Çelik Tanju, Savaş Nazan, Kurtoğlu Selim, Sangün Özlem, Aydın Zeki, Mustafa Didin, Öztürk Oktay Hasan, Mısırlıoğlu Seher, Öktem Murat
Department of Pediatrics, Mustafa Kemal University, Tayfur Ata Sökmen Faculty of Medicine, Hatay, Turkey.
Department of Public Health, Mustafa Kemal University, Tayfur Ata Sökmen Faculty of Medicine, Hatay, Turkey.
Turk Pediatri Ars. 2014 Jun 1;49(2):111-6. doi: 10.5152/tpa.2014.1209. eCollection 2014 Jun.
Thyroid diseases related with iodine deficiency are observed commonly in our country and in the world. In this study, we aimed to investigate iodine deficiency in urine and selenium, zinc, copper or molybdenum deficiency which may accompany this in children aged between 6 and 12 years in two schools in the province of Hatay (endemic goitre region).
This study is a case-control field-study in which students aged between 6 and 12 years were included. One hundred fourteen subjects from the village of Tanışma related to the center of our province and 100 subjects from the city center of Hatay (Antakya) were included in the study. Iodine, selenium, zinc, copper and molybdenum levels were measured in the urine samples of the students included in the study.
Iodine deficiency was found with a severe (5%), moderate (18.4%) and mild degree (43%), respectively in the village of Tanışma. Mild iodine deficiency (7%) was found in the center of Hatay. No moderate and severe iodine deficiency was found in the control group. A significant difference was found between the groups in terms of urine iodine excretion (p<0.001). A significant correlation was found between the levels of iodine, selenium, zinc and molybdenum (p<0.05). A moderately positive correlation was found between iodine and selenium (p<0.001). A moderately positive correlation was found between iodine and zinc levels (p<0.001) and a weak correlation was found between iodine and molybdenum (p<0.01). No significant correlation was found between iodine level and copper level (p>0.05).
Selenium and zinc deficiency may accompany iodine deficiency. Selenium and zinc deficiency should be considered in individuals who are found to have iodine deficiency especially in endemic goitre regions.
碘缺乏相关的甲状腺疾病在我国乃至全球都较为常见。在本研究中,我们旨在调查哈塔伊省(地方性甲状腺肿流行区)两所学校6至12岁儿童的尿碘缺乏情况以及可能与之伴随的硒、锌、铜或钼缺乏情况。
本研究为病例对照现场研究,纳入了6至12岁的学生。来自该省中心附近的塔纳什马村的114名受试者以及来自哈塔伊市中心(安塔基亚)的100名受试者被纳入研究。对纳入研究的学生的尿液样本进行碘、硒、锌、铜和钼水平的测定。
在塔纳什马村分别发现重度碘缺乏(5%)、中度碘缺乏(18.4%)和轻度碘缺乏(43%)。在哈塔伊市中心发现轻度碘缺乏(7%)。对照组未发现中度和重度碘缺乏。两组之间尿碘排泄存在显著差异(p<0.001)。碘、硒、锌和钼水平之间存在显著相关性(p<0.05)。碘与硒之间存在中度正相关(p<0.001)。碘与锌水平之间存在中度正相关(p<0.001),碘与钼之间存在弱相关(p<0.01)。碘水平与铜水平之间未发现显著相关性(p>0.05)。
硒和锌缺乏可能伴随碘缺乏。对于发现有碘缺乏的个体,尤其是在地方性甲状腺肿流行区,应考虑硒和锌缺乏的情况。