000			02574nam a2200241Ia 4500
008			200306s2019 xx 000 0 und d
100			_aBali, Surya.
245		0	_aIodine nutritional status and prevalence of goitre among school going children : _ba cross-sectional study to assess progress towards universal salt iodization in Tikamgarh district of Madhya Pradesh / _cSurya Bali, Pritish Kumar Nayak
260			_cJune 2019
336			_atext
337			_aunmediated
338			_avolume
440			_n28 : 2, page 356-361. _aAsia Pacific Journal of Clinical Nutrition
520			_aBackground and Objectives: Iodine deficiency disorders (IDD) has been a major public health challenge for the Indian subcontinent over many years. Our study was conducted in Tikamgarh district of Madhya Pradesh, an Iodine deficiency disorders-endemic district, with the objective to estimate Total Goitre rate and iodine nutrition status. Methods and Study Design: A cross-sectional study with 30 cluster sampling was conducted between June to July 2016 among school-going children in the age group of 6-12 years. 90 children from each school (30x90=2700) were selected for the assessment of Goitre. Total 540 salt samples and 270 urine samples were collected to estimate salt iodine content from their house-hold and Urine Iodine Excretion (UIE) respectively. A total of 150 households and 30 shopkeepers were interviewed to understand the awareness level for salt iodization. Results: Goitre rate in Tikamgarh district was 1.9% with prevalence of Grade I&II was 1.7% and 0.2% respectively. The median UIE level was 200 mcg/L. The 20% the population had iodine deficiency, 28.9% population had adequate iodine nutrition and 51.1% population had either more than adequate level of Iodine. The 72.4% of the population consume adequately iodized salt (≥15 ppm). Conclusions: Our study concludes that Tikamgarh district is non-endemic for IDDs against the earlier classification as an IDD-endemic district. About 20% population has 'Iodine deficiency' and approximately 51.1% population has 'more than adequate iodine intake'. We recommend stringent programme monitoring, undertake periodic assessment of IDD and explore manifestations of excess iodine intake (≥300 mcg/L) such as Iodine-induced hyperthyroidism in future.
521			_aNutrition.
650			_aCluster sampling.
650			_aHyperthyroidism.
650			_aIodine deficiency disorders.
650			_aIodine toxicity.
650			_aUrinary iodine excretion.
942			_2lcc _cA
998			_c84355 _d142718
999			_c80855 _d80855