Iodine Status of Pregnant Women in Iodine-Sufficient Regions: A Tertiary Care Unit Experience

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dc.contributor.authorBahadir, ÇTen_US
dc.date.accessioned2023-08-19T04:56:12Z
dc.date.available2023-08-19T04:56:12Z
dc.date.issued2022-03
dc.description.abstractBackground: The recommended urinary iodine concentration (UIC) levels in the overall adult population is 100–199 µg/L whereas 150–249 µg/L in pregnant women. Objectives: The objective is to determine the prevalence and severity of iodine deficiency in pregnant women in Amasya, which is located in the Western Black Sea region in Turkey, where sufficient iodine levels were achieved in the normal population. Methods: In this single‑center study, we retrospectively searched hospital patient records and identified pregnant women who were assessed for iodine levels between January 2019 and January 2021. A total of 408 pregnant women were found eligible for the study. Thyroid‑stimulating hormone (TSH), free triiodothyronine, free thyroxine, antithyroid peroxidase antibodies, and antithyroglobulin antibodies in serum samples and UIC were evaluated and compared between the trimesters. Insufficient iodine intake in pregnancy was defined as UIC <150 µg/L. Results: Median UIC and median TSH levels were 129 (range 45–452) µg/L and 2.98 (range 0.01–71.2) µIU/ml, respectively. 81.1% of pregnant women had UIC <150 µg/L. Iodine intake was adequate in 17.4% of pregnant whereas excessive in 1.5%. Prevalence of iodine deficiency during 1st, 2nd, and 3rd trimesters were 82.1%, 82.4%, and 74.5%, respectively. There was no significant difference in UIC levels between trimesters (P = 0.399). 72.9% of pregnant womens had TSH >2.5 mIU/L in the 1st trimester. Conclusion: Iodine deficiency in pregnancy may exist in an iodine‑sufficient population. Appropriate measures must be taken to ensure sufficient iodine levels in these individuals.en_US
dc.identifier.affiliationsAssistant Professor, Department of Endocrinology and Metabolism, Faculty of Medicine, Amasya University, Amasya, Turkeyen_US
dc.identifier.citationBahadir ÇT. Iodine Status of Pregnant Women in Iodine-Sufficient Regions: A Tertiary Care Unit Experience. Indian Journal of Public Health. 2023 Mar; 67(1): 41-46en_US
dc.identifier.issn0019-557X
dc.identifier.issn2229-7693
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223938
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume67en_US
dc.source.urihttps://doi.org/10.4103/ijph.ijph_831_22en_US
dc.subjectIodine deficiencyen_US
dc.subjectiodineen_US
dc.subjectiodine statusen_US
dc.subjectpregnancyen_US
dc.subjectthyroiden_US
dc.titleIodine Status of Pregnant Women in Iodine-Sufficient Regions: A Tertiary Care Unit Experienceen_US
dc.typeJournal Articleen_US
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