The Study of Iodine Status among Schoolchildren from Kyiv and Ways to Correct the Revealed Violations
Relevance. Lack of iodine in the environment is one of the topical medico-social problems in many countries of the world. Iodine deficiency is an important risk factor for the developmental delay, memory loss, or the ability for analysis and abstract thinking. Traditionally in Ukraine the problem of iodine deficiency was relevant in Western regions, but recent studies indicate the existence of moderate iodine deficiency in all areas. The aim of our study was to assess the iodine status of primary schoolchildren from Kyiv. Materials and methods. The examination of 52 children aged 6–12 years was performed, which involved a survey of families on awareness of the consequences of iodine deficiency and frequency of consumption of foods containing iodine, objective and ultrasound thyroid investigation, determination of urine iodine content in single portions of urine. Results. Iodine deficiency was detected in 87 % of pupils, mostly mild. Diffuse goiter grade 1 was diagnosed in 23 % of patients. To correct iodine deficiency, we have used new generation product — jodis-concentrate as an aqueous solution. Conclusions. Research of iodine status in schoolchildren aged 6–12 years in Kyiv showed the presence of mild iodine deficiency in 87 % of them (in 68 and 19 %, respectively). In 12 (23 %) children, we have diagnosed thyroid volume increase under normal echogenicity and homogeneous echostructure. Lack of iodine nutrition is caused by poor nutrition, lack of mass, group and individual iodine prophylaxis, low sanitary hygienic culture of the population. Pupils with iodine deficiency were administered an individual subsidy of iodine in the form of an aqueous solution of jodis-concentrate for 12 months, which has significantly improved the iodine status of children, normalized the level of urine iodine content. Early detection of iodine deficiency and its correction are the promising directions of modern pediatrics in terms of the prevention of thyroid diseases and reducing the risks of infectious and respiratory, allergic and metabolic diseases.
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Byelykh N.A., Mamenko M.Ye [Neonatal screening for congenital hypothyroidism: possible use for assessment and monitoring of iodine providing the population]. Zdorov'e rebenka. 2011;5(32):102-106. Ukrainian.
Byelykh N.A. [The functioning of the pituitary-thyroid system in maternal and fetal conditions of iodine deficiency]. Sovremennaya pedyatryya. 2011.6(40): 166-169. Ukrainian.
Byelykh N.A. [The impact of iodine deficiency on thyroid hormonohenez mother and fetus]. Perynatolohyya y pedyatryya. 2012. 1(49): 9-14. Ukrainian.
Vashchenko L.V., Badohyna L.P., Vakulenko L.Y., Kovalenko A.V., Lohynov D.V., Posmytyukha Y.V., Harbuz L.P. [Iodine-deficiency of folic - actual multidisciplinary problem of modern medicine]. Sovremennaya pedyatryya. 2012.2(42): 27-31. Russian.
Zelins'ka N.B. [Prevention of iodine deficiency disorders in children] Zdorov"ya Ukrayiny. 2009:18-20. Ukrainian.
Korzun V.N., Vorontsova T.O., Bolokhnova T.V., Derkach A.V [New methods of treatment and prevention of iodine deficiency disorders in children]. Aktual'ni pytannya pediatriyi, akusherstva ta hinekolohiyi. 2011.2: 128-130. Ukrainian.
Lebedynets' N.V., Parubocha O.M. [Modern aspects of the dynamics of the child population endocrine pathology]. ENVIRONMENT & HEALTH. 2012.3: 21-25. Ukrainian.
Mamenko M.Ye., Byelykh N.A. [Current approaches to prevention of iodine deficiency disorders in infants (Part I)]. Zdorov'e rebenka. 2012. 2(37): 71- 76. Ukrainian.
Mamenko M.Ye., Byelykh N.A. [Current approaches to prevention of iodine deficiency disorders in young children (part II)]. Zdorov'e rebenka.2012. 3(38): 77-80. Ukrainian.
Mamenko M.E. [Iodine deficiency and iodine deficiency disorders: whether to equate?]. Dytyachyy likar. 2012. 3-4(16-17): 5-13. Russian.
Mamenko M.E. [Iodine deficiency in Ukraine: legislative steps to problem solving]. Zdorov"ya Ukrayiny. 2012: 12-13.Russian.
Mamenko M.Ye., Byelykh N.A. Klinichni rekomendatsiyi z diahnostyky, likuvannya ta profilaktyky yododefitsytnykh zakhvoryuvan' u ditey [Recommendations for diagnosis, treatment and prevention of iodine deficiency disorders in children]. Kyyiv. 2014. 31р. Ukrainian.
Pyrohova V.H., Kravchenko V.I. [The impact of iodine deficiency on physical and intellectual development of children Zakarpatsoyi region]. Endokrynolohiya. 2011.16(2): 128-139. Ukrainian.
[Minutes of care to children suffering from goiter simple non-toxic (endemic and sporadic )]Nakaz MOZ Ukrayiny. 254 vid 27.04.2006 roku. Ukrainian.
Tron'ko M.D., Polumbryk M.O., Kravchenko V.I., Bal'on Ya.H. [Scientific aspects to solve the problem of iodine deficiency in the population of Ukraine]. Endokrynolohiya.2011. 16(2): 189-199. Ukrainian.
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