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Suboptimal Iodine Concentration in Breastmilk and Inadequate Iodine Intake among Lactating Women in Norway

机译:母乳中的碘含量欠佳挪威哺乳期妇女的碘摄入不足

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摘要

Breastfed infants depend on sufficient maternal iodine intake for optimal growth and neurological development. Despite this, few studies have assessed iodine concentrations in human milk and there is currently no published data on iodine status among lactating women in Norway. The aim of this study was to assess iodine concentrations in breast milk (BMIC) in lactating women and estimate iodine intake. Five Mother and Child Health Centres in Oslo were randomly selected during 2016, and 175 lactating women between 2nd and 28th weeks postpartum participated. Each of the women provided four breastmilk samples which were pooled and analysed for iodine concentrations. Participants also provided information on iodine intake from food and supplements covering the last 24 h and the habitual iodine intake (food frequency questionnaire). The median (p25, p75 percentiles) BMIC was 68 (45, 98) µg/L and 76% had BMIC <100 µg/L. Only 19% had taken an iodine-containing supplement during the last 24 h. The median 24 h iodine intake from food (p25, p75) was 121 (82, 162) µg/day and the total intake (food and supplements) was 134 (95, 222) µg/day. The majority of lactating women had suboptimal BMIC and inadequate intake of iodine from food and supplements.
机译:母乳喂养的婴儿需要摄取足够的母体碘才能实现最佳生长和神经系统发育。尽管如此,极少有研究评估人乳中的碘含量,并且挪威目前尚无有关哺乳期妇女碘状态的公开数据。这项研究的目的是评估哺乳期妇女母乳中的碘浓度(BMIC)并估算碘的摄入量。 2016年期间,在奥斯陆随机选择了五个母婴保健中心,在产后第二周到第二十八周之间有175名哺乳期妇女参加了活动。每个妇女提供了四个母乳样品,将其汇总并分析碘浓度。参与者还提供了有关过去24小时内从食物和补品中摄入碘的信息以及习惯性碘摄入的信息(食物频率调查表)。 BMIC的中位数(p25,p75百分数)为68(45,98)µg / L,BMIC <100 µg / L的为76%。在过去的24小时内,只有19%的人服用了含碘的补品。食物中24小时碘的中位数摄入量(p25,p75)为121(82,162)µg /天,总摄入量(食物和补品)为134(95,222)µg /天。大多数哺乳期妇女的BMIC不理想,并且从食物和补品中摄取的碘不足。

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