Abstract
INTRODUCTION: The universal salt iodisation (USI) has been implemented to control the iodine deficiency disorders (IDD) in many countries. However, several studies conducted among school-age children (SAC) and pregnant women (PW) found that adequate iodine status in SAC may not reflect adequate iodine status in PW. The aim of this study was to assess the current iodine status among SAC and PW after 10 years of USI in Sarawak. METHODS: This cross-sectional survey among SAC and PW was conducted between July 2018 and October 2018. A proportion to population size sampling technique was used to select 30 schools and 30 maternal and child healthcare clinics. A total of 1200 SAC and 750 PW were randomly selected to participate in the study. Thyroid size and urinary iodine concentration (UIC) level was classified according to the WHO/UNICEF/ICCIDD assessment criteria. RESULTS: A total of 988 SAC and 677 PW participated in the study with response rates of 82.3% and 90.2%, respectively. The total goitre rate (TGR) was found to be 0.1% in SAC and 1.0% in PW. The overall median UIC level among the SAC was 126.0µg/L (IQR: 71.0, 200.9µg/L), classified as adequate iodine intake, while the median UIC among PW was 123.9µg/L (IQR: 56.5, 192.1µg/L), classified as insufficient. CONCLUSION: The present findings indicate that despite adequate iodine intake in SAC, the majority of PW still showed insufficient iodine intake. Thus, a comprehensive monitoring of the IDD among PW and appropriate nutrition education is warranted
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@proceedings{APCPH-2019-81,
title = {Sarawak Pregnant Women re Iodine Deficient Despite Adequate Iodine Intake Among School-Age Children},
author = {Lim Kuang Kuay and Tan Beng Chin and Chan Ying Ying and MMedSc and Husniza Hussain and Nur Azna Mahmud and Mohd Shaiful Azlan Kassim and Abdul Aziz Harith and Cheong Siew Man and Ruhaya Salleh and Tahir Aris},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: The universal salt iodisation (USI) has been implemented to control the iodine deficiency disorders (IDD) in many countries. However, several studies conducted among school-age children (SAC) and pregnant women (PW) found that adequate iodine status in SAC may not reflect adequate iodine status in PW. The aim of this study was to assess the current iodine status among SAC and PW after 10 years of USI in Sarawak. METHODS: This cross-sectional survey among SAC and PW was conducted between July 2018 and October 2018. A proportion to population size sampling technique was used to select 30 schools and 30 maternal and child healthcare clinics. A total of 1200 SAC and 750 PW were randomly selected to participate in the study. Thyroid size and urinary iodine concentration (UIC) level was classified according to the WHO/UNICEF/ICCIDD assessment criteria. RESULTS: A total of 988 SAC and 677 PW participated in the study with response rates of 82.3% and 90.2%, respectively. The total goitre rate (TGR) was found to be 0.1% in SAC and 1.0% in PW. The overall median UIC level among the SAC was 126.0µg/L (IQR: 71.0, 200.9µg/L), classified as adequate iodine intake, while the median UIC among PW was 123.9µg/L (IQR: 56.5, 192.1µg/L), classified as insufficient. CONCLUSION: The present findings indicate that despite adequate iodine intake in SAC, the majority of PW still showed insufficient iodine intake. Thus, a comprehensive monitoring of the IDD among PW and appropriate nutrition education is warranted},
note = {Type: ORAL PRESENTATION; Organisation: Institute for Public Health, Ministry of Health, Malaysia, Sarawak State Health Department, Ministry of Health, Malaysia},
keywords = {pregnant women, Sarawak, school-age children, universal salt iodisation},
pubstate = {published},
tppubtype = {proceedings}
}