Factors influencing the iodine status of children aged 12 to 59 months from Jaffna District, Sri Lanka in the post-iodization era; a descriptive, cross-sectional study

Autor: Balakumar Sandrasegarampillai, Vasanthy Arasaratnam, Kandeepan Karthigesu
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Cross-sectional study
Physiology
Social Sciences
Families
Interquartile range
Natural Resources
Medicine and Health Sciences
Birth Weight
Children
Geographic Areas
Multidisciplinary
Geography
Nutritional Deficiencies
Iodised salt
Chemistry
Physiological Parameters
Micronutrient Deficiencies
Child
Preschool
Physical Sciences
Water Resources
Medicine
Female
Research Article
Chemical Elements
Iodine
Urban Areas
medicine.medical_specialty
Science
Birth weight
Excretion
chemistry.chemical_element
Human Geography
Urban Geography
Environmental health
medicine
Humans
Sodium Chloride
Dietary
Nutrition
Sri Lanka
business.industry
Public health
Body Weight
Ecology and Environmental Sciences
Biology and Life Sciences
Infant
medicine.disease
Iodine deficiency
Diet
Cross-Sectional Studies
chemistry
Food
Age Groups
People and Places
Earth Sciences
Population Groupings
Sri lanka
business
Physiological Processes
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 6, p e0252548 (2021)
ISSN: 1932-6203
Popis: Background Iodine status, including Iodine Deficiency (ID) of the children aged 12–59 months of Jaffna District, Sri Lanka, have never been studied. This study thus aimed to assess ID among children aged 12–59 months by monitoring the Urinary Iodine Concentrations (UIC), the prevalence of goitre, and the factors causing ID. Method A cross-sectional study was conducted among 846 children aged 12–59 months in Jaffna District, Sri Lanka. Sociodemographic characteristics and other factors were collected using an interviewer-administered questionnaire. Dietary pattern of children was obtained using semi-quantitative food frequency questionnaire. We performed urinary iodine estimation and physical examinations to detect the goitre, according to the World Health Organization criteria. A multivariate logistic linear regression model was used to identify the factors that causing ID. Result The median UIC was 146.4 μg/L (interquartile range = 112.6–185.3 μg/L). Based on the UIC (0.05). Median UIC was significantly associated with living area, wealth status, type of drinking water, and method of iodized salt usage. A higher percentage of ID was significantly associated with younger age [AOR 2.32 (95% CI: 1.31–4.10)], urban area [AOR 1.94 (95% CI 1.27–2.96)], inland regions [AOR 3.20 (95% CI 1.85–5.55)], improper method of iodized salt usage [AOR 3.63 (95% CI: 1.38–9.56)], and low consumption of iodine-containing foods. The neck palpation revealed that only three children had goitre (0.4%). Conclusion This study revealed that high ID among the children in Jaffna children was due to improper usage of iodized salt, even though the iodized salt is freely available in the region, living area, and age, while the prevalence of goitre was not significantly identified as a public health problem.
Databáze: OpenAIRE
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