Iodine Status in Pregnant Women of Puerto Rico.
Iodine Status in Pregnant Women of Puerto Rico.
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DOI：
10.1016/j.eprac.2020.10.002
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发表时间：
2021-03
影响因子：
4.2
通讯作者：
Pearce, Elizabeth N.
中科院分区：
文献类型：
--
作者：
Rodriguez-Diaz, Eduardo;Rivera-Ortiz, Jinetsy, I;Lee, Sun Y.;Gonzalez-Rodriguez, Loida A.;He, Xuemei;Pearce, Elizabeth N.
缺碘是一个世界性的公共卫生问题，也是导致儿童神经发育迟缓的可预防原因。波多黎各没有关于孕妇碘充足和碘营养知识的数据。这项研究的目的是评估波多黎各孕妇的碘状况、影响碘状况的潜在因素以及对碘营养的了解。这是一项横断面研究，从波多黎各圣胡安的一家流动的高危产科诊所招募了125名孕妇。参与者完成了一项调查，并提供了现场尿样。我们排除了服用甲状腺药物的女性或在过去6个月内接受过碘化对比研究的女性。分光光度法测尿碘浓度(UICs)。尿液中位数为182μg/L，只有3人(2%)知道孕妇需要增加碘摄入量，78%的人报告服用产前维生素，其中77%是处方药。报告服用处方产前维生素的受试者尿液中位数(范围)为148.6(15.3-1188.6)μg/L，而未服用处方产前维生素的受试者尿液中位数(范围)为249.7(47.8-2179.0)μg/L(P=0.05)。这些产前维生素的碘含量尚不清楚。世界卫生组织将孕妇人群中碘缺乏定义为尿碘中位数150μg/L。我们的波多黎各怀孕妇女样本中碘含量充足。大多数妇女使用碘含量未知的处方产前维生素。大多数参与者报告没有接受卫生保健提供者关于饮食碘需求的任何教育。
Iodine deficiency is a worldwide public health problem and a preventable cause of neuro-developmental delay in children. There are no data regarding iodine sufficiency and knowledge on iodine nutrition among pregnant women in Puerto Rico. The objective of this study was to assess iodine status, potential factors influencing iodine status, and knowledge regarding iodine nutrition among Puerto Rican pregnant women. This was a cross-sectional study of 125 pregnant women recruited from an ambulatory high-risk obstetric clinic in San Juan, Puerto Rico. The participants completed a survey and provided spot urine samples. We excluded women on thyroid medications or those who had undergone iodinated contrast studies in the last 6 months. Spot urine iodine concentrations (UICs) were measured spectrophotometrically. The median UIC was 182 μg/L. Only 3 (2%) of the participants were aware that pregnant women need increased iodine intake, and 78% reported taking prenatal vitamins, 77% of which were prescription products. The participants who reported taking prescription prenatal vitamins had a median (range) UIC of 148.6 (15.3–1188.6) μg/L compared to those who were not taking prescription prenatal vitamins, who had a median UIC of 249.7 (47.8–2179.0) μg/L (P = .05). The iodine content of the prenatal vitamins was unknown. The World Health Organization has defined iodine deficiency as a median UIC of <150 μg/L in populations of pregnant women. Our sample of pregnant Puerto Rican women had an adequate iodine status. Most women used prescribed prenatal vitamins with unknown iodine content. The majority of participants reported not receiving any education by health care providers regarding dietary iodine needs.
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影响因子：
6.6
作者：
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通讯作者：
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DOI：
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