Association between Iron Status and Thyroid Function of Pregnant Mothers in Jaffna District, Sri Lanka

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4th International Scientific Conference on Applied Sciences and Engineering 3-4 October, 2015 Langkawi Lagoon Resort, Malaysia

Education

Abstract of Applied Sciences and Engineering, 2015, Vol.4
DOI: 10.18488/journal.1001/2015.4/1001.4
4th
International Scientific Conference on Applied
Sciences and Engineering
3-4 October, 2015
Langkawi Lagoon Resort, Malaysia
Conference Website: www.scihost.org
5
Paper ID: 41/15/4
th
ISCASE
Association between Iron Status and Thyroid Function of
Pregnant Mothers in Jaffna District, Sri Lanka
T. Yoganathan1
--- V. Arasaratnam2
--- M. Hettiarachchi3
--- C. Liyanage4
1
Nuclear Medicine Unit, Faculty of Medicine, University of Jaffna, Sri Lanka
2
Department of Biochemistry, Faculty of Medicine, University of Jaffna, Sri Lanka
3,4
Nuclear Medicine Unit, Faculty of Medicine, University of Ruhuna, Sri Lanka
Abstract
Background: Studies on association between iron status and thyroid function of
pregnant women was never conducted in Jaffna District of Sri Lanka. Therefore, this
study was carried out to find the relation between maternal iron status and thyroid
function at third trimester. Materials and Methods: Four hundred and seventy seven
pregnant mothers were randomly selected among six Medical Officers of Health (MOH)
divisions from twelve in Jaffna District, Sri Lanka. Maternal serum thyroid stimulating
hormone (TSH), free thyroxine (fT4), thyroxine binding globulin (TBG) and ferritin
levels were assessed. Results: Among the 477 pregnant women mean age, weight,
height and gestational period were 28.95(±5.46) years, 63.02 (±11.56) kg, 154.39
(±6.00) cm and 39.33(±1.37) weeks respectively. In this study, maternal median serum
ferritin level was 23.4 µg/L and it ranged from 1.2 to 197.0 µg/L and the 21.0 %
(n=100) were iron deficient. Inter quartile range (IQR) of serum ferritin was (Q1=14.3
and Q3=36.6) 22.3 µg/L. Further IQR of deficient and sufficient groups of mothers on
iron status were 4.80 and 20.17 µg/L respectively. Median values of the serum TSH,
free T4 and TBG levels were 1.9 mIU/L, 12.6 pmol/L and 21.4 IU/mL respectively. The
serum TSH level ranged from 0.20 to 16.40 mIU/L while serum fT4 and TBG levels
ranged from 10.1 to 28.2 pmol/L and 0.8- 86.9 IU/mL respectively. Among the total
subjects, only 3.4 % (n=16) were biochemically hypothyroid. Maternal serum ferritin
level was positively significantly correlated with serum TSH level (r=0.110, p=0.022)
and positively correlated with free T4 level (r=0.003, p=0.945) and TBG level (r=0.059,
p=0.220). Conclusion: Among the study subjects in Jaffna district, iron deficiency
(Serum ferritin <12 µg/L) was 21.0 % while only 3.4 % were biochemically hypothyroid
(TSH> 5.2 mIU/L). Maternal serum ferritin level was positively significantly correlated
with maternal serum TSH level (r=0.110, p=0.022) and positively correlated with free
T4 level (r=0.003, p=0.945) and TBG level (r=0.059, p=0.220).
Keywords: Ferritin, Free thyroxine, Thyroid stimulating hormone, Thyroxine binding globulin

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