الفهرس 
صفحة العنوانOnly 14 pages are availabe for public view
 |  | from | 337 |  |  |
| | | from | 337 | | |
Abstract
Aim of the Study
This study is aimed to evaluate a possible association between dietary intake from iron, selenium, zinc and iodine with thyroid volume, thyroid nodules in patients with hypothyroidism disease compared to healthy subjects.
Also this study aimed to evaluate the effect of nutrition education programs on hypothyroidism patients.
ABSTRACT
This cross sectional study was under taken to evaluate a possible association between dietary intake from iron, selenium, zinc and iodine and thyroid status in patients with hypothyroidism disease compared to healthy subjects. A random sample of (40) hypothyroidism patients (5 males and 35 females), were selected from Kasr El-Aini Hospital out patients with age from (30-45) years. Structured interview questionnaire, dietary assessment questionnaire and nutritional intake were done. Knowledge and food habits questionnaire, anthropometric measurements and laboratory investigation were performed at baseline and after 12 weeks. Assessment of the nutritional status was performed by using 24 hours dietary recall, food frequency of selected food items and nutritional knowledge about some food habits at baseline and after nutrition education program intervention. Our patient subjected to laboratory investigation at baseline and after 12 weeks to determine serum FT4, FT3 and TSH, zinc, iron, selenium level and iodine level in urine. Results at baseline revealed that all male and female hypothyroidism patients were suffered from obesity and poor food habits. Result of nutritional and biochemical investigation of serum and urine at baseline revealed that numerous nutritional deficiencies in hypothyroidism patients. Concerning distribution of some nutrients intakes by male and female patients according to their dietary adequacy degree, results also indicated that 40% and 77.01% from male and female in the unacceptable level of protein consumption. Concerning the level of Se consumption results revealed that 80 % of male and 60% of female patients were in unaccepted level of consumption. Meanwhile distribution of Zn intake showed that 80% and 71.4% from male and female recorded unaccepted level of consumption, distribution of iodine intake revealed that male and female patients recorded 20% and 31.4% in un safe level while 60% and 68.6% at unaccepted level of iodine consumption, while distribution of vitamin C intake revealed that male and female patients recorded 80% and 57.1% in unsafe level while 20% and 31.4% at unaccepted level of vitamin C consumption. At the end of nutrition education program intervention for 12 weeks most patients recorded a high significant (P<0.01) correction in food habits, food choices, enhancing and hindering some minerals absorption and adequacy of nutrients intake. Results of nutritional assessment after intervention confirmed by the biochemical analysis as comparing at baseline vs. 12 weeks of (NEP) intervention. Results after 12 weeks of intervention showed a significant increase (P<0.05) in serum ferritin, selenium, zinc and urinary iodine.