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NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?

Year 2021, , 221 - 226, 25.04.2021
https://doi.org/10.26650/IUITFD.2020.0081

Abstract

Objective: Impaired physical growth is one of the prolonged effects of deficient iodine, a micronutrient. Thus, this study aimed to determine the relationship between the urinary iodine levels and anthropometric indices in a population of schoolchildren in Ilorin, North-Central Nigeria. Material and Method: This was a cross-sectional analytical study carried out among primary schoolchildren in Ilorin, North-Central Nigeria. We recruited a total of 492 children aged 6-12 years through a multi-staged systematic sampling technique. Anthropometry was determined using standard methods. We collected urine samples from the pupils and analysed them for iodine in the laboratory using the Sandell-Kolthoff method. Results: Of the 492 children recruited, 13 (3.2%) were under weight, 23 (4.7%) were stunted, 21 (4.3%) had thinness and obesity was found in 7 (1.5%). The mean (SD) weight for age Z score (WAZ) was -0.216 (1.089), and height for age Z score (HAZ) was -0.073 (1.286). The mean weight for height z score (WHZ) and weight for age Z score (BAZ) were 1.036 (0.002) and -0.428 (0.976) respectively. A total of 26.5% of the schoolchildren had mild iodine deficiency, 0.4% had excess urinary iodine levels and no child had moderate or severe iodine deficiency. There was no relationship between the urinary iodine levels and anthropometric indices (WAZ p=0.665, HAZ p= 0.978, WHZ p=0.375, and BAZ p=0.928). Conclusion: This study showed that there is no relationship between nutritional indices and urinary iodine levels. Hence, nutritional status of schoolchildren may not reflect their iodine level.

References

  • 1 Puntis JWL. Clinical methods and anthropometry. In: Koletzko B, Bhatia J, Bhutta ZA, Cooper P, Makrides M, Uauy R, et al. (eds). Pediatric Nutrition in Practice. Karger: Munich, Germany, 2015, pp 6-13.
  • 2 World Health Organisation. Global Database on Child Growth and Malnutrition: Child growth and their indicators. Geneva, 2016.
  • 3 Godecke T, Stein AJ, Qaim M. The global burden of chronic and hidden hunger: Trends and determinants. Glob Food Sec 2018;17:21-9. [CrossRef]
  • 4 Muthayya S, Rah JH, Sugimoto JD, Roos FF, Kraemer K, Black RE. The global hidden hunger indices and maps: an advocacy tool for action. PLoS One 2013;8(6):e67860. [CrossRef]
  • 5 Nwamarah JU, Okeke EC. A pilot study of iodine and anthropometric status of primary school children in Obukpa, a rural Nigerian community. J Public Heal Epidemiol 2012;4(9):246-52. [CrossRef]
  • 6 Ersoy B, Gunes H, Gunay T, Yilmaz O, Kasirga E, Egemen A. Interaction of two public health problems in Turkish schoolchildren: nutritional deficiencies and goitre. Public Health Nutr 2006;9:1001-6. [CrossRef]
  • 7 Koutras DA, Christakis G, Trichopoulos D, Dakou- Voutetaki A, Kyriakopoulos V, Fontanares P, et al. Endemic goiter in Greece: nutritional status, growth, and skeletal development of goitrous and nongoitrous populations. Am J Clin Nutr 1973;26(12):1360-8. [CrossRef]
  • 8 Osman A, Khalid B, Tan T, Wu L, Ng M. Protein energy malnutrition, thyroid hormones and goitre among Malaysian Aborigines and Malays. Asia Pac J Clin Nutr 1992;1(1):13-20.
  • 9 Brahmbhatt SR, Brahmbhatt RM, Boyages SC. Impact of protein energy malnutrition on thyroid size in an iodine deficient population of Gujarat (India): is it an aetiological factor for goiter ? Eur J Endocrinol 2001;145(1):11-7. [CrossRef]
  • 10 Sanusi RA, Ekerette NN. Nutrition and goiter status of primary school children in Ibadan, Nigeria. African J Biomed Res 2009;12(1):37-41.
  • 11 Zimmermann MB, Jooste PL, Mabapa NS, Mbhenyane X, Schoeman S, Biebinger R, et al. Treatment of iodine deficiency in school-age children increases insulinlike growth factor (IGF)-I and IGF binding protein-3 concentrations and improves somatic growth. J Clin Endocrinol Metab 2007;92(2):437-42. [CrossRef]
  • 12 World Health Organisation. WHO Child Growth Standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva, 2006.
  • 13 WHO. Urinary iodine concentrations for determining iodine status in populations. Geneva, 2013.
  • 14 Akunyili DN. Achieving and sustaining universal salt iodization(USI): doing it well through regulation and enforcement. Lessons learned from USI in Nigeria. SCN NEWS 2007;35:43-7.
  • 15 Fiorentino M, Bastard G, Sembène M, Fortin S, Traissac P, Landais E, et al. Anthropometric and micronutrient status of school-children in an urban West Africa setting: A cross-sectional study in Dakar (Senegal). PLoS One 2013;8(12):e84328.

OKUL YAŞINDAKİ ÇOCUKLARIN BESLENME VE ÜRİNER İYOT DÜZEYLERİ ARASINDA BİR İLİŞKİ VAR MI?

Year 2021, , 221 - 226, 25.04.2021
https://doi.org/10.26650/IUITFD.2020.0081

Abstract

Amaç: Bozulmuş fiziksel büyüme, bir mikrobesin olan iyotun eksikliğinin uzun süreli etkilerinden biridir. Bu çalışma, Kuzey-Orta Nijerya'daki Ilorin okulundaki bir popülasyonda idrarda iyot düzeyleri ile antropometrik endeksler arasındaki ilişkiyi belirlemeyi amaçlamıştır. Gereç ve Yöntem: Bu çalışma, Nijerya'nın Kuzey-Orta Ilorin kentindeki ilkokul çocukları arasında yapılan kesitsel bir analitik çalışmadır. Bu çalışmaya, çok aşamalı sistematik örnekleme tekniği ile 6-12 yaş arası toplam 492 çocuk dahil edildi. Antropometri standart yöntemler kullanılarak belirlendi. Öğrencilerden idrar numuneleri toplandı ve Sandell-Kolthoff yöntemi kullanılarak laboratuarda iyot açısından analiz edildi. Bulgular: Çalışmaya katılan 492 çocuğun 13'ü (%3,2) yaşına göre kilosunun altında, 23'ü (%4,7) kısa boylu, 21'inde (%4,3) zayıflık vardı ve 7'de (%1,5) ise obezite saptandı. Yaş Z skoru (WAZ) için ortalama (SD) ağırlık -0,216 (1,089) ve yaş Z skoru (HAZ) için yükseklik -0,073 (1,286) idi. Boy z skoru (WHZ) ve yaş Z skoru (BAZ) için ortalama ağırlık sırasıyla 1,036 (0,002) ve -0,428 (0,976) idi. Okul çocuklarının toplam %26,5'inde hafif iyot eksikliği, %0,4'ünde aşırı idrar iyot düzeyi saptanırken çocukların hiçbirinde orta veya şiddetli iyot eksikliği yoktu. Üriner iyot düzeyleri ile antropometrik indeksler arasında ilişki yoktu (WAZ p=0,665, HAZ p=0,978, WHZ p=0,375 ve BAZ p=0,928). Sonuç: Bu çalışma beslenme indeksleri ile idrarda iyot düzeyleri anthropometarasında bir ilişki olmadığını göstermiştir. Bu nedenle, okul çocuklarının beslenme durumu iyot seviyelerinin bir yansıması olmayabilir.

References

  • 1 Puntis JWL. Clinical methods and anthropometry. In: Koletzko B, Bhatia J, Bhutta ZA, Cooper P, Makrides M, Uauy R, et al. (eds). Pediatric Nutrition in Practice. Karger: Munich, Germany, 2015, pp 6-13.
  • 2 World Health Organisation. Global Database on Child Growth and Malnutrition: Child growth and their indicators. Geneva, 2016.
  • 3 Godecke T, Stein AJ, Qaim M. The global burden of chronic and hidden hunger: Trends and determinants. Glob Food Sec 2018;17:21-9. [CrossRef]
  • 4 Muthayya S, Rah JH, Sugimoto JD, Roos FF, Kraemer K, Black RE. The global hidden hunger indices and maps: an advocacy tool for action. PLoS One 2013;8(6):e67860. [CrossRef]
  • 5 Nwamarah JU, Okeke EC. A pilot study of iodine and anthropometric status of primary school children in Obukpa, a rural Nigerian community. J Public Heal Epidemiol 2012;4(9):246-52. [CrossRef]
  • 6 Ersoy B, Gunes H, Gunay T, Yilmaz O, Kasirga E, Egemen A. Interaction of two public health problems in Turkish schoolchildren: nutritional deficiencies and goitre. Public Health Nutr 2006;9:1001-6. [CrossRef]
  • 7 Koutras DA, Christakis G, Trichopoulos D, Dakou- Voutetaki A, Kyriakopoulos V, Fontanares P, et al. Endemic goiter in Greece: nutritional status, growth, and skeletal development of goitrous and nongoitrous populations. Am J Clin Nutr 1973;26(12):1360-8. [CrossRef]
  • 8 Osman A, Khalid B, Tan T, Wu L, Ng M. Protein energy malnutrition, thyroid hormones and goitre among Malaysian Aborigines and Malays. Asia Pac J Clin Nutr 1992;1(1):13-20.
  • 9 Brahmbhatt SR, Brahmbhatt RM, Boyages SC. Impact of protein energy malnutrition on thyroid size in an iodine deficient population of Gujarat (India): is it an aetiological factor for goiter ? Eur J Endocrinol 2001;145(1):11-7. [CrossRef]
  • 10 Sanusi RA, Ekerette NN. Nutrition and goiter status of primary school children in Ibadan, Nigeria. African J Biomed Res 2009;12(1):37-41.
  • 11 Zimmermann MB, Jooste PL, Mabapa NS, Mbhenyane X, Schoeman S, Biebinger R, et al. Treatment of iodine deficiency in school-age children increases insulinlike growth factor (IGF)-I and IGF binding protein-3 concentrations and improves somatic growth. J Clin Endocrinol Metab 2007;92(2):437-42. [CrossRef]
  • 12 World Health Organisation. WHO Child Growth Standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva, 2006.
  • 13 WHO. Urinary iodine concentrations for determining iodine status in populations. Geneva, 2013.
  • 14 Akunyili DN. Achieving and sustaining universal salt iodization(USI): doing it well through regulation and enforcement. Lessons learned from USI in Nigeria. SCN NEWS 2007;35:43-7.
  • 15 Fiorentino M, Bastard G, Sembène M, Fortin S, Traissac P, Landais E, et al. Anthropometric and micronutrient status of school-children in an urban West Africa setting: A cross-sectional study in Dakar (Senegal). PLoS One 2013;8(12):e84328.
There are 15 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section RESEARCH
Authors

Yetunde T Olasınde This is me 0000-0002-8093-4721

Omatayo O Adesiyun This is me 0000-0002-5127-1914

Rasaq R Olaosebıkan This is me 0000-0002-3244-2212

Adeola Olasinde This is me

Olayinka R Ibrahim This is me 0000-0002-2621-6593

Samuel K Ernest This is me 0000-0002-6408-9388

Publication Date April 25, 2021
Submission Date June 28, 2020
Published in Issue Year 2021

Cite

APA Olasınde, Y. T., Adesiyun, O. O., Olaosebıkan, R. R., Olasinde, A., et al. (2021). NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?. Journal of Istanbul Faculty of Medicine, 84(2), 221-226. https://doi.org/10.26650/IUITFD.2020.0081
AMA Olasınde YT, Adesiyun OO, Olaosebıkan RR, Olasinde A, Ibrahim OR, Ernest SK. NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?. İst Tıp Fak Derg. April 2021;84(2):221-226. doi:10.26650/IUITFD.2020.0081
Chicago Olasınde, Yetunde T, Omatayo O Adesiyun, Rasaq R Olaosebıkan, Adeola Olasinde, Olayinka R Ibrahim, and Samuel K Ernest. “NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?”. Journal of Istanbul Faculty of Medicine 84, no. 2 (April 2021): 221-26. https://doi.org/10.26650/IUITFD.2020.0081.
EndNote Olasınde YT, Adesiyun OO, Olaosebıkan RR, Olasinde A, Ibrahim OR, Ernest SK (April 1, 2021) NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?. Journal of Istanbul Faculty of Medicine 84 2 221–226.
IEEE Y. T. Olasınde, O. O. Adesiyun, R. R. Olaosebıkan, A. Olasinde, O. R. Ibrahim, and S. K. Ernest, “NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?”, İst Tıp Fak Derg, vol. 84, no. 2, pp. 221–226, 2021, doi: 10.26650/IUITFD.2020.0081.
ISNAD Olasınde, Yetunde T et al. “NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?”. Journal of Istanbul Faculty of Medicine 84/2 (April 2021), 221-226. https://doi.org/10.26650/IUITFD.2020.0081.
JAMA Olasınde YT, Adesiyun OO, Olaosebıkan RR, Olasinde A, Ibrahim OR, Ernest SK. NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?. İst Tıp Fak Derg. 2021;84:221–226.
MLA Olasınde, Yetunde T et al. “NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?”. Journal of Istanbul Faculty of Medicine, vol. 84, no. 2, 2021, pp. 221-6, doi:10.26650/IUITFD.2020.0081.
Vancouver Olasınde YT, Adesiyun OO, Olaosebıkan RR, Olasinde A, Ibrahim OR, Ernest SK. NUTRITIONAL STATUS AND URINARY IODINE LEVELS OF SCHOOL-AGED CHILDREN: IS THERE A CORRELATION?. İst Tıp Fak Derg. 2021;84(2):221-6.

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