Pongpaew P, Supawan V, Tungtrongchitr R, Phonrat B, Vudhivai N, Chantaranipapong Y, Kitjaroentham A, Jintaridhi P, Intarakhao C, Mahaweerawat U, Saowakhontha S, Schelp F P
Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1999 Mar;82(3):284-9.
Endemic goitre has re-emerged in Thailand. This is particularly dangerous for children since iodine deficiency disorders (IDDs) might negatively influence their intellectual and mental development. In order to assess the situation, the iodine content of breast milk was determined and a method is proposed on how to monitor IDDs in lactating mothers later on. Seventy-five lactating women aged from 15 to 45 years, from 12 villages of 3 districts, namely Chumpae. Srichompu and Pupaman within the mountainous areas of Khon Kaen province, Northeast of Thailand were investigated. The breast milk from 46.7 per cent of mothers was found to be below recommended standards. In addition, 52.0 per cent of the women investigated had low urinary iodine excretion. The risk of women with low iodine excretion was 15 fold higher in comparison to women with sufficient iodine excretion to provide breast milk for their babies with insufficient iodine content. It is concluded that urinary iodine excretion can be used to monitor the IDDs in lactating mothers.
地方性甲状腺肿在泰国再度出现。这对儿童尤其危险，因为碘缺乏症可能会对他们的智力和心理发育产生负面影响。为了评估这种情况，测定了母乳中的碘含量，并提出了一种日后如何监测哺乳期母亲碘缺乏症的方法。对泰国东北部孔敬府山区3个县（春拍、诗春布和普帕曼）12个村庄的75名年龄在15至45岁之间的哺乳期妇女进行了调查。发现46.7%的母亲的母乳低于推荐标准。此外，52.0%的受调查妇女尿碘排泄量低。与碘排泄量充足、能为碘含量不足的婴儿提供母乳的妇女相比，碘排泄量低的妇女风险高15倍。得出的结论是，尿碘排泄量可用于监测哺乳期母亲的碘缺乏症。
