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Йодный дефицит при беременности. Осложнения со стороны матери и плода
Йодный дефицит при беременности. Осложнения со стороны матери и плода
Петунина Н.А., Гончарова Е.В. Йодный дефицит при беременности. Осложнения со стороны матери и плода. Гинекология. 2016; 18 (3): 20–22.
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Аннотация
Йододефицитные заболевания – одна из самых распространенных проблем тиреоидологии и эндокринологии. В связи с уязвимостью к сниженному потреблению йода особый интерес в изучении последствий дефицита йода и его профилактики представляют беременные и кормящие женщины, пациентки репродуктивного возраста и дети.
Ключевые слова: йодный дефицит, беременность, йододефицитные заболевания, калия йодид.
Key words: iodine deficiency, pregnancy, iodine deficiency disorders, potassium iodide.
Ключевые слова: йодный дефицит, беременность, йододефицитные заболевания, калия йодид.
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Key words: iodine deficiency, pregnancy, iodine deficiency disorders, potassium iodide.
Полный текст
Список литературы
1. Петунина Н.А. и др. Избранные лекции по тиреоидологии. М.: Первый МГМУ им. И.М.Сеченова Минздрава России. 2012. Вып. 1. [Электронный ресурс]. / Petunina N.A. i dr. Izbrannye lektsii po tireoidologii. M.: Pervyi MGMU im. I.M.Sechenova Minzdrava Rossii. 2012. Vyp. 1. [Elektronnyi resurs]. [in Russian]
2. WHO, UNICEF, ICCIDD. Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers. 3rd ed. Geneva: World Health Organization, 2007. http://apps.who.int/iris/bitstream/10665/43781/1/9789241595827_eng.pdf
3. Prevention and control of iodine deficiency in pregnant and lactating women and in children less than 2-years-old: conclusions and recommendations of the Technical Consultation. Geneva, World Health Organization, 2007. Public Health Nutrition: 10(12A), 1606–1611. doi: 10.1017/S1368980007361004 http://www.who.int/nutrition/publications/micronutrients/PHN10(12a).pdf
4. Bath SC, Steer CD, Golding J et al. Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC). Lancet 2013; 382 (9889): 331–7.
5. Балаболкин М.И., Клебанова Е.М., Креминская В.М. Фундаментальная и клиническая тиреоидология. Учеб. пособие. М.: Медицина, 2007. / Balabolkin M.I., Klebanova E.M., Kreminskaia V.M. Fundamental'naia i klinicheskaia tireoidologiia. Ucheb. posobie. M.: Meditsina, 2007. [in Russian]
6. Lee SL, Pearce EN, Ananthakrishnan S. Iodine Deficiency. Diseases/Conditions, Dec 16, 2015. Medscape.
7. WHO/UNICEF. Reaching optimal iodine nutrition in pregnant and lactating women and young children. Joint Statement of the World Health Organization and the United Nations Children's Fund. Geneva, Switzerland: World Health Organization, 2007.
8. Glinoer D, De Nayer P, Delange F et al. A randomized trial for the treatment of mild iodine deficiency during pregnancy: maternal and neonatal effects. J Clin Endocrin Metabol 1995; 80: 258–69. doi:10.1210/jc.80.1.258
9. Pedersen KM, Laurberg P, Iversen E et al. Amelioration of some pregnancy-associated variations in thyroid function by iodine supplementation. J Clin Endocrinol Metabol 1993; 77: 1078–83. doi:10.1210/jc.77.4.1078.
10. Nohr SB, Jorgensen A, Pedersen KM, Laurberg P. Postpartum thyroid dysfunction in pregnant thyroid peroxidase antibody-positive women living in an area with mild to moderate iodine deficiency: is iodine supplementation safe? J Clin Endocrinol Metabol 2000; 85: 3191–8. doi:10.1210/jc.85.9.3191.
11. Santiago P, Velasco I, Muela JA et al. Infant neurocognitive development is independent of the use of iodised salt or iodine supplements given during pregnancy. Br J Nut 2013. In press doi:10.1017/S0007114512005880.
12. Romano R, Jannini EA, Pepe M et al. The effects of iodoprophylaxis on thyroid size during pregnancy. Am J Obstet Gynecol 1991; 164: 482–5. doi:10.1016/S0002-9378(11)80004-9.
13. Taylor PN, Okosieme OE, Dayan CM, Lazarus JH. Therapy of endocrine disease: Impact of iodine supplementation in mild-to-moderate iodine deficiency: systematic review and meta-analysis. Eur J Endocrinol 2014; 17: 0R1–R15. doi: 10.1530/EJE-13-0651
14. Zimmermann MB. Iodine deficiency. Endocr Rev 2009; 30: 376–408. doi:10.1210/er.2009-0011.
15. Zimmermann MB. Iodine deficiency in pregnancy and the effects of maternal iodine supplementation on the offspring: a review. Am J Clin Nutr 2009; 89 (2): 668S–72S. http://ajcn.nutrition.org/content/89/2/668S.long
16. Hetzel BS. Iodine deficiency disorders (IDD) and their eradication. Lancet 1983; 2: 1126–9. doi:10.1016/S0140-6736(83)90636-0.
17. Leichrodt N, Born MP. A meta-analysis of research on iodine and its relationship to cognitive development. In The Damaged Brain of Iodine Deficiency. Eds Stanbury JB. New York, NY: Cognizant Communication, 1994; р. 195–200. http://www.ceecis.org/iodine/04a_consequences/02_int/chapt_on_i_brain.pdf
18. Angermayr L, Clar C. Iodine supplementation for preventing iodine deficiency disorders in children. Cochrane Database of Systematic Reviews. 2004. doi: 10.1002/14651858.CD003819.pub2
19. Wu T, Liu GJ, Li P, Clar C. Iodised salt for preventing iodine deficiency disorders. Cochrane Database of Systematic Reviews 2002. doi:10.1002 / 14651858.CD003204
20. Zimmermann MB. The adverse effects of mild-to-moderate iodine deficiency during pregnancy and childhood: a review. Thyroid 2007; 17: 829–35. doi:10.1089/thy.2007.0108.
2. WHO, UNICEF, ICCIDD. Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers. 3rd ed. Geneva: World Health Organization, 2007. http://apps.who.int/iris/bitstream/10665/43781/1/9789241595827_eng.pdf
3. Prevention and control of iodine deficiency in pregnant and lactating women and in children less than 2-years-old: conclusions and recommendations of the Technical Consultation. Geneva, World Health Organization, 2007. Public Health Nutrition: 10(12A), 1606–1611. doi: 10.1017/S1368980007361004 http://www.who.int/nutrition/publications/micronutrients/PHN10(12a).pdf
4. Bath SC, Steer CD, Golding J et al. Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC). Lancet 2013; 382 (9889): 331–7.
5. Balabolkin M.I., Klebanova E.M., Kreminskaia V.M. Fundamental'naia i klinicheskaia tireoidologiia. Ucheb. posobie. M.: Meditsina, 2007. [in Russian]
6. Lee SL, Pearce EN, Ananthakrishnan S. Iodine Deficiency. Diseases/Conditions, Dec 16, 2015. Medscape.
7. WHO/UNICEF. Reaching optimal iodine nutrition in pregnant and lactating women and young children. Joint Statement of the World Health Organization and the United Nations Children's Fund. Geneva, Switzerland: World Health Organization, 2007.
8. Glinoer D, De Nayer P, Delange F et al. A randomized trial for the treatment of mild iodine deficiency during pregnancy: maternal and neonatal effects. J Clin Endocrin Metabol 1995; 80: 258–69. doi:10.1210/jc.80.1.258
9. Pedersen KM, Laurberg P, Iversen E et al. Amelioration of some pregnancy-associated variations in thyroid function by iodine supplementation. J Clin Endocrinol Metabol 1993; 77: 1078–83. doi:10.1210/jc.77.4.1078.
10. Nohr SB, Jorgensen A, Pedersen KM, Laurberg P. Postpartum thyroid dysfunction in pregnant thyroid peroxidase antibody-positive women living in an area with mild to moderate iodine deficiency: is iodine supplementation safe? J Clin Endocrinol Metabol 2000; 85: 3191–8. doi:10.1210/jc.85.9.3191.
11. Santiago P, Velasco I, Muela JA et al. Infant neurocognitive development is independent of the use of iodised salt or iodine supplements given during pregnancy. Br J Nut 2013. In press doi:10.1017/S0007114512005880.
12. Romano R, Jannini EA, Pepe M et al. The effects of iodoprophylaxis on thyroid size during pregnancy. Am J Obstet Gynecol 1991; 164: 482–5. doi:10.1016/S0002-9378(11)80004-9.
13. Taylor PN, Okosieme OE, Dayan CM, Lazarus JH. Therapy of endocrine disease: Impact of iodine supplementation in mild-to-moderate iodine deficiency: systematic review and meta-analysis. Eur J Endocrinol 2014; 17: 0R1–R15. doi: 10.1530/EJE-13-0651
14. Zimmermann MB. Iodine deficiency. Endocr Rev 2009; 30: 376–408. doi:10.1210/er.2009-0011.
15. Zimmermann MB. Iodine deficiency in pregnancy and the effects of maternal iodine supplementation on the offspring: a review. Am J Clin Nutr 2009; 89 (2): 668S–72S. http://ajcn.nutrition.org/content/89/2/668S.long
16. Hetzel BS. Iodine deficiency disorders (IDD) and their eradication. Lancet 1983; 2: 1126–9. doi:10.1016/S0140-6736(83)90636-0.
17. Leichrodt N, Born MP. A meta-analysis of research on iodine and its relationship to cognitive development. In The Damaged Brain of Iodine Deficiency. Eds Stanbury JB. New York, NY: Cognizant Communication, 1994; р. 195–200. http://www.ceecis.org/iodine/04a_consequences/02_int/chapt_on_i_brain.pdf
18. Angermayr L, Clar C. Iodine supplementation for preventing iodine deficiency disorders in children. Cochrane Database of Systematic Reviews. 2004. doi: 10.1002/14651858.CD003819.pub2
19. Wu T, Liu GJ, Li P, Clar C. Iodised salt for preventing iodine deficiency disorders. Cochrane Database of Systematic Reviews 2002. doi:10.1002 / 14651858.CD003204
20. Zimmermann MB. The adverse effects of mild-to-moderate iodine deficiency during pregnancy and childhood: a review. Thyroid 2007; 17: 829–35. doi:10.1089/thy.2007.0108.
2. WHO, UNICEF, ICCIDD. Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers. 3rd ed. Geneva: World Health Organization, 2007. http://apps.who.int/iris/bitstream/10665/43781/1/9789241595827_eng.pdf
3. Prevention and control of iodine deficiency in pregnant and lactating women and in children less than 2-years-old: conclusions and recommendations of the Technical Consultation. Geneva, World Health Organization, 2007. Public Health Nutrition: 10(12A), 1606–1611. doi: 10.1017/S1368980007361004 http://www.who.int/nutrition/publications/micronutrients/PHN10(12a).pdf
4. Bath SC, Steer CD, Golding J et al. Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC). Lancet 2013; 382 (9889): 331–7.
5. Балаболкин М.И., Клебанова Е.М., Креминская В.М. Фундаментальная и клиническая тиреоидология. Учеб. пособие. М.: Медицина, 2007. / Balabolkin M.I., Klebanova E.M., Kreminskaia V.M. Fundamental'naia i klinicheskaia tireoidologiia. Ucheb. posobie. M.: Meditsina, 2007. [in Russian]
6. Lee SL, Pearce EN, Ananthakrishnan S. Iodine Deficiency. Diseases/Conditions, Dec 16, 2015. Medscape.
7. WHO/UNICEF. Reaching optimal iodine nutrition in pregnant and lactating women and young children. Joint Statement of the World Health Organization and the United Nations Children's Fund. Geneva, Switzerland: World Health Organization, 2007.
8. Glinoer D, De Nayer P, Delange F et al. A randomized trial for the treatment of mild iodine deficiency during pregnancy: maternal and neonatal effects. J Clin Endocrin Metabol 1995; 80: 258–69. doi:10.1210/jc.80.1.258
9. Pedersen KM, Laurberg P, Iversen E et al. Amelioration of some pregnancy-associated variations in thyroid function by iodine supplementation. J Clin Endocrinol Metabol 1993; 77: 1078–83. doi:10.1210/jc.77.4.1078.
10. Nohr SB, Jorgensen A, Pedersen KM, Laurberg P. Postpartum thyroid dysfunction in pregnant thyroid peroxidase antibody-positive women living in an area with mild to moderate iodine deficiency: is iodine supplementation safe? J Clin Endocrinol Metabol 2000; 85: 3191–8. doi:10.1210/jc.85.9.3191.
11. Santiago P, Velasco I, Muela JA et al. Infant neurocognitive development is independent of the use of iodised salt or iodine supplements given during pregnancy. Br J Nut 2013. In press doi:10.1017/S0007114512005880.
12. Romano R, Jannini EA, Pepe M et al. The effects of iodoprophylaxis on thyroid size during pregnancy. Am J Obstet Gynecol 1991; 164: 482–5. doi:10.1016/S0002-9378(11)80004-9.
13. Taylor PN, Okosieme OE, Dayan CM, Lazarus JH. Therapy of endocrine disease: Impact of iodine supplementation in mild-to-moderate iodine deficiency: systematic review and meta-analysis. Eur J Endocrinol 2014; 17: 0R1–R15. doi: 10.1530/EJE-13-0651
14. Zimmermann MB. Iodine deficiency. Endocr Rev 2009; 30: 376–408. doi:10.1210/er.2009-0011.
15. Zimmermann MB. Iodine deficiency in pregnancy and the effects of maternal iodine supplementation on the offspring: a review. Am J Clin Nutr 2009; 89 (2): 668S–72S. http://ajcn.nutrition.org/content/89/2/668S.long
16. Hetzel BS. Iodine deficiency disorders (IDD) and their eradication. Lancet 1983; 2: 1126–9. doi:10.1016/S0140-6736(83)90636-0.
17. Leichrodt N, Born MP. A meta-analysis of research on iodine and its relationship to cognitive development. In The Damaged Brain of Iodine Deficiency. Eds Stanbury JB. New York, NY: Cognizant Communication, 1994; р. 195–200. http://www.ceecis.org/iodine/04a_consequences/02_int/chapt_on_i_brain.pdf
18. Angermayr L, Clar C. Iodine supplementation for preventing iodine deficiency disorders in children. Cochrane Database of Systematic Reviews. 2004. doi: 10.1002/14651858.CD003819.pub2
19. Wu T, Liu GJ, Li P, Clar C. Iodised salt for preventing iodine deficiency disorders. Cochrane Database of Systematic Reviews 2002. doi:10.1002 / 14651858.CD003204
20. Zimmermann MB. The adverse effects of mild-to-moderate iodine deficiency during pregnancy and childhood: a review. Thyroid 2007; 17: 829–35. doi:10.1089/thy.2007.0108.
________________________________________________
2. WHO, UNICEF, ICCIDD. Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers. 3rd ed. Geneva: World Health Organization, 2007. http://apps.who.int/iris/bitstream/10665/43781/1/9789241595827_eng.pdf
3. Prevention and control of iodine deficiency in pregnant and lactating women and in children less than 2-years-old: conclusions and recommendations of the Technical Consultation. Geneva, World Health Organization, 2007. Public Health Nutrition: 10(12A), 1606–1611. doi: 10.1017/S1368980007361004 http://www.who.int/nutrition/publications/micronutrients/PHN10(12a).pdf
4. Bath SC, Steer CD, Golding J et al. Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC). Lancet 2013; 382 (9889): 331–7.
5. Balabolkin M.I., Klebanova E.M., Kreminskaia V.M. Fundamental'naia i klinicheskaia tireoidologiia. Ucheb. posobie. M.: Meditsina, 2007. [in Russian]
6. Lee SL, Pearce EN, Ananthakrishnan S. Iodine Deficiency. Diseases/Conditions, Dec 16, 2015. Medscape.
7. WHO/UNICEF. Reaching optimal iodine nutrition in pregnant and lactating women and young children. Joint Statement of the World Health Organization and the United Nations Children's Fund. Geneva, Switzerland: World Health Organization, 2007.
8. Glinoer D, De Nayer P, Delange F et al. A randomized trial for the treatment of mild iodine deficiency during pregnancy: maternal and neonatal effects. J Clin Endocrin Metabol 1995; 80: 258–69. doi:10.1210/jc.80.1.258
9. Pedersen KM, Laurberg P, Iversen E et al. Amelioration of some pregnancy-associated variations in thyroid function by iodine supplementation. J Clin Endocrinol Metabol 1993; 77: 1078–83. doi:10.1210/jc.77.4.1078.
10. Nohr SB, Jorgensen A, Pedersen KM, Laurberg P. Postpartum thyroid dysfunction in pregnant thyroid peroxidase antibody-positive women living in an area with mild to moderate iodine deficiency: is iodine supplementation safe? J Clin Endocrinol Metabol 2000; 85: 3191–8. doi:10.1210/jc.85.9.3191.
11. Santiago P, Velasco I, Muela JA et al. Infant neurocognitive development is independent of the use of iodised salt or iodine supplements given during pregnancy. Br J Nut 2013. In press doi:10.1017/S0007114512005880.
12. Romano R, Jannini EA, Pepe M et al. The effects of iodoprophylaxis on thyroid size during pregnancy. Am J Obstet Gynecol 1991; 164: 482–5. doi:10.1016/S0002-9378(11)80004-9.
13. Taylor PN, Okosieme OE, Dayan CM, Lazarus JH. Therapy of endocrine disease: Impact of iodine supplementation in mild-to-moderate iodine deficiency: systematic review and meta-analysis. Eur J Endocrinol 2014; 17: 0R1–R15. doi: 10.1530/EJE-13-0651
14. Zimmermann MB. Iodine deficiency. Endocr Rev 2009; 30: 376–408. doi:10.1210/er.2009-0011.
15. Zimmermann MB. Iodine deficiency in pregnancy and the effects of maternal iodine supplementation on the offspring: a review. Am J Clin Nutr 2009; 89 (2): 668S–72S. http://ajcn.nutrition.org/content/89/2/668S.long
16. Hetzel BS. Iodine deficiency disorders (IDD) and their eradication. Lancet 1983; 2: 1126–9. doi:10.1016/S0140-6736(83)90636-0.
17. Leichrodt N, Born MP. A meta-analysis of research on iodine and its relationship to cognitive development. In The Damaged Brain of Iodine Deficiency. Eds Stanbury JB. New York, NY: Cognizant Communication, 1994; р. 195–200. http://www.ceecis.org/iodine/04a_consequences/02_int/chapt_on_i_brain.pdf
18. Angermayr L, Clar C. Iodine supplementation for preventing iodine deficiency disorders in children. Cochrane Database of Systematic Reviews. 2004. doi: 10.1002/14651858.CD003819.pub2
19. Wu T, Liu GJ, Li P, Clar C. Iodised salt for preventing iodine deficiency disorders. Cochrane Database of Systematic Reviews 2002. doi:10.1002 / 14651858.CD003204
20. Zimmermann MB. The adverse effects of mild-to-moderate iodine deficiency during pregnancy and childhood: a review. Thyroid 2007; 17: 829–35. doi:10.1089/thy.2007.0108.
Авторы
Н.А.Петунина, Е.В.Гончарова*
ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*goncharova_ev@list.ru
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
*goncharova_ev@list.ru
ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*goncharova_ev@list.ru
________________________________________________
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
*goncharova_ev@list.ru
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