The relationship between the predominant dietary pattern of pregnant women and the results of thyroid screening of their newborns

Subject Areas : Journal of Family Centered Health Care

Nasim  Hasanzadeh ¹ (Community Health Research, Isfahan, (Khorasgan)Branch, Islamic Azad University, Isfahan ,Iran)
Forouzandeh  Dashti ² (Community Health Research, Isfahan, (Khorasgan)Branch, Islamic Azad University, Iran)
shahla  Mohamadirizi ³ (School of Nursing and Midwifery, Isfahan University of Medical Sciences. Isfahan ,Iran)
Hosein  Hajianfar ⁴ (Semnan University of Medical Sciences, Semnan ,Iran)

Received: 2022-05-07 Accepted : 2022-07-19 Published : 2022-08-01

Keywords: Newborn thyroid screening, Mother's dominant food pattern,

Abstract :

Introduction: The health of the baby is one of the indicators contributing in development of the countries, and its relationship with the mother's diet has been proved. Scientific researches In terms of the effect of the diet of pregnant women on the health of the newborn, enhancing of this diet can be aimed at improving the health of the newborn. Newborn thyroid screening at birth is one of the common tests in the country, and it is valuable to examine the factors affecting its results.Methods: This study was a descriptive method of correlation type and 280 mothers were selected as available in the Gharazi hospital. The questionnaires included demographic information and FFQ dietary pattern with 117 items. The information was entered into spss software version 20 for analysis.Results: According to the results of this study, the level of thyroid stimulating hormone (TSH) in 263 babies (94.9%) was less than 4 and healthy babies, and in 14 babies (5.1%) was more than 4 and babies with hypothyroidism. The average TSH in infants was 2.05±1.12. Three healthy, western and traditional food patterns were observed in the mothers of these babies. A healthy diet reduces the risk of increasing TSH levels, and there was a correlation between the western diet and an increase in TSH more than 4, and a correlation between the traditional diet and a decrease in TSH less than 4, but none of the relationships were statistically significant. Evidence of the existence of an inverse and significant relationship between the education level of the mother and her western food pattern and the weight loss of the baby was observed at the error level of 1%.Conclusion: The evidence showed that in a healthy mother's diet, the newborn's TSH level and the newborn's weight are within the normal range. The risk of consuming western and traditional foods should be reminded to mothers by health workers.

References:

1. Zahedi Asl S, Farahani H, Ghasemi A, Faraji Shahrivar F.The effect of maternal hypothyroidism during pregnancy on carbohydrate metabolism in adulthood in rats, Physiology and Pharmacology,2009 Jan 10;12(4):261-7.


2. Lazarus JH. Thyroid function in pregnancy. Br Med Bul 2011; 97: 137-148.


3.  Ko KY, Yen RF, Lin CL, Cheng MF, Huang WS, Kao CH. Pregnancy outcome afteri-131 therapy for patients with thyroid cancer: a nationwide population-based cohort study. Medicine 2016; 95(5):e2685.


4.  Bruellman R, Watanabe Y, Shareef R, Abdullah MA, Dumitrescu A, Strauss BS, Refetoff S, Weiss RE. Insertion of an Alu Element in Thyroglobulin Gene as a Novel Cause of Congenital Hypothyroidism. Thyroid. 2020 Feb 3.


5. Yarahmadi SH, Ali Mohammadzadeh KH, Tabibi SJ, Maleki MR. Presenting mathematics model of cost-benefit calculation of screening for congenital hypothyroidism in Iran. Inert Math Forum 2011; 6) 14(,681-697.


6.  Safaralizadeh F, Sadifi R, Partoazam H. Frequency of congenital hypothyroidism and relationship with some risk factors in health-treatment centers in Khoy, 2006-2007. Orumiye J Obstetr Nurs. 2009;8(1):35-9


7. Hashemipour M, Amini M, Iranpour R, Sadri GH, Javaheri N, Haghighi S, et al. Prevalence of congenital hypothyroidism in Isfahan, Iran: result of a survey on 20,000 neonates. Hormone Research in Pediatrics 2004; 62 (2): 79-83.

8. Esmaillzadeh A, Azadbakht L. The effects of fruit and vegetable intakes on C-reactive protein and the metabolic syndrome among women. Iranian Journal of Diabetes and Metabolism. 2007 May 10;6(3):271.


9. World Health Organization. Tackling NCDs: Best buys and other recommended interventions for the prevention and control of noncommunicable diseases. WHO, 2017. https://www.who.int/ncds/ management/best-buys/en/


10. Jacobs DJ, Steffen L. Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr. 2003 Sep;78(3Suppl):508S-513S


11. Esfarjani R, Roostaee R, Mohammadi Nasrabadi F, Abdollahi M, Hoshiar-Rad A, Esmaillzadeh A. Relationship between major dietary patterns and stunting in Tehrani school children. Iranian Journal of Nutrition Sciences & Food Technology. 2012;6(4).


12. Verbeke W, De Bourdeaudhuij I. Dietary behavior of pregnant versus non-pregnant women. Appetite. 2007 Jan;48(1):78-86.


13. Arab A, Rafie N, Mansourian M, Miraghajani M, Hajianfar H. Dietary patterns and semen quality: a systematic review and meta‐analysis of observational studies. Andrology. 2018 Jan;6(1):20-8.


14. Moradi M, Haghighatdoost F, Azadbakht L. The Association between Dietary Acid Load and Cardiovascular Disease Risk among Diabetic Nephropathy Patients. Iranian Journal of Nutrition Sciences & Food Technology. 2016; 11 (3) :1-10


15. Abbaszadeh F, Sarafraz N, Atrian MK, Sadat Z, Bagheri A, Moravveji A. Anthropometric indices in the prediction of hypertension in female adolescents. Iranian Red Crescent Medical Journal. 2017 Nov;19(11).


16. Aminzadeh M, Chomeili B, Aramesh MR, Ghanbari R. Evaluation of possible interactive factors with thyrotropin level in screening program of congenital hypothyroidism in Ahvaz. Jundishapur Scientific Medical. 2011; 9(6): 553-560


17. Ordookhani A, Hedayati M, Mirmiran P, Hajipour R, Azizi F. High prevalence of neonatal hypothyroidism in TehRAn . Iranian Journal of Endocrinology and Metabolism. 2000; 2 (4) :263-277.


18. Hashemipour M, Samei P, Kelishadi R, Hovsepian S, Hani Tabaei Zavareh N. A systematic review on the risk factors of congenital hypothyroidism. Journal of Pediatrics Review. 2019 Oct 10;7(4):199-210.


19. Herbstman J,. Apelberg B,. Witter F R, Panny S,. Goldman LR. Maternal, Infant, and Delivery Factors Associated with Neonatal Thyroid Hormone Status, Thyroid in the 21^st century.2008; 18(1).


20. Trumpff C, Vandevijvere S, Moreno-Reyes R, Vanderpas J, Tafforeau J, Van Oyen H, De Schepper J. Neonatal thyroid-stimulating hormone level is influenced by neonatal, maternal, and pregnancy factors. Nutrition research. 2015 Nov 1;35(11):975-81.


21. Chueca M, Moreno P, Durá T, Berrade S, Andrés C, García MD, Moreno JC, Ascunce N. Congenital Hypothyroidism: neonatal screening program with T4 and TSH. physics. 2019 Aug 22;2-13.


22. Mohamadiriz S, Khani B, Mohamadirizi S. Role playing approach vs. traditional method about neonatal admission skills among midwifery students. International Journal of Pediatrics. 2015;3(5.2):965-70.


23. Pfaff JA, Caruso-Sales H, Jaworek A, Sataloff RT. Thyroid Disorders and Their Treatments: What Singing Teachers Should Know. Journal of Singing. 2016 May 1;72(5):577.


24. Hashemi SZ, Vahidinia AA, Hazavehei SM, Karimi-Shahanjarini A, Poorolajal J, Erfani H, Entezari MH, Eskandari Z, Shahabadi S. Nutrient intake and unhealthy dietary pattern of Iranian women: a cross sectional study. Progress in Nutrition. 2018;20: 106 -18.


25. Caron Philippe. Neurocognitive outcomes of children secondary to mild iodine deficiency in pregnant women. Annals d’Endocrinolog. 76 (2015) 248–252


26. Hu F. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002; 3:9


27. Kalantari N, Ghaffarpour M. National Comprehensive Study on household food consumption pattern and nutritional status in IRAN 2001-2003. Tehran: National Nutrition and Food Technology Research Institute, Shaheed Beheshti University of Medical Sciences, Ministry.


28. JUN, J., Kovner, C. T, Stimpfel A. W. 2016. Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative review. International journal of nursing studies, 60: 54-68.


29. Kemppainen V, Tossavainen K, Turunen H. Nurses' roles in health promotion practice: an integrative review. Health Promotion International, 2013; 28: 490-501.


30. Hulley SB, Cummings SR, Browner WS, Grady D, Newman TB. Designing clinical research:an epidemiologic approach. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013. Appendix 6C, page 79.


31.  .Jacobs DJ, Steffen L. Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr. 2003 Sep;78(3Suppl):508S-513S

32. Ghaffarpour M, Houshiar-Rad A, Kianfar H. The manual for household measures, cooking yields factors and edible portion of food. Tehran: Keshavarzi Press; 1999.