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Rickets and soil strontium

S Ozgür1, H Sümer, G Koçoğlu

  • 1Department of Public Health, Faculty of Medicine, Gaziantep University, Turkey.

Archives of Disease in Childhood
|December 1, 1996
PubMed
Summary
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High soil strontium levels significantly increase childhood rickets prevalence in grain-dependent communities. Dietary changes and sourcing safe water/cereals are recommended preventive measures.

Area of Science:

  • Environmental health
  • Pediatric nutrition
  • Geochemistry

Background:

  • Rickets is a significant public health concern in children.
  • Soil composition, particularly strontium levels, may influence rickets prevalence.
  • Dietary factors, especially cereal-based nutrition, are implicated in rickets development.

Purpose of the Study:

  • To investigate the association between soil strontium levels and rickets prevalence in children.
  • To determine the impact of strontium exposure on rickets in a population with high cereal consumption.

Main Methods:

  • Study conducted in Ulas Health Region, Sivas, involving children aged 6-60 months.
  • Villages categorized into two groups based on soil strontium content: Region 1 (>350 ppm) and Region 2 (<350 ppm).

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  • Prevalence of clinical rickets signs assessed and compared between the two regions, controlling for other variables.

    • Main Results:

    • Overall rickets prevalence was 22.9%.
    • Region 1 (high strontium) showed a significantly higher rickets prevalence (31.5%) compared to Region 2 (low strontium, 19.5%) (p < 0.001).
    • The association between high soil strontium and increased rickets prevalence persisted after accounting for other relevant factors.

    Conclusions:

    • Elevated soil strontium significantly increases rickets prevalence in children, particularly in areas reliant on cereal-based diets.
    • Recommendations include increasing animal-source foods, sourcing cereals and water from low-strontium areas, and calcium supplementation.