scholarly journals Assessment of iodine deficiency disorder among school going children aged 5-10 years in Sagar district of Madhya Pradesh: an observational cross sectional study

Author(s):  
Arpita Jain ◽  
Shipra Verma ◽  
Manju Toppo ◽  
Akhil R. Nair

Background: Iodine deficiency (IDD) is the world’s most prevalent cause of brain damage. glaciations, flooding, rivers lead to deficiency of iodine in crops grown on iodine. Diet low in iodine can result in stillbirth and abortions and many more sequelae. Objectives of the research work were to study the prevalence of IDD amongst 6-12 years children by clinical examination and to determine the concentration of iodine in salt sample at consumer level. Also, to determine the urinary iodine excretion amongst 6-12 years age group children.Methods: It was a cross sectional study conducted in the government schools of Sagar district among school children of 6-12 years of age. Total 2700 school children from 30 villages were included using PPS sampling. Students were clinically examined and their urine samples were taken for MUIC estimation.Results: Prevalence of goiter was more in 10 to 11 years of age (14.07%) and less in 8 to 9 years age group (7.59%). Overall prevalence of goiter in district Sagar is 10.51%.Conclusions: Despite NIDDCP, there is still dearth of awareness among general public about the usage and storage of iodized salt which is the root cause of Iodine deficiency.

1995 ◽  
Vol 132 (2) ◽  
pp. 171-174 ◽  
Author(s):  
Klaus M Pedersen ◽  
Eigil Iversen ◽  
Peter Laurberg

Pedersen KM, Iversen E, Laurberg P. Urinary iodine excretion and individual iodine supplementation among elderly subjects. A cross-sectional investigation in the commune of Randers, Denmark. Eur J Endocrinol 1995;132:171–4. ISSN 0804–4643 Several studies have demonstrated that the iodine intake is relatively low in Denmark. However, the results are difficult to interpret because no information has been given on the frequency of individual iodine supplementation. We performed a cross-sectional study of elderly subjects living in the commune of Randers, Denmark. Urinary iodine excretion was measured in the 423 participants (185 males, 238 females) and a careful history was taken on any possible intake of supplementary iodine. The median urinary iodine excretion was 48.3 μg/g creatinine for the whole population (40.8 μg/g creatinine in males, 53.2 μg/g creatinine in females). In the part of the population that did not take iodine supplementation (46.7%) the median value was 36.1 μg/g creatinine (males 33.8; females 38.8). Regular iodine supplementation taken as an iodine-containing vitamin/mineral tablet was found in 30.8% of the population. This increased the urinary iodine excretion to a median level of 80.5 μg/g creatinine (males 62.0; females 88.0). The study shows that the basic iodine intake level is overestimated if individual iodine supplementation is not taken into account. Such supplementation may lead to median iodine excretion values that seem reasonable, even if the iodine intake of the part of the population not taking iodine (in this study, nearly half of the population) is low. Klaus Pedersen, Department of Internal Medicine and Endocrinology, Aalborg Hospital, Reberbansgade, DK-9000 Aalborg, Denmark


Author(s):  
Nilratan Majumder ◽  
Balaram Sutradhar ◽  
Saradindu Riang ◽  
Shib Sekhar Datta

Background: Due to excess metabolic demand of iodine in pregnancy, pregnant women and lactating mother and their neonates are most vulnerable of iodine deficiency disorder. Urinary iodine excretion is a good marker of recent dietary iodine intake. Thus, present study was conducted to assess the iodine status and median urinary iodine excretion (UIE μg/lit) among pregnant and non-pregnant women of Tripura.Methods: Tribal and Bengali pregnant and non-pregnant women from Bokafa and Jolaibari Block of South Tripura district were included in the study. Urinary iodine excretion was done using simple micro plate method. Salt iodine was estimated using iodometric titration. All the tests were performed at CNRT Lab, ICMR, India.Results: Total number of subjects included in this study was 1071. Total number of urine samples collected from pregnant and non-pregnant women was 538 and 533 respectively. Median value of UIE in pregnant and non-pregnant women of Tripura was 155.0µg/L and 130.0µg/L. In pregnant women percentage prevalence of severe (<20µg/L), moderate (20-49µg/L) and mild iodine deficiency (50-149µg/L) was found in 4.1%, 15.1% and 29.6% subjects. In case of non-pregnant women severe (<20µg/L), moderate (20-49µg/L) and mild iodine deficiency (50-99µg/L) was found in 0.6%, 9.6%, 27.8% subjects respectively. The overall prevalence of iodine deficiency was found in 48.8% pregnant women, compared to 38.0% non-pregnant subjects.Conclusions: Efforts towards universal salt iodization need to be stepped-up in Sub-Himalayan region (NE part of India) and pregnant and lactating mothers may be targeted with alternate iodine supplements (Colloidal Iodine).


Author(s):  
Aniruddh Ranga ◽  
J. P. Majra

Background: School-age children spend one-third of their time in schools. Teachers are key personnel to look after the health of school children. Teachers can provide health education to school children, assess the school environment for better health outcomes, provide health care services and help in the maintenance of school health records. Aim of the study was to assess the status of knowledge of school health services (SHS) among school teachers.Methods: Government and private schools in a Northern Indian state. A community-based cross-sectional study. It includes 50 randomly selected designated schoolteachers for SHS by the PPS methods from the schools which were functional since at least five years in the study area. A pre-tested self-administered questionnaire was used to assess the knowledge regarding SHS. Percentage, proportion and χ2 test were used as statistical methods. The p-value 0.05 was considered statistically significant.Results: 38% participants were of 41-50 years of age group, 54% were females and 48% had an experience of ≤10 years. 22% participants had training regarding SHS. 40% participants had moderately adequate knowledge (p-value=0.04). It was observed to be more among participants of rural, government, age group of 31-40 years, with experience of 21-30years, female and among trained teachers for school health.Conclusions: School teachers were lacking in knowledge regarding environment and sanitation; communicable and non-communicable diseases; and health education for school children. We also observed that training regarding SHS was a majorly missing component which could be the reason behind poor level knowledge among schoolteachers.


2021 ◽  
Vol 59 (242) ◽  
pp. 890-893
Author(s):  
Anand Ballabh Joshi ◽  
Megha Raj Banjara ◽  
Chitra Kumar Gurung ◽  
Vivek Kumar Singh ◽  
Krishna Pant ◽  
...  

Introduction: Iodine deficiency disorders are common endocrinopathies in Nepal. Children are at risk for iodine deficiency disorders. Irreversible mental retardation and brain damage in children are the devastating disorders lead by iodine deficiency. Therefore, the main objective of the study was to find out the prevalence of insufficient iodine level among the children of a secondary school. Methods: This descriptive cross-sectional study was conducted in urine from April 2019 to July 2019 after obtaining ethical approval from Nepal Health Research Council (Registration number: 802/2018). Forty-six urine samples were collected from school children for iodine estimation. Convenience sampling was done. Data were entered into Statistical Package for the Social Science version 21 and descriptive analyses were done. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: Among the 46 students, majority 36 (78.30%) (95% Confidence Interval= 66.30-90.21) of the school children had insufficient urine iodine level. Among 36 salt samples collected from school children with low urine iodine level, 8 (22.2%) salt samples had iodine less than 15ppm. Conclusions: Iodine estimation revealed a very high percentage of urine samples containing insufficient levels of iodine is similar as compared to studies done in similar settings. Hence, the school children were at risk of iodine deficiency disorders. Iodine deficiency disorders prevention programs should be priority intervention based on available evidence. 


Author(s):  
Dinesh P. Sharma ◽  
Amitkumar Maheshwari ◽  
Chandan Chakrabarti ◽  
Darshan J. Patel

Abstract Aim Iodine deficiency disorder (IDD) is the cause of preventable brain damage, mental retardation, and stunted growth and development in children. This study aimed to detect the prevalence of IDD in Kachchh district, Gujarat, by testing urinary iodine excretion levels and iodine intake of salts in school-going children. Methods A cross-sectional study was conducted and the level of iodine deficiency was assessed in 223 school children of both sexes, aged 6 to 12 years from four talukas, that is, subdivisions, of the Kachchh district by estimating urinary iodine using Sandell–Kolthoff reaction along with iodine content in edible salt samples by MBI kit (STK-Spot testing kit, MBI Kits International, Chennai, TN, India). Results The median urinary iodine level was found to be 194 μg/L, indicating no biochemical iodine deficiency in the region. In the study areas, 1% of the population showed a level of urinary iodine excretion < 50 μg/L. About 83% salt samples had iodine level more than 15 ppm and the iodine content in salt samples less than 15 ppm was only about 17%, indicating the salt samples at households contain iodine in adequate level. Conclusion There is a need of periodic surveys to assess the change in magnitude of IDD with respect to impact of iodized salt intervention.Furthermore, to strengthen National Iodine Deficiency Disorders Control Program, factors should be identified. There is also a need to prevent and reimpose the ban on the sale of noniodized salts in Gujarat.


2003 ◽  
Vol 42 (147) ◽  
pp. 128-132 ◽  
Author(s):  
Lochana Shrestha ◽  
J B.K. Khattri

ABSTRACTThe cross sectional study to assess the health and nutritional status of school children in the age group of4-15 years was carried out in 6 government primary schools of Pokhara valley by health team of thedepartment of Social & Preventive Medicine (SPM), Manipal College of Medical Science, Pokhara, Nepal.A total of 750 students of both sexes, 368 boys and 382 girls were examined. The prevalence of wasting andstunting in these children were low (10.3% & 15.7% respectively) with boys suffering more than girls inboth aspects. The 6-10 years old children were affected most. Pediculosis, Dental caries and Worm infestationwere three most common diseases suffered by students. The study highlighted the need for continuation ofschool health services aimed at improvement of their health & nutritional status.Key Words: School Children, Health Status, Wasting, Stunting.


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