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Nutrients 2016, 8(4), 172; doi:10.3390/nu8040172

Low Urinary Iodine Concentration among Mothers and Children in Cambodia

1
United Nations Children’s Fund (UNICEF), Maternal, Newborn and Child Health and Nutrition section, no11 street 75, Phnom Penh 12202, Cambodia
2
National Nutrition Program, Maternal and Child Health Center, No 31A, Rue de France (St. 47), Phnom Penh 12202, Cambodia
3
Department of Fisheries Post-Harvest Technologies and Quality Control (DFPTQ), Fisheries Administration, Ministry of Agriculture Fisheries and Forestry, 186 Preah Norodom Boulevard, Phnom Penh 12000, Cambodia
4
ICF International, 530 Gaither Road, Suite 500, Rockville, MD 20850, USA
5
Institute of Research for Development (IRD), UMR Nutripass IRD-UM2-UM1, Montpellier 3400, France
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Received: 26 October 2015 / Revised: 29 February 2016 / Accepted: 9 March 2016 / Published: 5 April 2016
(This article belongs to the Special Issue Nutrients and National Strategies to Impact Health)
View Full-Text   |   Download PDF [231 KB, uploaded 5 April 2016]

Abstract

A 2014 national assessment of salt iodization coverage in Cambodia found that 62% of samples were non-iodized, suggesting a significant decline in daily iodine intakes. The Cambodian Micronutrient Survey conducted in 2014 (CMNS-2014) permitted obtaining national data on urinary iodine concentrations (UIC) to assess iodine status and whether iodized salt use had an impact. Urine samples were collected from mothers (n = 736) and children (n = 950). The median UIC was 63 µg/L and 72 µg/L in mothers and children respectively. More than 60% of mothers and their children had a UIC < 100 µg/L, thereby indicating a serious public health problem. Iodine status was significantly lower among mothers and children living in rural areas, belonging to the poorest socioeconomic category, or living in a household not using iodized salt. The limited enforcement of the legislation for iodized salt has resulted in a major decrease in the prevalence of iodized salt, which in turn has compromised iodine status in Cambodia. It is essential for the government to enhance enforcement of the iodized salt legislation, and implement short term strategies, such as iodine supplementation, to prevent an increase of severe complications due to iodine deficiency in the Cambodian population. View Full-Text
Keywords: Iodine; national survey; Cambodia; Demographic Health Survey; 2014 Iodine; national survey; Cambodia; Demographic Health Survey; 2014
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Laillou, A.; Sophonneary, P.; Kuong, K.; Hong, R.; Un, S.; Chamnan, C.; Poirot, E.; Berger, J.; Wieringa, F. Low Urinary Iodine Concentration among Mothers and Children in Cambodia. Nutrients 2016, 8, 172.

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