Poor knowledge and practices related to iodine nutrition during pregnancy and lactation in Australian women: pre- and post-iodine fortification.

Poor knowledge and practices related to iodine nutrition during pregnancy and lactation in Australian women: pre- and post-iodine fortification.
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DOI:
10.3390/nu4091317
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发表时间:
2012-09
期刊:
影响因子:
5.9
通讯作者:
Ma G
Ma G
中科院分区:
医学2区
文献类型:
--
作者:
Charlton K;Yeatman H;Lucas C;Axford S;Gemming L;Houweling F;Goodfellow A;Ma G

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我们进行了一项前后审查,以评估自 2009 年实行强制碘强化以来,澳大利亚妇女在碘营养、补充和强化方面的知识和做法是否有所改善。2007-2008 年对孕妇 (n = 139) 和非孕妇 (n = 75) 的调查与一到两年对孕妇 (n = 147) 和哺乳期妇女 (n = 60) 的调查进行了比较澳大利亚新南威尔士州一个地区的防御工事后。完成了一份自填问卷,并使用经过验证的食物频率问卷评估了饮食中的碘摄入量。强化碘后,人们对饮食中碘的作用和来源普遍知之甚少。强化后,孕妇和哺乳期妇女服用含碘补充剂的比例分别为 60%(强化前为 20%)和 45%。乳制品是膳食碘摄入量的最大贡献者(57%–62%)。鱼类和海鲜的摄入量较低,导致该食物组仅占总摄入量的 3%–8%。公众对碘在健康中的作用的认识水平较低,因此除了加强碘强化外,还需要采取公共卫生战略,例如伴随的消费者教育活动、增加补充剂的摄入和持续监测。
A before-after review was undertaken to assess whether knowledge and practices related to iodine nutrition, supplementation and fortification has improved in Australian women since the introduction of mandatory iodine fortification in 2009. Surveys of pregnant (n = 139) and non-pregnant (n = 75) women in 2007–2008 are compared with surveys of pregnant (n = 147) and lactating women (n = 60) one to two years post-fortification in a regional area of New South Wales, Australia. A self-administered questionnaire was completed and dietary intake of iodine was assessed using a validated food frequency questionnaire. A generally poor knowledge about the role and sources of iodine in the diet remained after fortification. Post-fortification, iodine-containing supplements were being taken by 60% (up from 20% pre-fortification) and 45% of pregnant and lactating women, respectively. Dairy foods were the highest contributors to dietary iodine intake (57%–62%). A low intake of fish and seafood resulted in this food group contributing only 3%–8% of total intake. A low level of public awareness regarding the role of iodine in health supports the need for public health strategies in addition to fortification, such as an accompanying consumer education campaign, increased uptake of supplementation, and on-going monitoring.
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