Department of Community Medicine, PDU Medical College, Rajkot, India.
Indian Pediatr. 2011 Jun;48(6):453-6. doi: 10.1007/s13312-011-0077-y. Epub 2010 Nov 30.
To compare prevalence of goitre in primary school children; to determine median urinary iodine concentration in children; and, to assess level of salt iodization at retail trader level.
30 cluster survey study.
Primary schools of Kutch district, Gujarat, India.
Total 70 students including five boys and five girls from 1st to 7th standard, present in class on the day of visit were selected randomly for Goitre examination (n=2100). Urine sample was collected from one boy and one girl from each standard in each cluster. From the community, 28 children, including two boys and two girls from each standard in the same age group were examined, and salt samples were tested from their households. From each village, one retail shop was visited and various salts available were purchased and tested for iodine on the spot with spot kit.
Goitre prevalence of 11.2% was found among primary school children (grade 1- 8.6% and grade 2-2.6%). As the age increased, the Goitre prevalence also increased except in age group of 8 years. Median urinary iodine excretion level was 110 µg/L. Iodine level more than 15 ppm was found in 92.3% salts samples tested at the household level.
Present study showed mild goitre prevalence in primary school children in Kutch district of Gujarat.
比较小学生甲状腺肿的患病率；确定儿童尿碘中位数；评估零售商层面盐碘化的水平。
30 个聚类调查研究。
印度古吉拉特邦库奇区的小学。
在访问当天，从每个标准的班级中随机选择 70 名学生，包括 5 名男生和 5 名女生进行甲状腺肿检查（n=2100）。从每个班级中随机抽取一名男生和一名女生收集尿液样本。在社区中，对 28 名儿童进行了检查，包括每个标准的 2 名男生和 2 名女生，检查了他们家庭的盐样本。从每个村庄访问一家零售店，购买各种盐并当场使用现场试剂盒进行碘检测。
在小学生（1-8.6%，2-2.6%）中发现甲状腺肿患病率为 11.2%。随着年龄的增长，甲状腺肿的患病率除了在 8 岁年龄组外也有所增加。尿碘排泄中位数为 110μg/L。在家庭层面检测的 92.3%盐样本中发现碘含量超过 15ppm。
本研究表明古吉拉特邦库奇区小学生的甲状腺肿患病率较轻。
