Fortification of Bread with Iodized Salt Corrected Iodine Deficiency in School-Aged Children, But Not in Their Mothers: A National Cross-Sectional Survey in Belgium

Thyroid ◽  
2012 ◽  
Vol 22 (10) ◽  
pp. 1046-1053 ◽  
Author(s):  
Stefanie Vandevijvere ◽  
Ahmed Bensouda Mourri ◽  
Sihame Amsalkhir ◽  
Freddy Avni ◽  
Herman Van Oyen ◽  
...  
Thyroid ◽  
2012 ◽  
pp. 120618102027004 ◽  
Author(s):  
Stefanie Vandevijvere ◽  
Ahmed Bensouda Mourri ◽  
Sihame Amsalkhir ◽  
Freddy Avni ◽  
Herman Van Oyen ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Befikaduwa Zekarias ◽  
Frehiwot Mesfin ◽  
Bezatu Mengiste ◽  
Adane Tesfaye ◽  
Lemma Getacher

Background. Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Gofa woreda, Gamo Gofa Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using EpiData version 3.2 and analyzed using SPSS version 20. Variables with a P value ≤0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P value <0.05 in multivariate logistic regression were considered significantly associated with the dependent variable. Results. The total goiter rate was 43%, 95% CI = 39.2–46.9. Cassava consumption (AOR: 2.02, 95% CI: 1.03–4), salt wash before use (AOR: 3.14, 95% CI: 1.1–11.3), salt use after >2 months of purchase (AOR: 11, 95% CI: 5–26), family history of goiter (AOR: 4.6, 95% CI: 1.4–15.8), and poor knowledge of iodized salt (AOR: 2.7, 95% CI: 1.4–5.5) were significant factors associated with goiter. Conclusion. Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine, and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use, and the prevention of iodine deficiency, which are highly recommended to minimize the problem.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 840-842
Author(s):  
Praneeksha Ravichandran ◽  
Dhanraj Ganapathy ◽  
Keerthi Sasanka

Iodised salt is table salt mixed with minute amounts of the element iodine. The ingestion of iodine prevents iodine deficiency. Worldwide, iodine deficiency affects about two billion people and is the leading preventable cause of intellectual and development disabilities. To create awareness among dental students on the iodizied salt and its treatment effect on iodine deficiency. The questionnaire was based on the observational cross-sectional type of study comprising 100 dental students from the Saveetha Dental College. A self-administered questionnaire was given to the students. It was designed to collect data on the use of iodized salt among dental students through an online survey mode containing a set of 10 questions about the use of iodized salt and is a yes or no type. The results were evaluated based on the answers given by the participants. 84% of the dental students use iodised salt, which is more than half but still, the rest of them did not use iodized salt. 26% of dental students have an iodine deficiency. 83% of the students use iodized salt for cooking. 61 % of the students think that iodised salt is healthy. 32%students have answered that sea salt and 7% Himalayan salt is healthy. 65% of the dental students were aware of average salt consumption per day. Majority of the dental students were aware of iodized salt and its treatment effect on iodine deficiency. However, more needs to create on its adverse effects and its role in dietary intake of iodine.


Author(s):  
Sadia Jahan ◽  
Md. Saddam Hossain ◽  
Md. Anisur Rahman Bhuiyan ◽  
Susmita Roy Lisa ◽  
Somaia Haque Chadni

Aim: To evaluate the household iodine content and knowledge, attitude, and behavior regarding salt iodization among the residents of Cumilla, Bangladesh. Subjects and Methods: We conducted a cross-sectional survey of 700 inhabitants in Cumilla's urban and rural areas to determine the iodine concentration of salt they consume. The participants were asked about what they know about iodine deficiency and salt iodization as well as how their salt was packaged and stored. Among them, 338 people provided a sample of salt to be tested of its iodine content by the titrimetric method. Results: 46.57% of people knew that iodization was the best way to prevent iodine deficiency while 35.14% considered salt iodization during purchasing. Most people stored salt in plastic boxes (89.7%) and closed containers (84.14%).Among all participants, only 37.14% of people were aware of the iodine requirement during pregnancy. In urban regions, the median iodine content was 36.76 ppm (OR=0.658, 95% CI, 0.469-0.925), while in rural areas, the median iodine content was 40.92 ppm (OR=1.188, 95% CI, 1.022-1.380). Iodine levels were less than 15 ppm (minimum limit) in 6.8% of samples and greater than 40 ppm (maximum limit) in 56.5%. Only 36.7% of the salt samples contained adequate iodine. Conclusion: An effective and consistent approach for controlling iodine concentration in distributed salt is required at Cumilla, Bangladesh.


2019 ◽  
Vol 59 (6) ◽  
pp. 2535-2545 ◽  
Author(s):  
Sofia Manousou ◽  
Maria Andersson ◽  
Robert Eggertsen ◽  
Sandra Hunziker ◽  
Lena Hulthén ◽  
...  

Abstract Purpose Voluntary salt iodization at 50 mg/kg salt ensures adequate iodine nutrition in Swedish school-aged children, but iodine status in pregnant women is uncertain. Methods We conducted a cross-sectional national study of 743 pregnant women, at median gestational age of 23 weeks (IQR 9, 38), recruited from maternal health care centers. We measured: urinary iodine concentration (UIC) and urinary creatinine concentration in spot urine samples; thyroglobulin (Tg), thyroid-stimulating hormone (TSH), and total thyroxine (tT4) on dried blood spots (DBS); and thyreoperoxidase antibodies in serum samples. Data on dietary supplement use were obtained, and women were classified as supplement users (consuming multivitamins containing ≥ 150 µg iodine/day) and non-supplement users (no supplements or < 150 µg iodine/day from supplements). Results Overall median UIC [bootstrapped 95% confidence interval (CI)] was 101 µg/L (95, 108; n = 737): 149 µg/L (132, 164) in supplement users (n = 253) and 85 µg/L (79, 92) in non-supplement users (n = 440) (p < 0.001). Overall geometric mean DBS-Tg (95% CI) was 22.1 μg/L (20.8, 23.5; n = 675) and the prevalence of elevated DBS-Tg was 19%. DBS-Tg was lower in supplement users (n = 229) than in non-supplement users (n = 405) (19.1 vs 24.4 μg/L, p < 0.001). DBS-TSH, DBS-tT4, and S-TPOab positivity did not differ between the two groups. Conclusions Pregnant women in Sweden have inadequate iodine nutrition. Women not taking iodine supplements containing ≥ 150 µg iodine/day are affected by mild iodine deficiency and are at higher risk for increased thyroid activity, while maintaining euthyroidism. Iodine intake should be improved in women both before and after conception by promotion of iodized salt instead of non-iodized salt. We urge regular monitoring of iodine status in the general Swedish population, as well as in risk groups.


2020 ◽  
Vol 114 (4) ◽  
pp. 315-322
Author(s):  
Hannah J Russell ◽  
James M StJ Penney ◽  
Cortland Linder ◽  
Elizabeth C Joekes ◽  
Amaya L Bustinduy ◽  
...  

Abstract Background A cross-sectional survey was performed to estimate the prevalence of periportal fibrosis in children based on ultrasound examination in the Marolambo district of the Atsinanana region of Madagascar. This is a remote area known to have a high prevalence of intestinal schistosomiasis. Methods School-aged children (5–14 y) were selected from six villages for parasitological and sonographic examination. Circulating cathodic antigen (CCA) tests and Kato Katz (KK) stool microscopy were performed. Video-clips of liver views were recorded with a SonoSite iViz and interpreted in the UK by comparison with standardised images (WHO protocol). Results The prevalence of schistosomiasis according to CCA testing was 97.8% (269/275) and 73.8% (203/275) by KK. Sonographic evidence of periportal fibrosis was observed in 11.3% (31/275). The youngest children with fibrosis were aged 6 y. Fibrosis was more common in older children (p=0.03) but was not associated with either infection intensity category (p=0.07) or gender (p=0.67). Conclusions Findings of periportal fibrosis among children in these hard-to-reach villages suggests chronic Schistosoma mansoni infection from a very young age. This may reflect other similarly remote schistosomiasis-endemic areas and reinforces the need to investigate morbidity in neglected communities to understand the true extent of disease burden in endemic countries.


2016 ◽  
Vol 5 (4) ◽  
pp. 392
Author(s):  
Anteneh Berhane Yaye ◽  
Negga Baraki ◽  
Birhanu Seyum Endale

In Ethiopia, Iodine Deficiency Disorder has been recognized as a serious public health problem for the past six decades. In 2011, an estimated <br /> 12 million school-age children were living with inadequate iodine, and <br /> 66 million people were at risk of iodine deficiency. One out of every <br /> 1000 people is a cretin mentally handicapped, due to a congenital thyroid deficiency, and about 50000 prenatal deaths are occurring annually due to iodine deficiency disorders. Only 5.7% of the households were using iodized salt in Dire Dawa city Administration, which is below the legal requirement.This study assessed availability of adequately iodized salt at household level and associated factors in Dire Dawa town, East Ethiopia. Community based cross-sectional study was carried out among households in Dire Dawa town during March 16-26, 2015. Multistage sampling technique was used. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique. Bivariate and multivariate analyses were performed to check associations and control confounding. A total of 694 participants were participated. The availability of adequately iodized salt (≥15 parts per million) in the study area was 7.5% (95% CI; 5.6-9.5). Multivariate result showed that health information about iodized salt (AOR=8.96, 95% CI; 4.68-17.16) (p=0.03), good knowledge about iodized salt (AOR=9.23, 95% CI; 3.34-25.5) (p=0.01) and using packed salt (AOR=3.99, 95% CI; 1.48-10.73) (p=0.006) were associated with availability of adequately iodized salt at household level. Availability of adequately iodized salt at household level was very low.  Hence, households should be sensitized about importance of iodized salt and its proper handling at the household level.


2007 ◽  
Vol 10 (4) ◽  
pp. 364-370 ◽  
Author(s):  
Michal Molcho ◽  
Saoirse Nic Gabhainn ◽  
Colette Kelly ◽  
Sharon Friel ◽  
Cecily Kelleher

AbstractObjectivesTo investigate the relationships between food poverty and food consumption, health and life satisfaction among schoolchildren.DesignAnalysis of the 2002 Health Behaviour in School-aged Children (HBSC) study, a cross-sectional survey that employs a self-completion questionnaire in a nationally representative random sample of school classrooms in the Republic of Ireland.SubjectsA total of 8424 schoolchildren (aged 10–17 years) from 176 schools, with an 83% response rate from children.ResultsFood poverty was found to be similarly distributed among the three social classes (15.3% in the lower social classes, 15.9% in the middle social classes and 14.8% in the higher social classes). It was also found that schoolchildren reporting food poverty are less likely to eat fruits, vegetables and brown bread, odds ratio (OR) from 0.66 (95% confidence interval (CI) 0.45–0.87) to 0.81 (95% CI 0.63–0.99); more likely to eat crisps, fried potatoes and hamburgers, OR from 1.20 (95% CI 1.00–1.40) to 1.62 (95% CI 1.39–1.85); and more likely to miss breakfast on weekdays, OR from 1.29 (95% CI 0.33–1.59) to 1.72 (95% CI 1.50–1.95). The risk of somatic and mental symptoms is also increased, OR from 1.48 (95% CI 1.18–1.78) to 2.57 (95% CI 2.33–2.81); as are negative health perceptions, OR from 0.63 (95% CI 0.43–0.83) to 0.52 (95% CI 0.28–0.76) and measures of life dissatisfaction, OR from 1.88 (95% CI 1.64–2.12) to 2.25 (95% CI 2.05–2.45). Similar results were found for life dissatisfaction in an international comparison of 32 countries. All analyses were adjusted for age and social class.ConclusionsFood poverty in schoolchildren is not restricted to those from lower social class families, is associated with a substantial risk to physical and mental health and well-being, and requires the increased attention of policy makers and practitioners.


2007 ◽  
Vol 10 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Uma Chitra ◽  
C Radha Reddy

AbstractObjectivesTo ascertain the breakfast habits of 10–15-year-old schoolchildren and to assess the quality of this meal as well as its relationship to the food consumption pattern for the full day.DesignCross-sectional survey.Subjects and settingEight hundred and two schoolchildren, boys and girls, aged 10–15 years, belonging to different urban schools located in Secunderabad, Andhra Pradesh, India.MethodThe breakfast eating patterns of the children were studied and their impact on growth was assessed, using dietary recalls and anthropometric measurements.ResultsOnly 42.8% of the children ate breakfast regularly. Over half of the children skipped breakfast, ranging from daily to once in two weeks. The energy and protein composition of breakfasts eaten by the children indicated that those who did not skip breakfast met one-quarter to one-third of their total daily energy and protein requirements. Mean nutrient intakes calculated from 24-hour recalls revealed that the children's diets were inadequate compared with the recommended values for energy and protein. The inadequate energy intake was reflected in a high incidence of malnutrition in both boys and girls; 40.3% of the boys and 32.1% of the girls studied were found to be underweight. Protein intake was also inadequate among boys and girls, although a higher percentage of children met their protein requirements.ConclusionsOver half of the schoolchildren studied skipped breakfast frequently, the main reason being getting up late. Children who consumed breakfast had higher daily intakes of energy and protein than children who skipped breakfast. These data confirm the importance of breakfast to overall dietary quality and adequacy in school-aged children.


PLoS ONE ◽  
2018 ◽  
Vol 13 (3) ◽  
pp. e0193848 ◽  
Author(s):  
João Cavaleiro Rufo ◽  
Inês Paciência ◽  
Diana Silva ◽  
Carla Martins ◽  
Joana Madureira ◽  
...  

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