The urinary iodine levels were not significantly different in the women who took a multivitamin supplement compared with those who did not take this supplement, independently of iodine concentration or multivitamin supplement. The concentrations of iodine in the amniotic fluid were similar, independent of the dietary iodine intake. Urine and amniotic fluid iodine concentrations were weakly correlated, although the amniotic fluid values were no higher in those women taking a KI supplement. KI prescription at recommended doses increases the iodine levels in the mother without influencing the iodine levels in the amniotic fluid.

scholarly journals Thequantity of Streptococcus mutancolonyin breastfeedandformula milk infant (Jumlah koloni Streptococcus mutan pada bayi peminum air susu ibu dan peminum susu formula)

2014 ◽  
Vol 13 (2) ◽  
pp. 106
Author(s):  
Ridhayani Hatta ◽  
Hendrastuti Handayani
Keyword(s):  
Breast Milk ◽  
Sampling Method ◽  
Health Centre ◽  
Primary Source ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Formula Milk ◽  
Cross Sectional ◽  
Microbial Screening ◽  
Breast Fed

Caries in infant was influenced by their substrat. Substrats are the primary source of energy in bacterial colonisingprocess in oral cavity. Streptococcus mutans are especially the main cause of tooth decay. For 1-year-old infant theprimary nutritions are generally from breast milk or formula milk. This study was aimed to determine the differentnumbers of bacterial colonizations of S.mutan found in breast-fed infants from those found in formula milk. Thisobservational-analytics study used cross sectional study design was carried out to 60 infants who fulfil the inclutioncriteria of simple random sampling method,30 infants in each group from Integrated Health Centre in Kelurahan Antang,and the bactery on the saliva was evaluated in Microbiology Laboratory of Medical Faculty Hasanuddin University. Eachparent was given questionnaire which to asks the things related with this research and microbial screening was takenfrom saliva of 1-year old infant. The number of bacterial colonizations for S.mutans in breastfeeding group shows meanvalue 19.7 CFU/ml while the formula milk group was about 37.97 CFU/ml, so the consumptions of breast milk andformula milk in 1-year old infant show the significantly different number of bacterial colonizations of S.mutans in. Itwas concluded that colonization of S.mutans in breastfeeding group lower than formula milk group.

scholarly journals IODINE STATUS OF PREGNANT WOMEN RESIDING IN URBAN SLUMS IN DELHI

2018 ◽  
Vol 11 (7) ◽  
pp. 506
Author(s):  
Spriha Rao ◽  
Gurudayal Singh Toteja ◽  
Neena Bhatia ◽  
Supriya Dwivedi ◽  
Zaozianlungliu Gonmei ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Urinary Iodine ◽  
Urban Slums ◽  
Iodized Salt ◽  
Nutrition Status ◽  
Urinary Iodine Concentration ◽  
Iodine Nutrition ◽  
Cross Sectional ◽  
Iodine Status ◽  
Salt Iodine

Objectives: The present study was carried out to determine the iodine nutrition status among pregnant women in slums of West Delhi.Methods: A community-based cross-sectional study was carried out among the third-trimester pregnant women residing in urban slums of West Delhi. Urinary iodine concentration was estimated using ammonium persulfate method, and salt iodine was estimated using iodometric titration.Results: Of the total 180 pregnant women, 70.6% were consuming adequately iodized salt (iodine levels ≥15 ppm). Median urinary iodine level for the pregnant women was 147.5 μg/L indicating iodine deficiency among this group. A total of 51.1% of women had urinary iodine levels <150 μg/L.Conclusion: Pregnant women belonging to slum community from Delhi have a suboptimal iodine status. Further, the proportion of women consuming iodized salt is less than the national average indicating the need to educate these women about the importance of iodine during pregnancy.

scholarly journals Iodine status five years after the adjustment of universal salt iodization: a cross-sectional study in Fujian Province, China

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yixuan Lin ◽  
Diqun Chen ◽  
Jiani Wu ◽  
Zhihui Chen
Keyword(s):  
Pregnant Women ◽  
Urinary Iodine ◽  
Interquartile Range ◽  
Iodized Salt ◽  
School Age Children ◽  
Fujian Province ◽  
Cross Sectional ◽  
Lactating Women ◽  
Iodine Status ◽  
Salt Iodization

Abstract Background Universal salt iodization program was introduced to China to eliminate iodine deficiency disorders in 1995. In 2012, Fujian Province decreased the concentration of iodized table salt according to the national unified requirement. This study aimed to assess the effect on iodine status after the adjustment, providing evidence for further adjustment in Fujian Province. Methods Sampling units were selected by multistage cluster sampling method. In each sampling unit, table salt was collected from 30 households. A total of 2,471 people in 2009 and 4,806 people in 2017 provided urine samples and were included in this cross-sectional analysis. Median iodized salt concentration and median urine iodine concentration were present by median and interquartile range. Results Median iodized salt decreased from 29.8 mg/kg in 2009 to 23.9 mg/kg in 2017. The median urinary iodine concentrations for school-age children in 2017 in coastal urban area, non-coastal urban area, coastal rural area and non-coastal rural area were 163.6µg/L (interquartile range = 100.1–252.0µg/L), 198.9µg/L (interquartile range = 128.0-294.0µg/L), 181.8µg/L (interquartile range = 114.1–257.0µg/L) and 218.2µg/L (interquartile range = 148.1-306.5µg/L), respectively. The median urinary iodine concentrations for adults in 2017 in these areas were 151.1µg/L (interquartile range = 98.3-231.7µg/L), 168.7µg/L (interquartile range = 109.6–242.0µg/L), 167.7µg/L (interquartile range = 105.7-245.7µg/L) and 182.7µg/L (interquartile range = 117.1-258.9µg/L). The median urinary iodine concentrations for pregnant women in 2017 in these areas were 157.7µg/L (interquartile range = 106.9-223.8µg/L), 141.5µg/L (interquartile range = 97.7-207.6µg/L), 127.3µg/L (interquartile range = 90.0-184.5µg/L) and 144.8µg/L (interquartile range = 99.9-184.5µg/L). The median urinary iodine concentrations for lactating women in 2017 in these areas were 122.7µg/L (interquartile range = 84.1–172.0µg/L), 123.7µg/L (interquartile range = 70.7-184.7µg/L), 105.8µg/L (interquartile range = 67.1-152.3µg/L) and 110.2µg/L (interquartile range = 74.1-170.3µg/L). Conclusions The overall urinary iodine concentrations among school-age children, adults and lactating women dramatically decreased after implementing the new standard. Almost all of them were iodine adequate, suggesting we reached the expected aim of iodized salt adjustment. However, pregnant women were iodine insufficient after adjustment. Therefore, we should continue the surveillance of iodine status of populations and focus on the additional iodine supplement strategies for pregnant women.

scholarly journals The iodized salt programme in Bangalore, India provides adequate iodine intakes in pregnant women and more-than-adequate iodine intakes in their children

2014 ◽  
Vol 18 (3) ◽  
pp. 403-413 ◽  
Author(s):  
Nidhi Jaiswal ◽  
Alida Melse-Boonstra ◽  
Surjeet Kaur Sharma ◽  
Krishnamachari Srinivasan ◽  
Michael B Zimmermann
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Tertiary Care ◽  
Urinary Iodine ◽  
Thyroid Volume ◽  
Iodine Intake ◽  
Iodized Salt ◽  
Healthy Children ◽  
Care Hospital ◽  
Cross Sectional

AbstractObjectiveTo compare the iodine status of pregnant women and their children who were sharing all meals in Bangalore, India.DesignA cross-sectional study evaluating demographic characteristics, household salt iodine concentration and salt usage patterns, urinary iodine concentrations (UIC) in women and children, and maternal thyroid volume (ultrasound).SettingAntenatal clinic of an urban tertiary-care hospital, which serves a low-income population.SubjectsHealthy pregnant women in all trimesters, aged 18–35 years, who had healthy children aged 3–15 years.ResultsMedian (range) iodine concentrations of household powdered and crystal salt were 55·9 (17·2–65·9) ppm and 18·9 (2·2–68·2) ppm, respectively. The contribution of iodine-containing supplements and multi-micronutrient powders to iodine intake in the families was negligible. Adequately iodized salt, together with small amounts of iodine in local foods, were providing adequate iodine during pregnancy: (i) the overall median (range) UIC in women was 172 (5–1024) µg/l; (ii) the median UIC was >150 µg/l in all trimesters; and (iii) thyroid size was not significantly different across trimesters. At the same time, the median (range) UIC in children was 220 (10–782) µg/l, indicating more-than-adequate iodine intake at this age. Median UIC was significantly higher in children than in their mothers (P=0·008).ConclusionsIn this selected urban population of southern India, the iodized salt programme provides adequate iodine to women throughout pregnancy, at the expense of higher iodine intake in their children. Thus we suggest that the current cut-off for median UIC in children indicating more-than-adequate intake, recommended by the WHO/UNICEF/International Council for the Control of Iodine Deficiency Disorders may, need to be reconsidered.

scholarly journals Poor Iodine Knowledge, Coastal Region, and Non-Iodized Salt Consumption Linked to Low Urinary Iodine Excretion in Zhejiang Pregnant Women

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 413 ◽  
Author(s):  
Xiaofeng Wang ◽  
Xiaoming Lou ◽  
Zhe Mo ◽  
Mingluan Xing ◽  
Guangming Mao ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Urinary Iodine ◽  
Coastal Region ◽  
Iodized Salt ◽  
Public Health Issue ◽  
Urinary Iodine Excretion ◽  
Urinary Iodine Concentration ◽  
Cross Sectional ◽  
Salt Consumption ◽  
Iodized Salt Consumption

Background: Iodine deficiency in pregnant women, defined as a median urinary iodine concentration (UIC) of less than 150 μg/L, is an important public health issue. To improve their iodine intake, it is important to understand the knowledge and practices regarding iodine. Methods: A cross-sectional investigation was conducted on 2642 pregnant women during 2016–2017 in Zhejiang province, China. A 3-point Likert scale questionnaire was used to record knowledge. The UIC and iodine content in household salt were determined. Results: Coastal participants were iodine deficient (median UIC 127.6 μg/L) while inland participants were iodine sufficient (median UIC 151.0 μg/L). The average knowledge scores were significantly lower for the coastal participants (24.2 points vs. 25 points for the inland participants; p < 0.001). The percentage for iodized salt consumption was significantly lower for the coastal participants (88.9% vs. 96.0% for those inland; p < 0.001). A generalized linear model analysis showed that non-iodized salt consumption, coastal region, and low knowledge scores were independently associated with a low UIC. Conclusions: Comprehensive interventional strategies are needed to develop to achieve an optimal iodine status. We recommend that coastal pregnant women should take iodine supplements based on the consumption of iodized salt, and improvement of iodine-related knowledge.

scholarly journals TABOOS AND MYTHS REGARDING BREASTFEEDING PRACTICES IN PREGNANT POPULATION

2021 ◽  
Vol 71 (5) ◽  
pp. 1647-50
Author(s):  
Faiza Ibrar ◽  
Naila Khursheed ◽  
Saima Qamar ◽  
Atikka Masud ◽  
Bushra Ifthikhar ◽  
...  
Keyword(s):  
Breast Milk ◽  
Pregnant Women ◽  
Breast Feeding ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Night Time ◽  
Formula Milk ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Breast Feed

Objective: To determine the taboos and myths regarding breastfeeding practices in our pregnant population. Study Design: Cross-sectional study. Place and Duration of Study: Obstetrics and Gynecology Department, Fauji Foundation Hospital, Rawalpindi Pakistan, from May to Oct 2018. Methodology: A total of 100 pregnant women attending antenatal clinics were included in the study using non-probability purposive sampling technique. Taboos and myths regarding breast feeding practices were determined using self-administered questionnaire on 2-point Likert scale (1=agree & 2=disagree). Results: A total of 100 pregnant women participated in the study. Mean parity was 2.89 ± 1.75 and gravidity was 4.17 ± 2.04. Most of the mothers (90%) were house wives and received information regarding breast feeding from family members (81%). Mothers were aware of the nutritious value of breast milk as compared to formula milk. However, there were myths that were not evidence based. These include: breasts sag with breast feeding (48%), it is not necessary to breast feed the baby during night time (43%), breast milk alone was not sufficient to satisfy the child (51%), small size breast produce insufficient milk (27%). Conclusion: Participants of this study are aware of the importance of breast feeding. However, there are certain taboos and myths prevailing in our population which are not proven scientifically.

scholarly journals How Knowledge about Stem Cells Influences Attitudes towards Breastfeeding: Case Study of Polish Women

2021 ◽  
Vol 18 (5) ◽  
pp. 2382
Author(s):  
Malgorzata Witkowska-Zimny ◽  
Dorota Majczyna
Keyword(s):  
Stem Cells ◽  
Breast Milk ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
General Knowledge ◽  
Cross Sectional ◽  
Maternal Experience ◽  
Positive Attitudes ◽  
Survey Results ◽  
University Degree

Maternal breastfeeding is associated with multiple health benefits, both for the child and the mother. Since breastfeeding rates are declining, finding new, future-oriented strategies to strengthen and support mothers’ positive attitudes towards breastfeeding need to be developed. In this paper, we describe how information about the presence of stem cells in breast milk can influence the willingness to breastfeed in the population of Polish pregnant women. A cross-sectional study involving a group of 150 pregnant women was conducted to assess the correlation between their knowledge about stem cells and their attitude towards breastfeeding. Among the respondents, only 6% claimed that they did not know anything about stem cells, but general knowledge about stem cells in the research group was poor. The survey results indicated that city residence, university degree, maternal experience and advanced pregnancy correlated with higher general knowledge regarding stem cells. Most respondents (77.3%) had no knowledge regarding the presence of stem cells in breast milk. Approximately two-thirds of mothers with earlier negative breastfeeding experience declared that information about the presence of stem cells in breast milk could have influenced the decision to continue and extend the time of breastfeeding. Hence highlighting the presence of stem cells in breast milk can be used to encourage breastfeeding as a unique activity.

scholarly journals High Iodine Deficiency among Pregnant Women in Periurban Ghana: A Hospital-Based Longitudinal Study

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
David Larbi Simpong ◽  
Yaw Asante Awuku ◽  
Kenneth Kwame Kye-Amoah ◽  
Martin Tangnaa Morna ◽  
Prince Adoba ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Pregnant Women ◽  
Iodine Deficiency ◽  
Urinary Iodine ◽  
Clinical Information ◽  
Iodine Concentration ◽  
Iodized Salt ◽  
Urinary Iodine Concentration ◽  
Study Cohort ◽  
Iodine Sufficiency

Background. Iodine deficiency causes maternal hypothyroidism which can lead to growth, cognitive, and psychomotor deficit in neonates, infants, and children. This study examined the iodine status of pregnant women in a periurban setting in Ghana. Methods. This longitudinal study recruited 125 pregnant women by purposeful convenience sampling from the antenatal clinic of the Sefwi Wiawso municipal hospital in Ghana. Urinary iodine concentration (UIC) was estimated by the ammonium persulfate method at an estimated gestational age (EGA) of 11, 20, and 32 weeks. Demographic information, iodized salt usage, and other clinical information were collected using a questionnaire. Results. The prevalence of iodine deficiency among the pregnant women was 47.2% at EGA 11 and 60.8% at both EGA of 20 and 32, whereas only 0.8% of participants not using iodized salt had iodine sufficiency at EGA 32. 18.4%, 20%, and 24% of participants using iodized salt had iodine sufficiency at EGA 11, 20, and 32, respectively. Conclusion. A high prevalence of iodine deficiency was observed among our study cohort.

scholarly journals Total Usual Dietary Intakes of Pregnant Women in the United States, 2001-2014 (FS08-01-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Regan Bailey ◽  
Susan Pac ◽  
Victor Fulgoni ◽  
Kathleen Reidy
Keyword(s):  
At Risk ◽  
Folic Acid ◽  
Pregnant Women ◽  
Critical Dimension ◽  
The United States ◽  
Dietary Intakes ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Excessive Consumption ◽  
Nationally Representative

Abstract Objectives Nutrition during pregnancy is a critical dimension not only for women’s heath, but also for the offspring’s lifelong health. Very limited national data exist on the usual dietary intakes of pregnant women. The objective of this study was to estimate total usual nutrient intakes (from foods and dietary supplements) of pregnant women in the U.S. Methods Cross-sectional analysis of a nationally-representative sample of pregnant U.S. women, ages 20-40 years (n = 1,003) from NHANES 2001-2014. Total usual dietary intakes were estimated using the National Cancer Institute (NCI) method to adjust 2, 24-hour dietary recalls for within-person variation. Adherence with the Dietary Reference Intakes were used to assess the proportion at risk of inadequacy by the Estimated Average Requirement (%< EAR), assumed to be adequate by the Adequate Intake (% >AI), and at risk of excess by the Tolerable Upper Intake Level (% >UL). Results About 70% of pregnant women use a dietary supplement. Less than 5% of pregnant women have usual diets that are at risk for inadequate intakes of riboflavin (3%), niacin (1%), vitamin B12 (1%), iron (2%), phosphorus (< 0.5%), and selenium (< 0.5%). More pregnant women have usual intakes < EAR for vitamins A (15%), B6 (11%), folate (16%), C (11%), D (46%), E (43%), and minerals including copper (5%), calcium (13%), magnesium (47%) and zinc (11%). Few pregnant females have usual intakes >AI for potassium (2%) and choline (8%), whereas only 48% have vitamin K intakes >AI. The majority of pregnant women (95%) exceed the UL for sodium, while folic acid (34%), iron (28%), calcium (3%), and zinc (7%) were also of concern for intakes >UL. Conclusions Many U.S. pregnant women ( >10% < EAR or < 10% >AI) do not consume enough of key nutrients during pregnancy specifically vitamins A, C, D, E, K, B6, folate, and choline and minerals including potassium, calcium, magnesium, and zinc, while almost all are at risk of excessive consumption of sodium, and many at risk of excessive consumption of folic acid and iron. Improved dietary guidance to help pregnant women meet and not exceed dietary recommendations is warranted. Funding Sources Nestle Nutrition.

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