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Iodine deficiency disorders among school children of Malda, West Bengal, India
Akhil Bandhu Biswas1, Indranil Chakraborty, Dilip Kumar Das
1R. G. Kar Medical College, Kolkata, West Bengal, India. uchakrabarty@hotmail.com
Insights
This study assessed iodine status in 2,392 Indian school children, finding a 11.3% goitre rate but no biochemical iodine deficiency, suggesting a transition to iodine sufficiency.
Area of Science:
- Public Health
- Nutritional Epidemiology
- Endocrinology
Background:
- Iodine deficiency disorders (IDD) remain a public health concern globally.
- Assessing iodine status in school-aged children is crucial for monitoring population-level iodine nutrition.
- The Malda district in West Bengal, India, required updated data on iodine status.
Purpose of the Study:
- To evaluate the iodine nutritional status of school children aged 8-10 years in Malda district.
- To determine the prevalence of goitre and biochemical indicators of iodine deficiency.
- To assess the iodine content of household salt in the study area.
Main Methods:
- A community-based, cross-sectional study involving 2,392 school children.
- Multistage 30 cluster sampling for subject selection.
- Clinical goitre assessment, urinary iodine excretion (UIE) analysis, and salt iodine content testing.
Main Results:
- A total goitre rate of 11.3% was observed, with no significant gender difference.
- Median urinary iodine excretion (UIE) was 15 mcg/dL, with no child below 5 mcg/dL.
- 85.1% of tested salt samples contained adequate iodine (≥15 ppm).
Conclusions:
- The Malda district exhibits a goitre rate of 11.3% but lacks biochemical evidence of current iodine deficiency.
- The findings suggest that Malda district is transitioning from an iodine-deficient to an iodine-sufficient status.
- Continued monitoring of iodine intake and IDD is recommended.
Abstract:
A community-based, cross-sectional study was conducted among 2,392 school children, aged 8-10 years, in Malda district of West Bengal, India, in January 2001 to assess their iodine status. The children were selected through a multistage 30 cluster-sampling technique to determine the status of iodine deficiency disorders (IDD) using recommended quantifiable indicators. The prevalence of goitre was assessed clinically using the standard palpation method by the teachers of Community Medicine, and a total goitre rate of 11.3% was found with no significant gender difference (p>0.05). Urinary iodine excretion (UIE) levels of 341 study subjects, selected through systematic random sampling, were analyzed by the wet digestion method to determine biochemical iodine deficiency by the teachers of Biochemistry Department. The median UIE was 15 mcg/dL, and no child had UIE value less than 5 mcg/dL. Iodine content of 1,060 salt samples tested with spot-testing kit revealed 85.1% with adequate iodine content of > or = 15 ppm. The finding of 11.3% of total goitre rate but with no evidence of current iodine deficiency (median UIE 15 mcg/dL) indicates that the Malda district is in the transition phase from iodine-deficient to iodine-sufficient.
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