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Journal : GIZI INDONESIA

 1 
ANEMIA PADA IBU USIA 17-35 TAHUN DI DAERAH ‘REPLETE’ ENDEMIK DEFISIENSI IODIUM Budiman, Basuki; Dewi, Rosmala; Muljati, Sri
GIZI INDONESIA Vol 30, No 1 (2007): Maret 2007
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v30i1.36

Abstract

ANEMIA OF CHILD BEARING AGE MOTHERS 17-35 YEARS OF AGE IN ENDEMIC IODINE ‘REPLETE’ AREAIron Deficiency Anemia (IDA) as well as Iodine Deficiency Disorder (IDD) both have adverseeffects on cognitive and neuropsychomotor, and adverse pregnant outcomes. Both iron andiodine have role on nuero development. Iron interact with iodine through the activity of thyroidperoxidase (TPO), an iron-dependent enzyme. IDA in iodine replete area (IRA) have not beenreported. Assesments IDA (Hb), free thyroxine (fT4), Thyrotropin hormone (TSH) of reproductivemothers 17-35 years of age were conducted in IRA and non-endemic deficiency iodine area(NEDIA). Casual iodine urin concentration (UIC) of school age children was also assesed toconfirm iodine endemicity of study area. Analysis of risk for anemia according to iodine status andcorrelation hemoglobin and thyrotropin were performed. The study area was confirmed to be nonendemic iodine deficiency (UIC criteria). Median EIU were 242 (24-880) µg/L in IRA and 211 (44-387) µg/L in NEDIA respectively. Proportion of EIU less than 100 µg/L in IRA were 5.0 % and inNEDIA 1.2 %. Proporsion of EIU greater than 300 µg/L were 29.6 dan 24.7 persen respectively.The results indicated that study areas were no longer endemic iodine deficiency and the peoplewhere they live consumed iodine tend to excess. These situation may effect on thyroid function asindicated by suppressed TSH and fT4 in normal range. Those two thyroid function parameterssignificantly different in the IRA and NEDIA. The everages serum concentration of TSH in thestudy area were 1,96(1,56-2,36) in IRA compared to 1,38 (1,09-1,67) mUI/L in NEDIA(p=0,23);while fT4 were 1,29 (1,14-1,44) and 0,98 (0,90-1,05) µg/dL respectively. Hemoglobin serumconcentration of mothers in those two area was not signicantly different; 12,45 (12,19-12,71) inIRA compared to 12,21 (11,96-12,46) mg/dL di NEDIA. Iron deficiency anemia was found 23,3 %in IRA and 35,7 % in NEDIA; however mothers in IRA have risk for anemia as big as mothers inNEDIA OR: 0,54(0,24-1,24). Analysis correlation (Spearman’s) between TSH and Hb providedcoefisient correlation Rho as much as 0.072 indicated very weak correlation between the twoparameters. There were no difference in proportion of hypothyroidism in the two study areas (OR:0,68 (0,207-2,25). Although the proportion of iron deficiensi anemia (IDA) in IRA much less thanthe proportion in NEDIA; there were no relationship between IDA and Iodine deficiency.Absorption of Fe in IRA may be more efficient than did in NEDIA. More studies are needed toconfirm this finding.Keywords: IDA, TSH, fT4, Hb, EIU, NEDIA, IRA
ANEMIA PADA IBU USIA 17-35 TAHUN DI DAERAH ‘REPLETE’ ENDEMIK DEFISIENSI IODIUM Budiman, Basuki; Dewi, Rosmala; Muljati, Sri
GIZI INDONESIA Vol 30, No 1 (2007): Maret 2007
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.639 KB)

Abstract

ANEMIA OF CHILD BEARING AGE MOTHERS 17-35 YEARS OF AGE IN ENDEMIC IODINE ‘REPLETE’ AREAIron Deficiency Anemia (IDA) as well as Iodine Deficiency Disorder (IDD) both have adverseeffects on cognitive and neuropsychomotor, and adverse pregnant outcomes. Both iron andiodine have role on nuero development. Iron interact with iodine through the activity of thyroidperoxidase (TPO), an iron-dependent enzyme. IDA in iodine replete area (IRA) have not beenreported. Assesments IDA (Hb), free thyroxine (fT4), Thyrotropin hormone (TSH) of reproductivemothers 17-35 years of age were conducted in IRA and non-endemic deficiency iodine area(NEDIA). Casual iodine urin concentration (UIC) of school age children was also assesed toconfirm iodine endemicity of study area. Analysis of risk for anemia according to iodine status andcorrelation hemoglobin and thyrotropin were performed. The study area was confirmed to be nonendemic iodine deficiency (UIC criteria). Median EIU were 242 (24-880) µg/L in IRA and 211 (44-387) µg/L in NEDIA respectively. Proportion of EIU less than 100 µg/L in IRA were 5.0 % and inNEDIA 1.2 %. Proporsion of EIU greater than 300 µg/L were 29.6 dan 24.7 persen respectively.The results indicated that study areas were no longer endemic iodine deficiency and the peoplewhere they live consumed iodine tend to excess. These situation may effect on thyroid function asindicated by suppressed TSH and fT4 in normal range. Those two thyroid function parameterssignificantly different in the IRA and NEDIA. The everages serum concentration of TSH in thestudy area were 1,96(1,56-2,36) in IRA compared to 1,38 (1,09-1,67) mUI/L in NEDIA(p=0,23);while fT4 were 1,29 (1,14-1,44) and 0,98 (0,90-1,05) µg/dL respectively. Hemoglobin serumconcentration of mothers in those two area was not signicantly different; 12,45 (12,19-12,71) inIRA compared to 12,21 (11,96-12,46) mg/dL di NEDIA. Iron deficiency anemia was found 23,3 %in IRA and 35,7 % in NEDIA; however mothers in IRA have risk for anemia as big as mothers inNEDIA OR: 0,54(0,24-1,24). Analysis correlation (Spearman’s) between TSH and Hb providedcoefisient correlation Rho as much as 0.072 indicated very weak correlation between the twoparameters. There were no difference in proportion of hypothyroidism in the two study areas (OR:0,68 (0,207-2,25). Although the proportion of iron deficiensi anemia (IDA) in IRA much less thanthe proportion in NEDIA; there were no relationship between IDA and Iodine deficiency.Absorption of Fe in IRA may be more efficient than did in NEDIA. More studies are needed toconfirm this finding.Keywords: IDA, TSH, fT4, Hb, EIU, NEDIA, IRA
Co-Authors . Fitriana, . . Iskandarsyah . Mukhirah, . . Novita ., Mukhirah ., Nurfaradisa Abduh Ridha Afifah Rahmah, Afifah Akmal, Rifqi Akmaluddin Akmaluddin Aminuyati Anara, Jihan Anisa, Mutiara Arif Rahman Ashila, Khansa Asih Handayanti Asih Menanti, Asih Asrul Karim, Asrul Assyaidah, Sonda Nur Baehaqi Baijuri, Eno Octavia Basuki Budiman Dahlia Damilaini, Putri Desky, Desy Maharani Devi Octarina, Devi Dwi Syukriady Effionora Anwar Eka Daryanto, Eka Eko Risdianto Eliawati, Titim Emawati emawati Erwanita Fachrurazi Fadhilah Fadhilah ., Fadhilah Fadhilah Fadhilah Fadhilah, . Fadhilla, Dian cut Fadhillah, Nurul Fadila Fadila, Fadila Fardiana, Fardiana Fathiaturrahmah, Fathiaturrahmah Fatmita, Sherly Faudiah, Nurul Febrian Hevike Filosane, Febrian Hevike Fikriah Noer, Fikriah Firli, Akhmad Ridwan Fitri Rosdiana Fitri Yani Panggabean Fitriana Fitriana . Fitriana Fitriana Fusvika, Fitri Gaffar Hafiz Sagala Ginggar, Benediktus Sipandi Harahap, Afri Azwar Hasan Harmi, Hendra Haryati Lubis, Vebry Hasanta, Izzania Hayati, Rahmi Hilma Harmen Humaira, Zakia Husnah, Nurul Hutabarat, Silvy Margaret Inayatillah Inayatillah Indani Indani, Indani Indradewa, Rhian IR, Ikrama Irawati Irawati Irda, Afra Nabila Iriani Indiah Pane, Isli Ismael Saleh Jannah, Cut Miftahul Jannah, Izzatul jelita, jelita Jumriati, Jumriati Kanti, Murti Khairul Anwar KS, Yunita Laili Suhairi, Laili Lilly Montarcih Limantara, Lilly Montarcih Maghdalena, Emma Juwita Mahdi Jufri Mahyiddin, Zuraini Mardalena, Tika Mardhani, Lies Eka Marzuki Marzuki Maulidiana, . Maulidya, Ukhti Meliana, Rina Misnaiyah, Misnaiyah Monalisa MT, Mutia Salima mudjisusatyo, yuniarto Muhaimin, Ahmad Muhamdar, Natasya Muhammad Bukhori Dalimunthe Muhammad Zamzami, Muhammad Muhsin Muhsin Mujiburrahmi, Mujiburrahmi Mulyani, Nanda Muna, Nailul Munawwarah, Hidayatul Nadhilla, Nadhilla Nadia Putri Nahrisyah, Putri Ratu Natasyarah, Fatia Bilqis Nitura, Nida Novi Wulandari Novia, Asri Novita . Novita Novita Nur Zasiah, Dhea Anisa Nurbaiti Nurwijayanti Paramida, Satri Pawestri, Chintya Awaliyah Prayudha, Agung Rorhi Priharti, Rr. Dimas Veronica Putri, Elly Diana Putriani, Dyah Ayu Rahima, Tiara Putri Rahmat Fajri Rahmat Hidayat Rahmi Rahmi Raihan, Husnun Raihanum, Putri Raudah Zaimah Dalimunthe, Raudah Zaimah Rizki, Mochamad Faizal Rizki, Siti Rahmadani Roose, Sabriyanti Rosnelli, Rosnelli Rosnidar, . S Siswanto S, Herawati Arief Safitri, Ivonna Sahono, Bambang Sakdiah Sari, Cut Nanda Sari, Dela Nogita Sari, Nova Julia SAUT PURBA Septa Dinusastra , Vina Alvinia Shafira, Jihan Putri Sihombing, Dionisius Simamare-mare, Aman Sinaga, Orbert Siti Aisyah Siti Habsari Pratiwi, Siti SITI MARYAM Sri Milfayetty, Sri Sri Muljati Sugiyono Sugiyono Sukarman Purba Sukmawati, Anggun Suroso Suroso Surung Malem, Surung Suswani, Sela Sutriyo Sutriyo, Sutriyo Syarifah Syarifah, Syarifah Tati Herlina Umaiya, Anisa Utami Nurhafsari Putri Widandi Soetopo Widia, Irda Wildan Seni, Wildan Wildansyah lubis, Wildansyah Wira Yusniawati Sarumaha, Wira Yusniawati Wiranty, Dilla Yanti, Yeni Irma Yoga Yuniadi Yuli Heirina Hamid, Yuli Heirina Yullyana, Rischa Yunita, Devi Sinta Yurial Arif Lubis, Yurial Arif Zainuddin, Zainuddin Zuhra, Bintang Zuhra, Nurliza Zuraida Lubis