The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain Area

Background: The low iodine content of daily water sources and repeated volcanic eruptions are expected to affect the iodine status and thyroid hormone profile of women of childbearing age in the Magelang regency. This study aimed to determine the iodine and thyroid profile among women of childbearin...

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Main Authors: Heri Nugroho, Tjokorda Gde Dalem Pemayun, Darmono Darmono, Banundari Rachmawati
Format: Article
Language:English
Published: Interna Publishing 2023-04-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:https://actamedindones.org/index.php/ijim/article/view/2397
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author Heri Nugroho
Tjokorda Gde Dalem Pemayun
Darmono Darmono
Banundari Rachmawati
author_facet Heri Nugroho
Tjokorda Gde Dalem Pemayun
Darmono Darmono
Banundari Rachmawati
author_sort Heri Nugroho
collection DOAJ
description Background: The low iodine content of daily water sources and repeated volcanic eruptions are expected to affect the iodine status and thyroid hormone profile of women of childbearing age in the Magelang regency. This study aimed to determine the iodine and thyroid profile among women of childbearing age. Methods: We used a cross-sectional descriptive study to learn about 140 women of reproductive age living in Sengi village from October 2017 to January 2018. We assessed the iodine level, dietary intake, and goitrogenic food consumption using food frequency questionnaire (FFQ), urinary iodine concentration (UIC), thyroid stimulating hormone (TSH) and free thyroxine (fT4), and total goiter rate (TGR). Results: The median UIC was 199.5 (126.0 – 264.0)µg/L. The TGR was 10.7% on palpation and 7.8% on ultrasound. The proportion of UIC levels below 100µg/L was 18.5%. The mean water iodine content was 2.03 ± 4.74 μg/L. The mean salt iodine level was 28.6±13.7ppm. There were only 35% who consumed salt with adequate iodine contents, and only 19.29% consumed >150µg iodine from daily dietary intake based on FFQ. The median TSH and FT4 levels were 1.72 and 1.51mIU/L. Conclusion: Women of childbearing age in Sengi Village generally had adequate iodine profiles and normal thyroid hormone levels but a considerable proportion of TGR and low UIC. The iodine contents within the freshwater source, table salt, and daily dietary intake were low. There are no significant association between Iodine status, daily goitrogen intake, daily iodine intake and salt iodine concentration
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spelling doaj.art-c28a78de62ad4452951df61eaa3a90f72023-07-28T06:44:34ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322023-04-01552582The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain AreaHeri Nugroho0Tjokorda Gde Dalem Pemayun1Darmono Darmono2Banundari Rachmawati3Division of Endocrine-Metabolism, Department of Internal Medicine, Faculty of Medicine Diponegoro University - Kariadi General Hospital, Semarang, IndonesiaDivision of Endocrine-Metabolism, Department of Internal Medicine, Faculty of Medicine Diponegoro University - Kariadi General Hospital, Semarang, IndonesiaDivision of Endocrine-Metabolism, Department of Internal Medicine, Faculty of Medicine Diponegoro University - Kariadi General Hospital, Semarang, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine Diponegoro University - Kariadi General Hospital, Semarang, IndonesiaBackground: The low iodine content of daily water sources and repeated volcanic eruptions are expected to affect the iodine status and thyroid hormone profile of women of childbearing age in the Magelang regency. This study aimed to determine the iodine and thyroid profile among women of childbearing age. Methods: We used a cross-sectional descriptive study to learn about 140 women of reproductive age living in Sengi village from October 2017 to January 2018. We assessed the iodine level, dietary intake, and goitrogenic food consumption using food frequency questionnaire (FFQ), urinary iodine concentration (UIC), thyroid stimulating hormone (TSH) and free thyroxine (fT4), and total goiter rate (TGR). Results: The median UIC was 199.5 (126.0 – 264.0)µg/L. The TGR was 10.7% on palpation and 7.8% on ultrasound. The proportion of UIC levels below 100µg/L was 18.5%. The mean water iodine content was 2.03 ± 4.74 μg/L. The mean salt iodine level was 28.6±13.7ppm. There were only 35% who consumed salt with adequate iodine contents, and only 19.29% consumed >150µg iodine from daily dietary intake based on FFQ. The median TSH and FT4 levels were 1.72 and 1.51mIU/L. Conclusion: Women of childbearing age in Sengi Village generally had adequate iodine profiles and normal thyroid hormone levels but a considerable proportion of TGR and low UIC. The iodine contents within the freshwater source, table salt, and daily dietary intake were low. There are no significant association between Iodine status, daily goitrogen intake, daily iodine intake and salt iodine concentrationhttps://actamedindones.org/index.php/ijim/article/view/2397endocrinologythyroidgoiteriodine statuswomen of childbearing age
spellingShingle Heri Nugroho
Tjokorda Gde Dalem Pemayun
Darmono Darmono
Banundari Rachmawati
The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain Area
Acta Medica Indonesiana
endocrinology
thyroid
goiter
iodine status
women of childbearing age
title The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain Area
title_full The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain Area
title_fullStr The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain Area
title_full_unstemmed The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain Area
title_short The Iodine Status of Women of Childbearing Age in an Iodine-repleted Area: An Epidemiological Study in Sengi Village on Merapi Mountain Area
title_sort iodine status of women of childbearing age in an iodine repleted area an epidemiological study in sengi village on merapi mountain area
topic endocrinology
thyroid
goiter
iodine status
women of childbearing age
url https://actamedindones.org/index.php/ijim/article/view/2397
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