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Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children

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Resumo:Background/objectives Iodine deficiency disorders are estimated to affect 25% of all school-age children around the world. Current policies concerning iodine deficiency disorders in many countries are not based on robust or recent national data. Our objective was to evaluate the current status of iodine nutrition in Guinea-Bissau (West Africa).Subject/methods A cross-sectional survey including 299 school-age children, aged 6-14 years old, from four distinct regions of Guinea-Bissau across a coast-hinterland gradient (Bolama, Bissau, Cambaju-Bafata, and Gabil) was performed. Several iodine deficiency disorders indicators were used: total goiter rate, median urinary iodine concentration (UIC) and regional iodine content in household salt and drinking water samples. Data on the total goiter rate were obtained by thyroid ultrasound.Results Goiter was found in 73.5% (CI 95%, 68.5-78.2%) of the school-age children. We observed a median urinary iodine concentration of 110 mcg/l, with 7.3% of the studied population presenting urinary iodine concentration < 50 mcg/l. Only 12.5% of the household salt samples revealed iodine content >= 15 mg/kg. Median well water iodine concentration was 11.7 mcg/l.Conclusions Guinea-Bissau presents high rates of goiter in school-age children despite satisfactory median urinary iodine concentration population levels. Salt and drinking water iodine median content cannot explain these findings. Further studies following the progress in iodine deficiency status and the presence of potential goitrogens in diet of this vulnerable population are in needed.
Autores principais:Carvalho, Andre Couto
Outros Autores:Machado, Ana; Embalo, Adulai Robalo; Bordalo, Adriano A
Ano:2018
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Carvalho, Andre Couto
author2 Machado, Ana
Embalo, Adulai Robalo
Bordalo, Adriano A
author2_role author
author
author
author_facet Carvalho, Andre Couto
Machado, Ana
Embalo, Adulai Robalo
Bordalo, Adriano A
author_role author
contributor_name_str_mv RepositóriUM - Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Carvalho, Andre Couto\"},{\"Person.name\":\"Machado, Ana\"},{\"Person.name\":\"Embalo, Adulai Robalo\"},{\"Person.name\":\"Bordalo, Adriano A\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RepositóriUM - Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Carvalho, Andre Couto
Machado, Ana
Embalo, Adulai Robalo
Bordalo, Adriano A
datacite.date.Accepted.fl_str_mv 2018-01-01T00:00:00Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.titles.title.fl_str_mv Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
dc.contributor.none.fl_str_mv RepositóriUM - Universidade do Minho
dc.creator.none.fl_str_mv Carvalho, Andre Couto
Machado, Ana
Embalo, Adulai Robalo
Bordalo, Adriano A
dc.date.Accepted.fl_str_mv 2018-01-01T00:00:00Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/57792
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Nature Publishing Group
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.title.fl_str_mv Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Background/objectives Iodine deficiency disorders are estimated to affect 25% of all school-age children around the world. Current policies concerning iodine deficiency disorders in many countries are not based on robust or recent national data. Our objective was to evaluate the current status of iodine nutrition in Guinea-Bissau (West Africa).Subject/methods A cross-sectional survey including 299 school-age children, aged 6-14 years old, from four distinct regions of Guinea-Bissau across a coast-hinterland gradient (Bolama, Bissau, Cambaju-Bafata, and Gabil) was performed. Several iodine deficiency disorders indicators were used: total goiter rate, median urinary iodine concentration (UIC) and regional iodine content in household salt and drinking water samples. Data on the total goiter rate were obtained by thyroid ultrasound.Results Goiter was found in 73.5% (CI 95%, 68.5-78.2%) of the school-age children. We observed a median urinary iodine concentration of 110 mcg/l, with 7.3% of the studied population presenting urinary iodine concentration < 50 mcg/l. Only 12.5% of the household salt samples revealed iodine content >= 15 mg/kg. Median well water iodine concentration was 11.7 mcg/l.Conclusions Guinea-Bissau presents high rates of goiter in school-age children despite satisfactory median urinary iodine concentration population levels. Salt and drinking water iodine median content cannot explain these findings. Further studies following the progress in iodine deficiency status and the presence of potential goitrogens in diet of this vulnerable population are in needed.
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identifier.url.fl_str_mv https://hdl.handle.net/1822/57792
inst_facet_str urn:organizationAcronym:repositorium{{{_:::_}}}Universidade do Minho
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institution Universidade do Minho
instname_str Universidade do Minho
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oai_identifier_str oai:repositorium.uminho.pt:1822/57792
organization_str_mv urn:organizationAcronym:repositorium
person_str_mv Carvalho, Andre Couto
Machado, Ana
Embalo, Adulai Robalo
Bordalo, Adriano A
publishDate 2018
publisher.none.fl_str_mv Nature Publishing Group
repo_facet_str urn:repositoryAcronym:rum{{{_:::_}}}RepositóriUM - Universidade do Minho
reponame_str RepositóriUM - Universidade do Minho
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spelling engNature Publishing GroupporBackground/objectives Iodine deficiency disorders are estimated to affect 25% of all school-age children around the world. Current policies concerning iodine deficiency disorders in many countries are not based on robust or recent national data. Our objective was to evaluate the current status of iodine nutrition in Guinea-Bissau (West Africa).Subject/methods A cross-sectional survey including 299 school-age children, aged 6-14 years old, from four distinct regions of Guinea-Bissau across a coast-hinterland gradient (Bolama, Bissau, Cambaju-Bafata, and Gabil) was performed. Several iodine deficiency disorders indicators were used: total goiter rate, median urinary iodine concentration (UIC) and regional iodine content in household salt and drinking water samples. Data on the total goiter rate were obtained by thyroid ultrasound.Results Goiter was found in 73.5% (CI 95%, 68.5-78.2%) of the school-age children. We observed a median urinary iodine concentration of 110 mcg/l, with 7.3% of the studied population presenting urinary iodine concentration < 50 mcg/l. Only 12.5% of the household salt samples revealed iodine content >= 15 mg/kg. Median well water iodine concentration was 11.7 mcg/l.Conclusions Guinea-Bissau presents high rates of goiter in school-age children despite satisfactory median urinary iodine concentration population levels. Salt and drinking water iodine median content cannot explain these findings. Further studies following the progress in iodine deficiency status and the presence of potential goitrogens in diet of this vulnerable population are in needed.application/pdfporEndemic goiter and iodine deficiency status among Guinea-Bissau school-age childrenCarvalho, Andre CoutoMachado, AnaEmbalo, Adulai RobaloBordalo, Adriano AHostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptPMID29284787ISSNIsPartOf0954-3007EISSNIsPartOf1476-5640DOIIsPartOf10.1038/s41430-017-0055-020182018-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/57792http://purl.org/coar/access_right/c_abf2open access541739 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdfhttps://repositorium.uminho.pt/bitstreams/2e16f3a3-513d-4aa9-9c96-f35b845c9bca/download
spellingShingle Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
Carvalho, Andre Couto
status SINGLETON
title Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
title_full Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
title_fullStr Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
title_full_unstemmed Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
title_short Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
title_sort Endemic goiter and iodine deficiency status among Guinea-Bissau school-age children
url https://hdl.handle.net/1822/57792
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