Evaluation of Iodine Nutritional Status Among Pregnant Women in China

Yang, Lichen; Li, Min; Liu, Xiaobing; Wu, Meng Hsing; Zhang, Jian; Zhao, Liyun; Ding, Gang; Yang, Xiaoguang

doi:10.1089/thy.2019.0001

Cited by 17 publications

(10 citation statements)

References 17 publications

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“…It is particularly important for pregnant women to have an adequate iodine intake, which is not only related to pregnancy outcomes, but also to the mental and physical development of the foetus (20) . Recently, continuous reports have documented iodine deficiency in pregnant women in China (7,21,22) . The Chinese CDC conducted a study on the relationship between thyroid disease and different levels of iodine intake, which indicated low coverage of iodised salt in the coastal cities of China and low iodine concentrations in the environment; the incidence rate of thyroid dysfunction and the UICs demonstrated a U-shaped curve (21) .…”

Section: Discussionmentioning

confidence: 99%

“…The national monitoring of China showed that, after the implementation of the compulsive universal salt iodisation (USI) policy, population iodine levels were adequate except in pregnant women (7) . Many studies suggest that even mild iodine deficiency during pregnancy may negatively affect the verbal intelligence quotient and educational level of offspring (8)(9) .…”

Section: Introductionmentioning

confidence: 99%

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Association of iodine‐related knowledge, attitudes and behaviours with urinary iodine excretion in pregnant women with mild iodine deficiency

Wang

Shi

et al. 2020

J Human Nutrition Diet

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Background: China's universal salt-iodization program has all but eliminated iodine de ciency disorders. Concern has shifted to mild iodine de ciency. Our study examined factors with the potential to predict mild iodine de ciency in pregnant women. Methods: A total of 2 400 pregnant women were enrolled using a multistage, strati ed, random-sampling method. Data were collected through face-to-face interviews, a standardized questionnaire, an iodine-related knowledge questionnaire, urine samples, and household cooking salt samples. Results: The median urinary iodine concentration (MUIC) was 148.0 μg/L for all participants, and 155.0 μg/L, 151.0 μg/L, and 139.6 μg/L in the rst, second, and third trimesters, respectively. The third trimester's MUIC was signi cantly lower than that of the rst trimester, and the usage rates of iodized salt and quali ed-iodized salt were 71.5% and 59.4%, respectively. Iodine-related knowledge was signi cantly different between the high and low UIC groups. Participants' MUIC increased signi cantly with increases in iodine-related knowledge. The third trimester was a signi cant risk factor for high UIC, whereas abundant iodine-related knowledge, study the dietary knowledge urgently, and consumption of iodine-rich food within 48 hours of a urine iodine test were signi cant protective factors for high UIC (P<0.05). Conclusions: Iodine levels are adequate among pregnant women in Shanghai during the rst and second trimesters, but insu cient in the third trimester. The use of iodized cooking salt does not determine the iodine status of pregnant women. Abundant iodine-related knowledge is important for pregnant women in the third trimester to maintain adequate urinary iodine.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association of iodine‐related knowledge, attitudes and behaviours with urinary iodine excretion in pregnant women with mild iodine deficiency

Wang

Shi

et al. 2020

J Human Nutrition Diet

View full text Add to dashboard Cite

show abstract

“…It is particularly important for pregnant women to have adequate iodine intake, which is not only related to pregnancy outcomes, but also to the mental and physical development of the foetus [20]. Recent, continuous reports have documented iodine de ciency in pregnant women in China [21][22][23]. The Chinese CDC conducted a cross-sectional study on the relationship between thyroid disease and different levels of iodine intake, which indicated low coverage of iodized salt in the coastal cities of China and low iodine concentrations in the environment; the incidence rate of thyroid dysfunction and the UICs showed a Ushaped curve [22].…”

Section: Discussionmentioning

confidence: 99%

Association of Iodine-Related Knowledge, Attitudes, and Behaviours with Urinary Iodine Excretion in Pregnant Women with Mild Iodine Deficiency

Wang

Shi

et al. 2020

Preprint

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Background: China’s universal salt-iodization program has all but eliminated iodine deficiency disorders. Concern has shifted to mild iodine deficiency. Our study examined factors with the potential to predict mild iodine deficiency in pregnant women. Methods: A total of 2 400 pregnant women were enrolled using a multistage, stratified, random-sampling method. Data were collected through face-to-face interviews, a standardized questionnaire, an iodine-related knowledge questionnaire, urine samples, and household cooking salt samples. Results: The median urinary iodine concentration (MUIC) was 148.0 μg/L for all participants, and 155.0 μg/L, 151.0 μg/L, and 139.6 μg/L in the first, second, and third trimesters, respectively. The third trimester’s MUIC was significantly lower than that of the first trimester, and the usage rates of iodized salt and qualified-iodized salt were 71.5% and 59.4%, respectively. Iodine-related knowledge was significantly different between the high and low UIC groups. Participants’ MUIC increased significantly with increases in iodine-related knowledge. The third trimester was a significant risk factor for high UIC, whereas abundant iodine-related knowledge, study the dietary knowledge urgently, and consumption of iodine-rich food within 48 hours of a urine iodine test were significant protective factors for high UIC (P<0.05). Conclusions: Iodine levels are adequate among pregnant women in Shanghai during the first and second trimesters, but insufficient in the third trimester. The use of iodized cooking salt does not determine the iodine status of pregnant women. Abundant iodine-related knowledge is important for pregnant women in the third trimester to maintain adequate urinary iodine.

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“…A mother's nutritional status during pregnancy that is good has a greater chance of giving birth to a healthy baby. The nutritional status of mothers during pregnancy who experience Kurang Energi Kronik (KEK) or Chronic Energy Deficiency has a 2.2 times greater risk of stunting under five than the nutritional status of mothers during pregnancy who have normal Lingkar Lengang Atas (LILA) [20]. Perception error and shared knowledge of mothers will undoubtedly impact mother behavior, especially health behavior and child feeding behavior.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Children Under Five Years in the Work Area of Puskesmas Cipadung

Nafia

Shodiq

Handayani

2021

Dis.Prev.Public Heal J.

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Background: Children under five years are in the golden growth and development period; however, an excellent nutritional status must support optimal growth and development. The nutritional status of children under five years needs special attention. An overview of the nutritional status of children in a region is the first step to determine the factors that affect the nutritional status of children under five in that region. Method: This was a descriptive study with a cross-sectional design. Results: The results showed that children under five aged 0 – 23 months were 35.47%, while those aged 24-59 months were 64.53%, boys were 52.95%, and girls were 47.05%. Children under five years with inferior nutritional status (index weight/age) of 2.63%, children with nutritional status of stunting (index for height/age) of 12.57%. Children with a malnutrition status (index weight/height) of 2.41%. Conclusion: The problem of stunting and wasting nutrition is still found in the work area Puskesmas Cipadung. These problems can arise due to poor parenting and lack of nutritious food intake due to parents' low education and income level.

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Evaluation of Iodine Nutritional Status Among Pregnant Women in China

Cited by 17 publications

References 17 publications

Association of iodine‐related knowledge, attitudes and behaviours with urinary iodine excretion in pregnant women with mild iodine deficiency

Association of iodine‐related knowledge, attitudes and behaviours with urinary iodine excretion in pregnant women with mild iodine deficiency

Association of Iodine-Related Knowledge, Attitudes, and Behaviours with Urinary Iodine Excretion in Pregnant Women with Mild Iodine Deficiency

Nutritional Status of Children Under Five Years in the Work Area of Puskesmas Cipadung

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