Prevalence of goiter and iodine deficiency in indigenous pregnant women from five nonmetropolitan areas of Colombia 2019
DOI:
https://doi.org/10.18597/rcog.3549Abstract
Objective: To assess the prevalence of goiter and iodine deficiency in indigenous pregnant women coming from five non-metropolitan areas in Colombia. Materials and methods: Descriptive cross-sectional cohort study that included pregnant women of any gestational age with no pregnancy-related conditions, seen in community health centers or in their homes. Patients with comorbidities at the time of pregnancy and those who were receiving iodine supplementation were excluded. Simple random sampling was used. The sociodemographic and obstetric characteristics, urinary iodine concentration and the presence of goiter were measured in accordance with the World Health Organization methodology. A descriptive analysis was performed. Results: Of 189 indigenous pregnant women who were candidates to enter the study, 2 declined participation, and 62 had exclusion criteria, and 125 were included in the final analysis. The mean urinary iodine concentration was 184.4 μg/L (min-max: 12.0-390.0). A total of 42 women (33.6%) had iodine deficiency (< 100 μg/L), and goiter (grade 1-2) was found in 43 (34.4%). No grade 3 or 4 goiter was identified. Conclusions: A high prevalence of goiter and iodine deficiency was found in indigenous pregnant women living in non-metropolitan areas. There is a need to assess maternal and perinatal effects and to implement nutritional interventions.
Author Biographies
Julián Alberto Herrera-Murgueitio, Universidad del Valle, Cali (Colombia).
Profesor Titular Emérito y Honorario, Departamento de Medicina Familiar, Escuela de Medicina, Universidad del Valle, Cali (Colombia).
Ana Yiby Forero-Torres, Instituto Nacional de Salud, Bogotá (Colombia).
Coordinadora de Nutrición, Instituto Nacional de Salud, Bogotá (Colombia).
Marco Antonio Tamara-Burgos, ESE, Montería (Colombia).
Coordinador Asistencial, ESE, Montería (Colombia).
María Marcela Arriola-Salgado, Universidad de Córdoba, Montería (Colombia).
Profesora asistente, Facultad de Ciencias de la Salud, Universidad de Córdoba, Montería (Colombia).
Elia Johanna Gómez-Porras, Secretaría Departamental de Salud, Leticia (Colombia).
Gerente Salud Sexual y Reproductiva, Secretaría Departamental de Salud, Leticia (Colombia).
Sandra Ximena Céspedes-Gaitán, Clínica Martha, Villavicencio (Colombia).
Especialista en Ginecología y Obstetricia, Clínica Martha, Villavicencio (Colombia).
Erika Julieth Umaña-Bautista, Universidad del Valle, Cali (Colombia).
Especialista en Medicina Familiar, Universidad del Valle, Cali (Colombia).
Darío Herrera-Murgueitio, Universidad del Valle, Cali (Colombia).
Candidato a Doctor en Salud, Facultad de Salud, Universidad del Valle, Cali (Colombia).
Javier Torres- Muñoz, Universidad del Valle, Cali (Colombia).
Profesor Asociado, Departamento de Pediatría, Universidad del Valle, Cali (Colombia).
Ana María Galvis-Serrano, Fundación Baylor, Riohacha (Colombia).
Directora ejecutiva, Fundación Baylor, Riohacha (Colombia).
Aníbal Nieto-Díaz, Hospital Universitario Vírgen de la Arrixaca, Universidad de Murcia (España).
Catedrático y Jefe de servicio de Obstetricia y Ginecología, Hospital Universitario Vírgen de la Arrixaca, Universidad de Murcia (España).
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Universidad del Valle
Grant numbers 1852. 208
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