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Iodine deficiency disorders in school age children in Kullu District, Himachal Pradesh

Sushil Chander1, Umesh Kapil, Vandana Jain

  • 1District Kullu, Himachal Pradesh, and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi 110 029, India. umeshkapil@gmail.com.

Indian Pediatrics
|October 8, 2013
PubMed

Insights

Iodine deficiency disorder (IDD) affects school children in Himachal Pradesh, with a 23.4% goiter rate. The region may be transitioning from iodine deficiency to sufficiency.

Area of Science:

  • Public Health
  • Endocrinology
  • Nutritional Science

Background:

  • Iodine deficiency disorder (IDD) poses a significant public health challenge in Himachal Pradesh.
  • A study was conducted in Kullu district to evaluate the prevalence of IDD among school-aged children.

Discussion:

  • The study found a Total Goiter Rate (TGR) of 23.4% in 1986 examined children.
  • Median urinary iodine excretion was 175 µg/L, indicating a potential shift in iodine nutrition status.
  • The findings suggest the population might be transitioning from an iodine-deficient to an iodine-sufficient state.

Key Insights:

  • High prevalence of goiter (23.4%) identified in school children.
  • Median urinary iodine levels suggest a move towards iodine sufficiency.
  • Combined clinical and biochemical data provide a comprehensive IDD assessment.

Outlook:

  • Further monitoring is recommended to confirm the transition to iodine sufficiency.
  • Public health interventions should adapt to the evolving iodine nutrition landscape.
  • Continued research on iodine status in vulnerable populations is crucial.

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