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

Bibliographic Data

ID15094385
AuthorsMichael Zimmermann (0000-0002-5797-3589, ETH Zurich, corresponding author), Michael B Zimmermann (0000-0003-4859-1383)
Year2007
Volume10
Issue12A
Pages1584-1595
Publication date2007-12-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980007360965
PMID18053283
OpenAlexW2114796259
LanguageEN
Citations received2
References cited83

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 μg were estimated to correspond to a median UI concentration of about 150 μg l − 1 , and larger surveys from the iodine sufficient countries have reported a median UI in pregnant women ≥ 140 μg l − 1 . Iodine supplementation in pregnant women who are mild-to-moderately 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 μg l − 1 ) required to meet an infant's needs. The median UI concentration during infancy that indicates optimal iodine nutrition is estimated to be ≥ 100 μg l − 1 . In iodine-sufficient countries, the median UI concentration in infants ranges from 90-170 μg l − 1 , 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

Biology · Breast feeding · Breast milk · Iodine · Iodine deficiency · Iodised salt · Lactation · Obstetrics · Pregnancy · Thyroid · Chemistry · Medicine · Sodium Intake and Health · Thyroid Cancer Diagnosis and Treatment · Thyroid Disorders and Treatments · Biochemistry · Endocrinology · Pediatrics · Physiology

  • Supplementation during pregnancy with small‐quantity lipid‐based nutrient supplements or multiple micronutrients, compared with iron and folic acid, increases women's urinary iodine concentration in semiurban Ghana

    Open Access•Seth Adu-Afarwuah, Rebecca T Young et al.•Maternal and Child Nutrition•2017

  • Iodine intake in a population of pregnant women

    Mario Murcia, Marisa Rebagliato et al.•Journal of Epidemiology and…•2010

  • Prevention and control of iodine deficiency in pregnant and lactating women and in children less than 2-years-old

    Open Access•WHO Secretariat, M Andersson et al.•Public Health Nutrition•2007

  • An assessment of iodine status of Saudi lactating mothers and its relation to iodine intake in Riyadh City

    Dina M Trabzuni, Daniah Trabzuni et al.•Ecology of Food and Nutrition•1998

Citations per year0.13
Citation span2010 - 2017 (8)
Highly citedNo

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