Division of Nutrition, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand.
Pediatrics Nursing Division, Nursing Service Department, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand.
Biol Trace Elem Res. 2018 Nov;186(1):106-113. doi: 10.1007/s12011-018-1303-4. Epub 2018 Mar 16.
Iodine deficiency in infants leads to delayed growth and development. Some studies have reported iodine deficiency among infants and lactating women. We assessed iodine status in infants and lactating women, as well as the iodine content in breast milk. A cross-sectional study enrolled mother-infant pairs (infants aged 4-6 months), who visited Well Child Clinic at Ramathibodi Hospital, Bangkok, Thailand. Infants were classified by feeding type as breastfed (BF), mixed breastfed and formula-fed (MF), and formula-fed (FF). Demographic and perinatal data were collected. The urinary iodine concentration (UIC) of infants and lactating women, and breast milk iodine concentration (BMIC) were analyzed. Seventy-one infants were enrolled. The median UIC of infants was 282 mcg/L. Breastfed infants had higher median UIC than formula-fed infants (553 vs. 192 mcg/L; p = 0.002). Forty-eight percent of infants had a UIC more than 300 mcg/L. The median UIC and BMIC of lactating women were 149 and 255 mcg/L, respectively. Among the BF group, the infant UIC was correlated with maternal UIC (r = 0.857, p = 0.014). Multiple linear regression showed the BMIC to be associated with maternal UIC (β = 4.03, 95% CI [1.34, 6.71]) and maternal weight (β = 8.26, 95%CI [2.76, 13.77]). Iodine nutrition among our study population was adequate. The median UIC of infants and lactating mothers were 282 and 149 mcg/L, respectively. Breastfed infants had a significantly higher median UIC than formula-fed infants. The BMIC was associated with maternal UIC and maternal weight.
婴儿碘缺乏会导致生长和发育迟缓。一些研究报告了婴儿和哺乳期妇女的碘缺乏情况。我们评估了婴儿和哺乳期妇女的碘状况,以及母乳中的碘含量。一项横断面研究纳入了在泰国曼谷 Ramathibodi 医院就诊的母婴对(4-6 月龄婴儿)。根据喂养方式将婴儿分为母乳喂养(BF)、混合喂养和配方奶喂养(MF)以及配方奶喂养(FF)。收集了人口统计学和围产期数据。分析了婴儿和哺乳期妇女的尿碘浓度(UIC)和母乳碘浓度(BMIC)。共纳入 71 名婴儿。婴儿的 UIC 中位数为 282mcg/L。母乳喂养的婴儿的 UIC 中位数高于配方奶喂养的婴儿(553 与 192mcg/L;p=0.002)。48%的婴儿 UIC 大于 300mcg/L。哺乳期妇女的 UIC 和 BMIC 中位数分别为 149 和 255mcg/L。在 BF 组中,婴儿的 UIC 与母亲的 UIC 呈正相关(r=0.857,p=0.014)。多元线性回归显示,BMIC 与母亲的 UIC(β=4.03,95%CI [1.34, 6.71])和母亲的体重(β=8.26,95%CI [2.76, 13.77])有关。我们研究人群的碘营养状况充足。婴儿和哺乳期母亲的 UIC 中位数分别为 282 和 149mcg/L。母乳喂养的婴儿的 UIC 中位数显著高于配方奶喂养的婴儿。BMIC 与母亲的 UIC 和母亲的体重有关。