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Iodine deficiency in Saudi Arabia
A R Al-Nuaim1, Y Al-Mazrou, M Kamel
1Department of Medicine, and College of Science, King Saud University, Ministry of Health, and Department of Medicine, Security Forces Hospital, Riyadh, Saudi Arabia.
Annals of Saudi Medicine
|May 1, 1997
Summary
Saudi schoolchildren show mild iodine deficiency, particularly in the Southern province, with higher goiter rates. This highlights the need for improved iodized salt programs across the nation.
Area of Science:
- Public Health
- Nutrition Science
- Epidemiology
Background:
- Iodine deficiency data in the Arabian Peninsula is limited.
- Iodine deficiency disorders (IDD) pose significant public health challenges globally.
- Saudi Arabia lacks comprehensive data on iodine status among its schoolchildren.
Purpose of the Study:
- To assess the iodine status of Saudi schoolchildren aged 8-10 years.
- To determine the prevalence and geographical distribution of iodine deficiency and goiter.
- To identify regions requiring targeted iodine deficiency disorder (IDD) control programs.
Main Methods:
- A cross-sectional national epidemiological survey was conducted.
- Random sampling considered gender, provincial population, and area distribution.
- Urinary iodine concentration (UIC) and goiter prevalence were assessed in 4638 schoolchildren.
Main Results:
- The national median urinary iodine concentration was 18 µg/dL, indicating mild iodine deficiency.
- Significant provincial variations in UIC were observed, with the Southern province showing the lowest median (11 µg/dL) and highest IDD risk (45% <10 µg/dL).
- Goiter prevalence was highest in the Asir region (Southern province) and lowest in Gizan, correlating significantly with lower UIC.
Conclusions:
- Saudi Arabia exhibits mild iodine deficiency, most pronounced in the Southern province.
- A significant relationship exists between goiter prevalence and urinary iodine concentration.
- There is an urgent need for a national control program to ensure universal access to iodized salt, especially in iodine-deficient regions.
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