Department of Community Medicine, Patna Medical College, Patna, India.
Indian J Pediatr. 2019 Mar;86(3):256-262. doi: 10.1007/s12098-018-2817-7. Epub 2018 Dec 5.
To estimate the proportion of households using adequately iodized salt, total goitre rate and intelligence quotient (IQ) and to assess association, if any, between consumption of iodized salt and intelligence quotient of children aged 6-12 y in the selected districts of Bihar.
Community based cross-sectional study was conducted in three districts of Bihar by using cluster sampling technique.
Consumption of iodized salt was 73.5% out of 1263 households surveyed and the prevalence of goitre among children was 2.9%. The mean IQ of study population was 82.6 and it was 9 points lower in children consuming inadequately iodized salt in comparison to children consuming adequately iodized salt. Presence of goitre, inadequately iodized salt consumption and increasing age were the factors which were significant predictors of low IQ level.
The prevalence of goitre has declined from the past but the target of iodized salt consumption has not yet achieved in these districts. This study reinforces the belief that IQ in children is linked to iodine.
评估使用足够碘盐的家庭比例、总甲状腺肿率和智商,并评估在比哈尔邦选定地区食用碘盐与 6-12 岁儿童智商之间是否存在任何关联。
采用整群抽样技术,在比哈尔邦的三个地区进行了一项基于社区的横断面研究。
在所调查的 1263 户家庭中,有 73.5%的家庭食用碘盐,儿童甲状腺肿的患病率为 2.9%。研究人群的平均智商为 82.6 分,与食用足够碘盐的儿童相比,食用碘盐不足的儿童智商低 9 分。甲状腺肿的存在、碘盐摄入不足和年龄增长是智商水平较低的显著预测因素。
这些地区的甲状腺肿患病率已经从过去下降,但碘盐摄入的目标尚未实现。这项研究进一步证实了儿童智商与碘有关的观点。