Iodine status of pregnant women in Sri Lanka

<p>Based on new evidence and lessons learned within the last decade, pregnant women may not receive adequate iodized salt where the coverage of universal salt iodisation is poor. World Health Organisation has stated this could jeopardize optimal brain development of the fetus. This study was a...

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Main Authors: Renuka Jayatisa, MM Gunathilaka, JM Ranbanda, P Peiris, J Jayasingha, P Ekanayaka
Format: Article
Language:English
Published: Sri Lanka College of Endocrinologists 2013-05-01
Series:Sri Lanka Journal of Diabetes Endocrinology and Metabolism
Subjects:
Online Access:https://sjdem.sljol.info/articles/5469
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author Renuka Jayatisa
MM Gunathilaka
JM Ranbanda
P Peiris
J Jayasingha
P Ekanayaka
author_facet Renuka Jayatisa
MM Gunathilaka
JM Ranbanda
P Peiris
J Jayasingha
P Ekanayaka
author_sort Renuka Jayatisa
collection DOAJ
description <p>Based on new evidence and lessons learned within the last decade, pregnant women may not receive adequate iodized salt where the coverage of universal salt iodisation is poor. World Health Organisation has stated this could jeopardize optimal brain development of the fetus. This study was aimed to assess the iodine status of pregnant women in Sri Lanka. A cross-sectional clinic based nationally representative study was conducted. Three randomly selected antenatal clinics from each province, 30 randomly selected pregnant women from each selected clinic were included in the study. A total of 739 pregnant women were studied and casual urine samples collected to estimate iodine levels. Median urinary iodine levels in pregnant women was 113.7 g/L, which is far below the WHO recommendation between 150 and 249 μg/L indicating inadequate iodine status of pregnant women in Sri Lanka. Urine iodine distribution indicated 61.3%, 21.7%, 15.2% and 1.8% of pregnant women had an inadequate, adequate, above requirement and excessive intake respectively. Urinary iodine concentration significantly decreased with advancing pregnancy. Inadequate iodine intake was evident in 47.4%, 60.2% and 68.8% of pregnant women in the first, second and third trimester respectively. In conclusion, there is an urgent need to identify a programme to provide adequate iodine to pregnant women to ensure optimum fetal brain development.</p> <p>DOI: <a href="http://dx.doi.org/10.4038/sjdem.v3i1.5469">http://dx.doi.org/10.4038/sjdem.v3i1.5469</a></p> <p><em>Sri Lanka Journal of Diabetes, Endocrinology and Metabolism</em><em> </em>2013; <strong>3</strong>: 4-7</p>
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spelling doaj.art-a5c78cee4b584b57ad77dd9459b0e3b82022-12-21T18:23:02ZengSri Lanka College of EndocrinologistsSri Lanka Journal of Diabetes Endocrinology and Metabolism2012-998X2013-05-01314710.4038/sjdem.v3i1.54694356Iodine status of pregnant women in Sri LankaRenuka Jayatisa0MM Gunathilaka1JM Ranbanda2P Peiris3J Jayasingha4P Ekanayaka5Ministry of HealthMinistry of HealthMinistry of HealthMinistry of HealthMinistry of HealthMinistry of Health<p>Based on new evidence and lessons learned within the last decade, pregnant women may not receive adequate iodized salt where the coverage of universal salt iodisation is poor. World Health Organisation has stated this could jeopardize optimal brain development of the fetus. This study was aimed to assess the iodine status of pregnant women in Sri Lanka. A cross-sectional clinic based nationally representative study was conducted. Three randomly selected antenatal clinics from each province, 30 randomly selected pregnant women from each selected clinic were included in the study. A total of 739 pregnant women were studied and casual urine samples collected to estimate iodine levels. Median urinary iodine levels in pregnant women was 113.7 g/L, which is far below the WHO recommendation between 150 and 249 μg/L indicating inadequate iodine status of pregnant women in Sri Lanka. Urine iodine distribution indicated 61.3%, 21.7%, 15.2% and 1.8% of pregnant women had an inadequate, adequate, above requirement and excessive intake respectively. Urinary iodine concentration significantly decreased with advancing pregnancy. Inadequate iodine intake was evident in 47.4%, 60.2% and 68.8% of pregnant women in the first, second and third trimester respectively. In conclusion, there is an urgent need to identify a programme to provide adequate iodine to pregnant women to ensure optimum fetal brain development.</p> <p>DOI: <a href="http://dx.doi.org/10.4038/sjdem.v3i1.5469">http://dx.doi.org/10.4038/sjdem.v3i1.5469</a></p> <p><em>Sri Lanka Journal of Diabetes, Endocrinology and Metabolism</em><em> </em>2013; <strong>3</strong>: 4-7</p>https://sjdem.sljol.info/articles/5469iodine statuspregnant women
spellingShingle Renuka Jayatisa
MM Gunathilaka
JM Ranbanda
P Peiris
J Jayasingha
P Ekanayaka
Iodine status of pregnant women in Sri Lanka
Sri Lanka Journal of Diabetes Endocrinology and Metabolism
iodine status
pregnant women
title Iodine status of pregnant women in Sri Lanka
title_full Iodine status of pregnant women in Sri Lanka
title_fullStr Iodine status of pregnant women in Sri Lanka
title_full_unstemmed Iodine status of pregnant women in Sri Lanka
title_short Iodine status of pregnant women in Sri Lanka
title_sort iodine status of pregnant women in sri lanka
topic iodine status
pregnant women
url https://sjdem.sljol.info/articles/5469
work_keys_str_mv AT renukajayatisa iodinestatusofpregnantwomeninsrilanka
AT mmgunathilaka iodinestatusofpregnantwomeninsrilanka
AT jmranbanda iodinestatusofpregnantwomeninsrilanka
AT ppeiris iodinestatusofpregnantwomeninsrilanka
AT jjayasingha iodinestatusofpregnantwomeninsrilanka
AT pekanayaka iodinestatusofpregnantwomeninsrilanka