Jodversorgung in der Schwangerschaft - eine aktuelle Bestandsaufnahme in Berlin

Bühling, KJ; Schaff, Jason E.; Bertram, H. P.; Hansen, Robin; Muller, Corinna L.; Wäscher, Cornelia; Heinze, Thomas M.; Dudenhausen, J. W.

doi:10.1055/s-2003-37839

Cited by 12 publications

(4 citation statements)

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“…In earlier studies of women in Denmark 47 and Germany 48 , the median UI concentration was significantly higher in pregnant women supplemented with iodine than women not supplemented: 58 vs. 35 μg day − 1 in Denmark and 85 vs. 59 μg day − 1 in Germany.…”

Section: Iodine Intakes In Pregnancy and The Effects Of Iodine Supple...mentioning

confidence: 81%

The impact of iodised salt or iodine supplements on iodine status during pregnancy, lactation and infancy

Zimmermann

2007

Public Health Nutr.

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Objectives: Monitoring of iodine status during pregnancy, lactation and infancy is difficult as there are no established reference criteria for urinary iodine concentration (UI) for these groups; so it is uncertain whether iodized salt programs meet the needs of these life stages. Design and Subjects: The method used in this paper was: 1) to estimate the median UI concentration that reflects adequate iodine intake during these life stages; and 2) to use these estimates in a review of the literature to assess whether salt iodisation can control iodine deficiency in pregnant and lactating women, and their infants. Results: For pregnancy, recommended mean daily iodine intakes of 220-250 mg were estimated to correspond to a median UI concentration of about 150 mg l 21 , and larger surveys from the iodine sufficient countries have reported a median UI in pregnant women $ 140 mg l 21 . Iodine supplementation in pregnant women who are mild-tomoderately iodine deficient is beneficial, but there is no clear affect on maternal or newborn thyroid hormone levels. In countries where the iodine intake is sufficient, most mothers have median breast milk iodine concentration (BMIC) greater than the concentration (100-120 mg l 21 ) required to meet an infant's needs. The median UI concentration during infancy that indicates optimal iodine nutrition is estimated to be $ 100 mg l 21 . In iodine-sufficient countries, the median UI concentration in infants ranges from 90-170 mg l 21 , suggesting adequate iodine intake in infancy. Conclusions: These findings suggest pregnant and lactating women and their infants in countries with successful sustained iodised salt programs have adequate iodine status.

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Section: Iodine Intakes In Pregnancy and The Effects Of Iodine Supple...mentioning

confidence: 81%

The impact of iodised salt or iodine supplements on iodine status during pregnancy, lactation and infancy

Zimmermann

2007

Public Health Nutr.

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“…In most European countries, very low median UICs have been reported, often less than 100 μg/L [ 14 , 35 ], with the exception of Switzerland, Sweden, Slovenia, and some parts of Germany [ 36 – 40 ],…”

Section: Discussionmentioning

confidence: 99%

Iodine nutritional status of women in their first trimester of pregnancy in Catalonia

Torres

Francés

Vila

et al. 2017

BMC Pregnancy Childbirth

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BackgroundSufficient iodine intake is needed during pregnancy to ensure proper fetal development. The iodine levels of women in their first trimester of pregnancy in Catalonia are currently unknown. This data would help to determine whether our public health services should establish recommendations or interventions in this line. The aim of this study was to investigate the iodine nutritional status, prevalence of urinary iodine <150 μg/L, and tobacco use in the first trimester of pregnancy in our setting.MethodsCross-sectional study. Data were collected during 2008–2009 from women in their first trimester at the primary care centers of the province of Barcelona (Spain). Pregnant women included in the study completed a questionnaire on eating habits and underwent urinary iodine concentration (UIC) assessment.ResultsNine hundred forty five women completed the dietary questionnaire and urinary iodine testing. Median UIC was 172 μg/L, with 407 participants (43.1%) showing levels <150 μg/L. On multivariate logistic regression analysis, intake of 1–2 glasses of milk per day, OR = 0.636 95% CI (0.45–0.90) or >2 glasses, OR = 0.593 95% CI (0.37–0.95); iodized salt consumption, OR = 0.678 95% CI (0.51–0. 90); and use of iodine supplementation, OR = 0.410 95% CI (0.31–0.54), protected against the risk of UIC <150 μg/L. Simultaneous consumption of iodized salt and milk (≥1 glass/day) showed a larger protective effect: OR = 0.427, 95% CI (0.31–0.54).ConclusionThe median UIC of the pregnant women surveyed indicated an acceptable iodine nutritional status according to the criteria established by the WHO and ICCIDD. The risk of urinary iodine <150 μg/L decreased with simultaneous consumption of milk and iodized salt, similar to the decrease seen with iodine supplementation.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1423-4) contains supplementary material, which is available to authorized users.

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“…In einer Studie von Manz et al [16] zeigte sich ein durchschnittliches Defizit bei Schwangeren von 40-50% der empfohlenen Tagesdosis. Bühling et al [2] untersuchten Schwangere im Rahmen einer Schwangerschaftsberatung. Von den befragten Frauen führten 42% keine Jodsubstitution durch [1].…”

Section: Jodversorgung Von Schwangeren Und Stillendenunclassified

Ökonomische und soziale Aspekte der Jodprävention

Röhl

Schücking

2010

Praev Gesundheitsf

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Eine bedarfsgerechte Jodversorgung ist sowohl in Schwangerschaft undStillzeit für Mutter und Kind, wie auch später für Heranwachsende und Erwachsene notwendig, um Störungen des Stoffwechsels, Organverände-rungen und daraus entstehende Erkrankungen zu verhindern. Jod ist ein essentielles Spurenelement, ohne das die Synthese der Schilddrüsenhor-mone Trijodthyronin und Thyroxin nicht möglich ist. Ein Jodmangel führt zu einer Stimulation der Schilddrüse; bei anhaltender Mangelsituation kann eine Volumenzunahme (Struma) und letztlich eine Stö-rung der Schilddrüsenfunktion die Folge sein. Die Häufigkeit und Ausprägung von sog. Jodmangelerkrankungen wird durch den Schweregrad und die Dauer des Jodmangels bestimmt [10, 24]. Schilddrü-senerkrankungen treten bei Frauen nicht selten nach Schwangerschaften auf [17].

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Jodversorgung in der Schwangerschaft - eine aktuelle Bestandsaufnahme in Berlin

Abstract: The prevalence of goiter reflects an extended period of iodine deficiency. Using laboratory methods, up to 20.4 % of pregnant women were identified as having an iodine deficiency which indicates the need for a general iodine supplementation during pregnancy.

Cited by 12 publications

References 4 publications

The impact of iodised salt or iodine supplements on iodine status during pregnancy, lactation and infancy

The impact of iodised salt or iodine supplements on iodine status during pregnancy, lactation and infancy

Iodine nutritional status of women in their first trimester of pregnancy in Catalonia

Ökonomische und soziale Aspekte der Jodprävention

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