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de Luis
[Iodine deficiency during pregnancy ]de Luis DA, Aller R, Izaola O. An Med Interna. 2005 Sep;22(9):445-8. Review. Spanish. [abstract only]
"Iodine is an
essential micronutrient, it would be administered every day with
our diet. The main role of this micronutrient is the synthesis of
thyroid hormone. Thyroid hormones are related with brain
development and metabolic regulation. Iodine deficit is related
with goitre, and an important problem "diseases related with
iodine deficiency", including high rate of neonatal mortality,
decrease of intelligence, delayed of growth, high rate of aborts
and congenital abnormalities.A risk group is pregnant women. Some
authors have been demonstrated the utility of iodine
supplementation during pregnancy. A systematic review of Cochrane
group has shown that iodine supplementation during pregnancy
decreased neonatal mortality RR 0.71 (0.56-0.9), and decrease the
incidence of cretinism in children under 4 years RR 0.27
(0.12-0.6).As final recommendations, a program in pregnant women
must be development to treat with iodine such as we make with
folic acid. Pills with iron and iodine (1 mg iron and 25 ug
iodine) have been demonstrated better results that pills with
iodine. Tablets are the main presentation due to the role of the
women in our Society and the work time. Programs of iodine
enriched salt have been demonstrated a follow up of 50%." |
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