Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During Pregnancy

Background: To assess accessibility of iodinated salt and urinary iodine concentrations (UIC) during pregnancy. This cross-sectional study was carried out between October and December, 2009 in Urmia County, West Azerbaijan (WA), Iran.Methods: Data on demographic characteristics and iodinated salt ac...

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Main Authors: R Rostami, A Beiranvand, HR Khakhali, S Salary, MR Aghasi, J Nourooz-Zadeh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2012-08-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:http://journals.tums.ac.ir/upload_files/pdf/_/21669.pdf
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author R Rostami
A Beiranvand
HR Khakhali
S Salary
MR Aghasi
J Nourooz-Zadeh
author_facet R Rostami
A Beiranvand
HR Khakhali
S Salary
MR Aghasi
J Nourooz-Zadeh
author_sort R Rostami
collection DOAJ
description Background: To assess accessibility of iodinated salt and urinary iodine concentrations (UIC) during pregnancy. This cross-sectional study was carried out between October and December, 2009 in Urmia County, West Azerbaijan (WA), Iran.Methods: Data on demographic characteristics and iodinated salt accessibility were gathered through a questionnaire at 1st trimester. Household salt samples and urine samples (1st -and 3rd trimesters) were analyzed for iodine content. Pregnant women (n=490) at 1st trimester were interviewed. Of these, 490 subjects (12 prenatal care centers) were enrolled.Results: All participants declared that they were exclusive users of iodinated salt. Segregation of the household salt samples according to iodine content (0, 8, 15 and 30 ppm) revealed that the respective distributions were 3.3%, 1.4%, 23.7% and 71.6%. Median UIC levels at 1st and 3rd trimesters were 73.5 µg/L and 114µg/L respectively. Accordingly, 86% and 70% of participants exhibited UIC < 150 µg/L.Conclusion: Median UIC during pregnancy in WA is markedly lower than those previously reported for regions with adequate iodine status in the country. Thus, extra iodine is needed to maintain adequate iodine store during gestation. In addition, this preliminary study reveals that a significant proportion (28%) of the household salt samples had low iodine content (≤ 15 ppm) although a level (>20 and <40 ppm) is mandatory in Iran. Further studies are deemed necessary to elucidate the cause(s) for manifestation iodine deficiency among pregnant women despite 20 years after iodine fortification strategy.
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spelling doaj.art-e4ae3cfeb40d476795cf17bfad511e9d2022-12-21T20:05:44ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852012-08-014185660Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During PregnancyR RostamiA BeiranvandHR KhakhaliS SalaryMR AghasiJ Nourooz-ZadehBackground: To assess accessibility of iodinated salt and urinary iodine concentrations (UIC) during pregnancy. This cross-sectional study was carried out between October and December, 2009 in Urmia County, West Azerbaijan (WA), Iran.Methods: Data on demographic characteristics and iodinated salt accessibility were gathered through a questionnaire at 1st trimester. Household salt samples and urine samples (1st -and 3rd trimesters) were analyzed for iodine content. Pregnant women (n=490) at 1st trimester were interviewed. Of these, 490 subjects (12 prenatal care centers) were enrolled.Results: All participants declared that they were exclusive users of iodinated salt. Segregation of the household salt samples according to iodine content (0, 8, 15 and 30 ppm) revealed that the respective distributions were 3.3%, 1.4%, 23.7% and 71.6%. Median UIC levels at 1st and 3rd trimesters were 73.5 µg/L and 114µg/L respectively. Accordingly, 86% and 70% of participants exhibited UIC < 150 µg/L.Conclusion: Median UIC during pregnancy in WA is markedly lower than those previously reported for regions with adequate iodine status in the country. Thus, extra iodine is needed to maintain adequate iodine store during gestation. In addition, this preliminary study reveals that a significant proportion (28%) of the household salt samples had low iodine content (≤ 15 ppm) although a level (>20 and <40 ppm) is mandatory in Iran. Further studies are deemed necessary to elucidate the cause(s) for manifestation iodine deficiency among pregnant women despite 20 years after iodine fortification strategy.http://journals.tums.ac.ir/upload_files/pdf/_/21669.pdfUrinary Iodine ExcretionPregnancyIodineSalt Iodination
spellingShingle R Rostami
A Beiranvand
HR Khakhali
S Salary
MR Aghasi
J Nourooz-Zadeh
Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During Pregnancy
Iranian Journal of Public Health
Urinary Iodine Excretion
Pregnancy
Iodine
Salt Iodination
title Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During Pregnancy
title_full Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During Pregnancy
title_fullStr Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During Pregnancy
title_full_unstemmed Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During Pregnancy
title_short Evaluation of Accessibility of Iodinated Salt and Nutritional Iodine Status During Pregnancy
title_sort evaluation of accessibility of iodinated salt and nutritional iodine status during pregnancy
topic Urinary Iodine Excretion
Pregnancy
Iodine
Salt Iodination
url http://journals.tums.ac.ir/upload_files/pdf/_/21669.pdf
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AT hrkhakhali evaluationofaccessibilityofiodinatedsaltandnutritionaliodinestatusduringpregnancy
AT ssalary evaluationofaccessibilityofiodinatedsaltandnutritionaliodinestatusduringpregnancy
AT mraghasi evaluationofaccessibilityofiodinatedsaltandnutritionaliodinestatusduringpregnancy
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