Nutritional status of iodine in pregnant women in Catalonia (Spain): study on hygiene-dietetic habits and iodine in urine

BMC Pregnancy and Childbirth

Study Protocol

Dolors Guix¹  Anna Torrent²  Josep Grau³  Maria Teresa Torres⁴  Gemma Falguera⁵  Amèlia Acera⁶  Roser Casamitjana⁷  Juan Ramón Barrada⁸  Gemma Prieto⁹  Lluis Vila^1,10  Lidia Francés^1,11  Josep María Manresa^1,12  Pere Torán^1,12 

[1] Atenció Salut Sexual i Reproductiva (ASSIR) Institut Català de la Salut Granollers, Moseu 19, 4ª planta, 08400, Granollers, Barcelona, Spain;Atenció Salut Sexual i Reproductiva (ASSIR) Institut Català de la Salut Mollet, Av. Rívoli 7, 08100, Mollet, Barcelona, Spain;Atenció Salut Sexual i Reproductiva (ASSIR) Institut Català de la Salut Osona, Pl Divina Pastora 6, 08500, Barcelona, Vic, Spain;Atenció Salut Sexual i Reproductiva (ASSIR) Institut Català de la Salut Terrassa, CAP Antoni Creus i Querol, Carrer Italia 5, 08228, TerrassaBarcelona, Spain;Atenció Salut Sexual i Reproductiva (ASSIR), Institut Català de la Salut Gerència Territorial Catalunya Central i Gerència Territorial Metropolitana Nord-Vallès Oriental- Valllès Occidental, Ctra de Barcelona 473, 1ª planta, 08203, Sabadell, Barcelona, Spain;Atenció Salut Sexual i reproductiva (ASSIR), Institut Català de la Salut Cerdanyola, Ctra. N-150 i C/Tarragona, s/n, 08291, Ripollet, Barcelona, Spain;Consultor Sènior del servei de Bioquímica i Genètica Molecular, Hospital Clínic, Carrer Villarroel 170, 08036, Barcelona, Spain;Facultat de Psicología, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain;Gerencia de Atención Primaria, Avenida Portugal 47, 05004, Ávila, Spain;Servicio de Endocrinología y Nutrición, Hospital de Sant Joan Despí 'Moisès Broggi', Carrer Jacint Verdaguer 90, 08970, Sant Joan Despí, Barcelona, Spain;Unidad Docente de Matronas de Cataluña, Escuela de Enfermería, Universitat de Barcelona, Feixa Llarga s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain;Unitat de Suport a la Recerca Metropolitana Nord ICS-IDIAP Jordi Gol, Rambla 227, 08203, Sabadell, Barcelona, Spain;

关键词: Iodine;    Pregnant Woman;    Iodine Deficiency;    Iodine Content;    Endemic Goitre;   

DOI  :  10.1186/1471-2393-11-17

 received in 2010-12-17, accepted in 2011-03-08,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundIt is a priority to achieve an adequate nutritional status of iodine during pregnancy since iodine deficiency in this population may have repercussions on the mother during both gestation and post partum as well as on the foetus, the neonate and the child at different ages. According to the WHO, iodine deficiency is the most frequent cause of mental retardation and irrreversible cerebral lesions around the world. However, few studies have been published on the nutritional status of iodine in the pregnant population within the Primary Care setting, a health care level which plays an essential role in the education and control of pregnant women. Therefore, the aim of the present study is: 1.- To know the hygiene-dietetic habits related to the intake of foods rich in iodine and smoking during pregnancy. 2.- To determine the prevalence of iodine deficiency and the factors associated with its appearance during pregnancy.Methods/designWe will perform a cluster randomised, controlled, multicentre trial. Randomisation unit: Primary Care Team. Study population: 898 pregnant women over the age of 17 years attending consultation to a midwife during the first trimester of pregnancy in the participating primary care centres. Outcome measures: consumption of iodine-rich foods and iodine deficiency. Points of assessment: each trimester of the gestation. Intervention: group education during the first trimester of gestation on healthy hygiene-dietetic habits and the importance of an adequate iodine nutritional status. Statistical analysis: descriptive analysis of all variables will be performed as well as multilevel logistic regression. All analyses will be done carried out on an intention to treat basis and will be fitted for potential confounding factors and variables of clinical importance.DiscussionEvidence of generalised iodine deficiency during pregnancy could lead to the promotion of interventions of prevention such as how to improve and intensify health care educational programmes for pregnant women.Trial RegistrationClinicalTrials.gov: NCT01301768

【 授权许可】

Unknown   
© Prieto et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.