Excessive iodine intake during pregnancy in Somali refugees
Bibliographic Data
| ID | 15537350 |
|---|---|
| Authors | Ismail Kassim (University College London), Laird J Ruth (London International Development Centre), Paul I Creeke (Queen Mary University of London), Danielle Gnat (Centre Hospitalier Universitaire de Saint-Pierre), Fathia Abdalla (Office of the United Nations High Commissioner for Refugees), Andrew Seal (0000-0003-3656-4054, London International Development Centre, corresponding author) |
| Year | 2010 |
| Volume | 8 |
| Issue | 1 |
| Pages | 49-56 |
| Publication date | 2010-07-29 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1740-8709.2010.00259.x |
| PMID | 22250295 |
| OpenAlex | W2150884788 |
| Language | EN |
| Citations received | 2 |
| References cited | 1 |
Iodine deficiency and excess are both associated with adverse health consequences, with fetuses, children and pregnant women being most vulnerable to the devastating effects of severe deficiency. It is often assumed that the iodine status of a population if displaced or in a remote or emergency situation is low. However, there is little evidence available to support this assumption, especially among long-term food-aid-dependent pregnant women. An effectiveness trial of a prenatal multiple-micronutrient supplement that contained 150 μg day(-1) iodine was conducted in two refugee camps in the North Eastern Province of Kenya in 2002. Urinary iodine concentration (UIC) was measured in a subsample of pregnant women attending antenatal care in Dagahaley (control camp) (n = 74) and Ifo (intervention camp) (n = 63). There was no significant difference in median UIC between the two camps (P = 0.118). The combined median UIC was 730 μg L(-1) (interquartile range, 780) (5.77 μmol L(-1)) and exceeded the upper safe limit of 500 μg L(-1) (3.95 μmol L(-1)) for pregnant women (P < 0.001), indicating excessive iodine intake. About 20% of the study subjects had 'more than adequate' urinary iodine, while over 71% had excessive UIC. Salt iodine content varied between 5.1 and 80.1 ppm in the five market salt samples analysed. In conclusion, excessive iodine intake was evident in the Dadaab refugee camps. Further research needs to be conducted to investigate the source of excess iodine, to determine the measures needed to address excessive iodine intake and to reconsider the World Health Organization/World Food Programme/United Nations Children's Fund guidance on supplementation of vulnerable groups in emergencies
Environmental health · Interquartile range · Iodine · Iodine deficiency · Iodised salt · Micronutrient · Obstetrics · Population · Pregnancy · Refugee · Thyroid · Medicine · Neonatal Health and Biochemistry · Pregnancy and preeclampsia studies · Thyroid Disorders and Treatments · Endocrinology · Internal Medicine · Pediatrics
| Citations per year | 0.4 |
|---|---|
| Citation span | 2021 - 2021 (1) |
| Highly cited | No |