印度北阿坎德邦乌德汉姆·辛格讷格尔地区碘缺乏病状况
Status of iodine deficiency disorder in district Udham Singh Nagar, Uttarakhand state India.
作者信息
Kapil Umesh, Pandey R M, Jain Vandana, Kabra Madhulika, Sareen Neha, Bhadoria Ajeet Singh
机构信息
Department of Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Indian J Endocrinol Metab. 2014 May;18(3):419-21. doi: 10.4103/2230-8210.131219.
BACKGROUND
Iodine deficiency disorder (IDD) is a public health problem in Uttarakhand state.
OBJECTIVE
The present study was conducted in district Udham Singh Nagar, Uttarakhand state with an objective to assess the status of iodine deficiency amongst school age children (6-12 years).
MATERIALS AND METHODS
Thirty clusters were selected by utilizing the population proportionate to size (PPS) cluster sampling methodology. A total of 1807 children in the age group of 6-12 years were included. The clinical examination of the thyroid of each child was conducted. Urine and Salt samples were collected from children.
RESULTS
The Total Goiter Rate (TGR) was found to be 13.2%. The proportion of children with Urinary Iodine Excretion (UIE) level <20, 20-49, 50-99, 100-199 and ≥200 μg/l was found to be nil, 6.0, 21.2, 34.2 and 38.5 percent, respectively. The median UIE level was 150 μg/l. Only 46.7% of the salt samples had stipulated level of iodine of 15 ppm and more.
CONCLUSION
The study population had mild degree of public health problem of iodine deficiency.
背景
碘缺乏症（IDD）是北阿坎德邦的一个公共卫生问题。
目的
本研究在北阿坎德邦的乌德汉姆·辛格·纳加尔区开展，旨在评估学龄儿童（6至12岁）的碘缺乏状况。
材料与方法
采用按规模大小成比例的概率抽样（PPS）整群抽样方法选取30个群组。共纳入1807名6至12岁的儿童。对每个儿童的甲状腺进行临床检查。收集儿童的尿液和盐样本。
结果
总甲状腺肿率（TGR）为13.2%。尿碘排泄（UIE）水平<20、20 - 49、50 - 99、100 - 199和≥200μg/l的儿童比例分别为零、6.0%、21.2%、34.2%和38.5%。尿碘排泄中位数水平为150μg/l。只有46.7%的盐样本碘含量规定水平为15ppm及以上。
结论
研究人群存在轻度碘缺乏公共卫生问题。
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