Urinary iodine excretion in urine samples among children in Dang district, Gujarat
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20172820Keywords:
Iodine intake, Iodine deficiency disorder, Median urinary iodine, School childrenAbstract
Background: Iodine is an essential micronutrient required for normal human growth and development as it is needed for the synthesis of thyroid hormones produced by thyroid glands. The sicknesses occurred due to deficiencies of iodine in the nutrition are termed iodine deficiency disorders. Urinary iodine concentration is the prime indicator of a person’s nutritional iodine status. So, the aim of this study was to assess the status of iodine deficiency based on median urinary iodine excretion.
Methods: Community based cross sectional study was carried out among purposively selected primary schools of the Dang district. All students between the age group of 6 to 12 years who were present on the day of visit were included in the study. A total 387 urine samples were collected during the period of August 2015 to September 2016.
Results: Based on median urinary iodine excretion, among total analysed samples, about 6.5% samples confirmed severe iodine deficiency, 22% samples showed moderate iodine deficiency and about 36% samples indicated mild iodine deficiency. About one third (31.3%) samples suggested optimum iodine intake. Only few samples (4.4%) revealed more than required iodine intake.
Conclusions: About one third (31.3%) of the surveyed population had adequate iodine intake while majority (64.4%) of them had inadequate iodine intake.
References
Damor JR, Padhiyar NG, Ninama GL. Urinary Iodine Excretion in Urine Samples Among Children in Dahod District, Gujarat. Indian J Clin Pract. 2013;23(9):560-64.
Park K. Health programmes in India. Iodine deficiency disorders programme. In Park’s Textbook of Preventive and Social Medicine, 21st edition. Bhanot publication; 2011: 404.
Find a vitamins or supplement Iodine. Available at http://www.webmd.com/vitamins-supplements/ingredientmono-35 iodine. aspx? activeingredientid=35. Accessed on 15 February 2017.
Wikipedia contributors. Iodine deficiency [Internet]. Wikipedia, the Free Encyclopedia; 2017, 19:28 UTC. Available at: https://en.wikipedia.org/ w/index.php?title=Iodine_deficiency&oldid=766893454. Accessed on 27 February 2017.
Kishor J. National Iodine Deficiency Disorder Control Program. Project against micronutrient malnutrition. In J.koshor’s Textbook of National health program of India, 9th edition. Century publication; 2007: 370.
Micronutrients — Iodine, Iron and Vitamin A". UNICEF. Available at: https://www.unicef.org/ nutrition/index_iodine.html. Accessed on 21 February 2017.
Iodised salt: The lesser known facts. India together. Available at http://indiatogether.org/saltmess-health. Accessed 25 February 2017.
Delange F, Benoist BD, Burgi H, the ICCIDD Working Group. Determining median urinary iodine concentration that indicates adequate iodine intake at population level. Bulletin WHO. 2002;80(8):633-6.
Desai A, Grewal E, Gupta N, Khadgawat R, Tandon N. Assessment of iodine nutrition in pregnant north Indian subjects in three trimesters. Indian J Endocrinol Metabol. 2013;17(2):289-93.
Suryakantha AH. National Health Programmes. National Iodine Deficiency Disorder Control Programme. In Community Medicine with Recent Advances, 2nd Edition. Jaypee Publication; 2010: 805.
WHO. Assessment of Iodine Deficiency Disorders and monitoring their elimination. A guide for Programme managers. World Health Organization; 2007: 33.
Amin D, Rathod S, Doshi V, Singh MP. Changing Prevalence of Iodine Deficiency Disorders in Amreli District, Gujarat, India. NJIRM. 2011;2(3):77-80.
Rawal S, Kedia GA. Prevalence study of iodine deficiency disorder in children of primary schools in Gandhinagar district. National J Community Med. 2011;2(3):478-82.
Rasmussen LB, Ovesen L, Christiansen E. Day-to-day and within-day variation in urinary iodine excretion. Eur J Clin Nutr. 1999;53:401-7.
Burgi H, Bangerter B, Siebenhuner L. High day-to-day variability of urinary iodine excretion despite almost universal salt iodization in Switzerland. In: Geertman RM, editor. 8th World Salt Symposium. Volume 2. Amsterdam: Elsevier; 2000: 961-963.
Als C, Helbling A, Peter K, Haldiman M, Zimmerli B, Gerber H. Urinary iodine concentration follows a circadian rhythm: A study with 3023 spot urine samples in adults and children. J Clin Endocrinol Metabol. 2000;85:1367-9.