Iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency

Objective: To describe the iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency. Design: Review of cross-sectional and prospective studies. Setting: China, Hong Kong Special Administrative Region (SAR). Subjects: Pregnant and lactating women. Resul...

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Veröffentlicht in:Public health nutrition 2007-12, Vol.10 (12A), p.1600-1601
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description Objective: To describe the iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency. Design: Review of cross-sectional and prospective studies. Setting: China, Hong Kong Special Administrative Region (SAR). Subjects: Pregnant and lactating women. Results: Studies of pregnant women in Hong Kong SAR have revealed an increase in the urinary iodine (UI) concentration as pregnancy advances. A significant percentage of women had a sub-normal serum thyroid hormone concentration at full term. Although iodine is concentrated by the mammary gland, 19% of all mothers had low iodine concentrations in their breast milk. The moderate correlation between the concentrations of iodine in breast milk and urine suggests that an adequate maternal urinary iodine concentration cannot reliably indicate that an infant is getting enough iodine in breast milk. Therefore, some breast-fed infants may still be at risk of low iodine intake, and additional iodine supplements, other than salt iodisation, would be warranted in this population. Conclusions: The currently recommended intake of iodine through universal salt iodisation may not be adequate for pregnant and lactating women, and supplementation during pregnancy and lactation should be further considered in light of the latest recommendations.
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Design: Review of cross-sectional and prospective studies. Setting: China, Hong Kong Special Administrative Region (SAR). Subjects: Pregnant and lactating women. Results: Studies of pregnant women in Hong Kong SAR have revealed an increase in the urinary iodine (UI) concentration as pregnancy advances. A significant percentage of women had a sub-normal serum thyroid hormone concentration at full term. Although iodine is concentrated by the mammary gland, 19% of all mothers had low iodine concentrations in their breast milk. The moderate correlation between the concentrations of iodine in breast milk and urine suggests that an adequate maternal urinary iodine concentration cannot reliably indicate that an infant is getting enough iodine in breast milk. Therefore, some breast-fed infants may still be at risk of low iodine intake, and additional iodine supplements, other than salt iodisation, would be warranted in this population. Conclusions: The currently recommended intake of iodine through universal salt iodisation may not be adequate for pregnant and lactating women, and supplementation during pregnancy and lactation should be further considered in light of the latest recommendations.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980007360989</identifier><identifier>PMID: 18053285</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Babies ; Breast ; Breast milk ; Congenital diseases ; Cross-Sectional Studies ; Disease control ; Endocrinology ; Epidemiology ; Female ; Hong Kong - epidemiology ; Humans ; Hypothyroidism ; Infant mortality ; Infants ; Iodine ; Iodine - administration &amp; dosage ; Iodine - deficiency ; Iodine - metabolism ; Lactation ; Lactation - metabolism ; Lactation - physiology ; Mammary gland ; Mammary glands ; Maternal Nutritional Physiological Phenomena - physiology ; Milk ; Milk, Human - chemistry ; Mothers ; Nutrition ; Nutritional Requirements ; Nutritional Status ; Pregnancy ; Pregnancy - metabolism ; Pregnancy - physiology ; Prospective Studies ; Public health ; Salt ; Sodium Chloride, Dietary - administration &amp; dosage ; Thyroid ; Thyroid gland ; Womens health</subject><ispartof>Public health nutrition, 2007-12, Vol.10 (12A), p.1600-1601</ispartof><rights>Copyright © The Author 2007</rights><rights>The Author</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-780c18aca6ad4bba64519a40ed74e219cdeeed3365fb0f4e25781142495079973</citedby><cites>FETCH-LOGICAL-c520t-780c18aca6ad4bba64519a40ed74e219cdeeed3365fb0f4e25781142495079973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18053285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kung, Annie WC</creatorcontrib><title>Iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>Objective: To describe the iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency. Design: Review of cross-sectional and prospective studies. Setting: China, Hong Kong Special Administrative Region (SAR). Subjects: Pregnant and lactating women. Results: Studies of pregnant women in Hong Kong SAR have revealed an increase in the urinary iodine (UI) concentration as pregnancy advances. A significant percentage of women had a sub-normal serum thyroid hormone concentration at full term. Although iodine is concentrated by the mammary gland, 19% of all mothers had low iodine concentrations in their breast milk. The moderate correlation between the concentrations of iodine in breast milk and urine suggests that an adequate maternal urinary iodine concentration cannot reliably indicate that an infant is getting enough iodine in breast milk. Therefore, some breast-fed infants may still be at risk of low iodine intake, and additional iodine supplements, other than salt iodisation, would be warranted in this population. 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Design: Review of cross-sectional and prospective studies. Setting: China, Hong Kong Special Administrative Region (SAR). Subjects: Pregnant and lactating women. Results: Studies of pregnant women in Hong Kong SAR have revealed an increase in the urinary iodine (UI) concentration as pregnancy advances. A significant percentage of women had a sub-normal serum thyroid hormone concentration at full term. Although iodine is concentrated by the mammary gland, 19% of all mothers had low iodine concentrations in their breast milk. The moderate correlation between the concentrations of iodine in breast milk and urine suggests that an adequate maternal urinary iodine concentration cannot reliably indicate that an infant is getting enough iodine in breast milk. Therefore, some breast-fed infants may still be at risk of low iodine intake, and additional iodine supplements, other than salt iodisation, would be warranted in this population. Conclusions: The currently recommended intake of iodine through universal salt iodisation may not be adequate for pregnant and lactating women, and supplementation during pregnancy and lactation should be further considered in light of the latest recommendations.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>18053285</pmid><doi>10.1017/S1368980007360989</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Babies
Breast
Breast milk
Congenital diseases
Cross-Sectional Studies
Disease control
Endocrinology
Epidemiology
Female
Hong Kong - epidemiology
Humans
Hypothyroidism
Infant mortality
Infants
Iodine
Iodine - administration & dosage
Iodine - deficiency
Iodine - metabolism
Lactation
Lactation - metabolism
Lactation - physiology
Mammary gland
Mammary glands
Maternal Nutritional Physiological Phenomena - physiology
Milk
Milk, Human - chemistry
Mothers
Nutrition
Nutritional Requirements
Nutritional Status
Pregnancy
Pregnancy - metabolism
Pregnancy - physiology
Prospective Studies
Public health
Salt
Sodium Chloride, Dietary - administration & dosage
Thyroid
Thyroid gland
Womens health
title Iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency
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