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Published on: July 13, 2018
[Monitoring of iodine in The Child and Adolescent Health Survey]
A Dippelhofer1, M Thamm, W Thierfelder
1Robert Koch-Institut, Seestrasse 10, 13353 Berlin.
Insights
A large-scale survey will monitor iodine levels in 11,300 children and adolescents. Initial findings indicate a low goitre prevalence, suggesting adequate iodine supply in this population.
Area of Science:
- Public Health
- Pediatrics
- Endocrinology
Background:
- Iodine deficiency can impact child development.
- Comprehensive monitoring of iodine status in children is crucial.
- Previous data on iodine intake in German children and adolescents is limited.
Purpose of the Study:
- To assess the iodine status of children and adolescents in Germany.
- To determine the prevalence of thyroid abnormalities.
- To investigate factors influencing iodine status and thyroid health.
Main Methods:
- A nationwide survey involving 11,300 participants aged 6-18 years.
- Sonographic measurement of thyroid volume.
- Biochemical analyses including thyroid hormones and urinary iodine excretion.
- Collection of dietary iodine intake, supplement use, and socio-demographic data via questionnaire.
Main Results:
- Pilot study demonstrated feasibility of methods.
- Low goitre prevalence of 4.2% observed in the pilot.
- Thyroid volume showed significant correlation with height and weight.
- No significant gender or location-based differences in thyroid volume.
Conclusions:
- The survey methodology is feasible for large-scale implementation.
- Initial data suggests a potentially adequate iodine supply in the studied population.
- Further analysis will provide a comprehensive understanding of iodine status in German children and adolescents.
Abstract:
In the first quarter of 2003 a National Health Survey for Children and Adolescents will be started and carried out over a period of three years. In 11,300 children and adolescents between 6 and 18 years a comprehensive iodine monitoring will be realised. The volume of the thyroid gland will be determined sonographically, thyroid hormones and the urinary iodine excretion will be measured. Apart from the nutritional intake of iodine and the use of supplements, socio-demographic and other variables relevant to health will be recorded in a self-administered questionnaire. In the pilot study of the Health Survey for Children and Adolescents from March 2001 to March 2002 the method was tested on 426 children and adolescents and has proved feasible. The sample for the pretest was not representative for the population of children and adolescents in Germany but may already be an indication for the iodine supply. A low goitre prevalence of 4.2% was found. The total thyroid volume correlated significantly with height and weight. There was no significant difference between boys and girls or between a rural and an urban sample point.
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