IODINE SUPPLEMENTATION IN PREGNANCY

作者: Nina Dabelić , Josip Stanicić , Marta Borić , Tomislav Jukić , Zvonko Kusić

DOI:

关键词: Public healthPregnancyIodine deficiencyEnvironmental healthIodineThyroidMultivitaminGynecologyOffspringMedicineDietary Iodine

摘要: People of all ages can be affected by iodine deficiency, however, pregnant women and children are especially at a high risk. Because changes that occur in maternal thyroid hormone economy during pregnancy the potential unfavorable effects deficiency on offspring, an adequate dietary intake throughout is highly important. Therefore, World Health Organization, United Nations Children's Fund International Council for Control Iodine Deficiency Disorders have proposed should 200-300 microg/day to compensate augmented T4 requirements women. It has been shown countries with longstanding well-established universal salt iodination program where sufficiency reached, there fraction still low median urinary concentration, which indicates insufficient iodine. Studies performed such emphasize use multivitamin and/ or mineral tablets specifically prepared needs containing supplements. Only States America Canada official recommendations concerning supplementation. In other countries, no firm decisions yet made medical community public health authorities. Croatia, sufficient country, situation same. There need collect data supplementation pregnancy, along program, so definitive conclusions made.

参考文章(12)
Tomislav Jukić, Zvonko Kusić, History of Endemic Goiter in Croatia: From Severe Iodine Deficiency to Iodine Sufficiency Collegium Antropologicum. ,vol. 29, pp. 9- 16 ,(2005)
F Delange, OPTIMAL IODINE NUTRITION DURING PREGNANCY, LACTATION AND THE NEONATAL PERIOD international journal of endocrinology and metabolism. ,vol. 2, pp. 1- 13 ,(2004)
Marcos Abalovich, Nobuyuki Amino, Linda A. Barbour, Rhoda H. Cobin, Leslie J. De Groot, Daniel Glinoer, Susan J. Mandel, Alex Stagnaro-Green, Clinical practice guideline: Management of thyroid dysfunction during pregnancy and postpartum: An endocrine society clinical practice guideline The Journal of Clinical Endocrinology and Metabolism. ,vol. 92, ,(2007) , 10.1210/JC.2007-0141
Enrico Marchioni, Angela Fumarola, Anna Calvanese, Francesca Piccirilli, Valentina Tommasi, Pietro Cugini, Salvatore Ulisse, Filippo Rossi Fanelli, Massimino D'Armiento, Iodine deficiency in pregnant women residing in an area with adequate iodine intake. Nutrition. ,vol. 24, pp. 458- 461 ,(2008) , 10.1016/J.NUT.2008.01.015
John T. Dunn, Francois Delange, Damaged reproduction: the most important consequence of iodine deficiency. The Journal of Clinical Endocrinology and Metabolism. ,vol. 86, pp. 2360- 2363 ,(2001) , 10.1210/JCEM.86.6.7611
Robert C. Smallridge, Daniel Glinoer, Joseph G. Hollowell, Gregory Brent, Thyroid Function Inside and Outside of Pregnancy: What Do We Know and What Don't We Know? Thyroid. ,vol. 15, pp. 54- 59 ,(2005) , 10.1089/THY.2005.15.54
Z. Kusić, S. A. Novosel, N. Dabelić, M. Punda, S. Rončević, Ž Labar, Lj. Lukinac, D. Nöthig-Hus, A. Staničić, A. Kaić-Rak, E. Mesaroš-Kanjski, I. Karner, J. Smoje, N. Milanović, M. Katalenić, V. Jureša, V. Sarnavka, Croatia has reached iodine sufficiency Journal of Endocrinological Investigation. ,vol. 26, pp. 738- 742 ,(2003) , 10.1007/BF03347356
Pere Berbel, María Jesús Obregón, Juan Bernal, Francisco Escobar del Rey, Gabriella Morreale de Escobar, Iodine supplementation during pregnancy: a public health challenge Trends in Endocrinology and Metabolism. ,vol. 18, pp. 338- 343 ,(2007) , 10.1016/J.TEM.2007.08.009
Juliawati Untoro, Nune Mangasaryan, Bruno de Benoist, Ian Darnton-Hill, Reaching optimal iodine nutrition in pregnant and lactating women and young children: programmatic recommendations. Public Health Nutrition. ,vol. 10, pp. 1527- 1529 ,(2007) , 10.1017/S1368980007705360