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Iodine What’s in your supplement?

Iodine What’s in your supplement?. Goals & Objectives. Goals: Increase knowledge of WIC staff regarding the importance of iodine supplementation for pregnant and breastfeeding women. WIC staff can assign Risk 427.4 correctly and discuss iodine supplementation with participants. Objectives:

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Iodine What’s in your supplement?

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  1. IodineWhat’s in your supplement?

  2. Goals & Objectives • Goals: • Increase knowledge of WIC staff regarding the importance of iodine supplementation for pregnant and breastfeeding women. • WIC staff can assign Risk 427.4 correctly and discuss iodine supplementation with participants. • Objectives: Upon completion of this in-service, WIC staff will be able to: • Explain the reasons for iodine supplementation for pregnant and breastfeeding women. • Demonstrate their knowledge of iodine supplementation by reading nutrition labels and identifying iodine-containing prenatal vitamins.

  3. Iodine: What do you know about it? • Essential trace mineral • Helps with thyroid function

  4. Where is it? • Table salt – iodized since the 1920’s • Seafood and seaweed • Small amounts found in: • Grains • Dairy • Meat

  5. Iodine and Public Health • Added to salt in the 1920’s • One of the first food fortifications designed to prevent a common health issue (goiter) • Later found iodine prevented certain birth defects (cretinism)

  6. Why are we worried about iodine?

  7. What can happen if you don’t get enough? • Deficiency is rare in U.S. • Iodine Deficiency Disorders (IDDs) • Increased number of miscarriages, stillbirths, and birth defects • Depends on developmental stage and severity of deficiency

  8. How much do we need? • Adults & adolescents: 150 micrograms /day (Micrograms is abbreviated mcg or µg) • Pregnant or Breastfeeding Women: 250-500 mcg/day

  9. Pregnancy & breastfeeding • Increased need during pregnancy and breastfeeding because mothers are the sole source of iodine for their babies.

  10. How much iodine is in salt? • One teaspoon of iodized salt contains 400 mcg of iodine • Americans get lots of sodium, most of which comes from processed foods not iodized salt. • Don’t encourage moms to eat more salt, rather encourage them to consider buying iodized salt when they shop.

  11. Prenatal Vitamins • Take before or early in pregnancy • First half of pregnancy especially critical • Recommend a vitamin that contains 150 mcg of iodine during pregnancy and breastfeeding • Not all prenatal multivitamins contain iodine • Review labels before making recommendations

  12. What does this mean? • DO NOT increase salt intake • When adding salt to food, consider using iodized forms • Vitamins should supplement food • About 150 mcg from supplements • Combine with foods to reach 250-500 mcg/day

  13. Assigning Risk 427.4 • Risk 427.4 is Inadequate Supplementation of Iron, Iodine, or Folic Acid. • In TWIST the supplementation question for women reads “Are you taking a vitamin with iron or iron supplement?” • Ask if they are taking a prenatal vitamin. • If no – assign the risk • If yes – ask if it contains iron, folic acid and iodine • If they don’t know – do not assign risk and refer to their health care provider. • If it does not contain any of the 3 nutrients – assign risk • If it contains all 3 nutrients – do not assign risk

  14. Questions?

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