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IODINE AND THYROID STATUS IN A TRIBAL VILLAGE IN WAYANAD, KERALA IN THE POST IODIZATION ERA – OBSERVATIONS AND IMPLICATIONS

Background: Data on thyroid and iodine status in tribal population is scarce. We sought to assess the thyroid and iodine status in this population, by ascertaining the goitre prevalence, thyroid function and thyroid autoimmune markers in adults, and the goitre prevalence and iodine status in school...

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Dades bibliogràfiques
Autor principal: Praveen P Valiyaparambil; Usha V Menon; Vivek Lakshmanan; Sanjeev Vasudevan; Ajitha Kumari and Harish Kumar
Format: Printed Book
Publicat: National Journal of Community Medicine 2013
Matèries:
Accés en línia:http://10.26.1.76/ks/005021.pdf
LEADER 02304nam a22001457a 4500
100 |a Praveen P Valiyaparambil; Usha V Menon; Vivek Lakshmanan; Sanjeev Vasudevan; Ajitha Kumari and Harish Kumar  |9 23375 
245 |a IODINE AND THYROID STATUS IN A TRIBAL VILLAGE IN WAYANAD, KERALA IN THE POST IODIZATION ERA – OBSERVATIONS AND IMPLICATIONS 
260 |b National Journal of Community Medicine  |c 2013 
300 |b Volume 4│Issue 1│Jan – Mar 2013 
520 |a Background: Data on thyroid and iodine status in tribal population is scarce. We sought to assess the thyroid and iodine status in this population, by ascertaining the goitre prevalence, thyroid function and thyroid autoimmune markers in adults, and the goitre prevalence and iodine status in school going children from both tribal and non tribal populations Methods: Questionnaire survey and physical examination was done in 50 randomly selected houses from both tribal and non- tribal populations. Goitre, thyroid function, thyroid autoimmunity was assessed in 175 adults and goiter and iodine status were assessed in 83 children. Results: Goitre prevalence was similar in tribal and non- tribal adults ( tribal ,45.7% vs. nontribal , 42%,P 0.87) and children (14.9% and 19.4%, P=0.77) . Goitre prevalence was more in adult females . Thyroid dysfunction was seen in 3.9% of tribal and 4.2% of non-tribals. Abnormal thyroid function tests were all in the thyrotoxic range in tribals whereas they were all in the hypothyroid range in non-tribal. Thyroid autoimmunity was more in the non-tribal Compared to tribal population ( 24.7% vs. 10.6% p =0.026). Conclusions: This is the first data on thyroid status in tribal and non-tribal population from Wayanad district, which has shown a high adult prevalence of goitre. However the prevalence of goitre in children is near the national average, which might indicate an improvement in the iodization status in the post iodization era. The higher prevalence of hyperthyroidism in tribals and significant difference in thyroid autoimmunity between tribals and non -tribals merit further study. 
650 |a GOITER;   |a TRIBAL POPULATION  |9 23376 
856 |u http://10.26.1.76/ks/005021.pdf 
942 |c KS 
999 |c 75387  |d 75387 
952 |0 0  |1 0  |4 0  |7 0  |9 67372  |a MGUL  |b MGUL  |d 2015-11-19  |l 0  |r 2015-11-19  |w 2015-11-19  |y KS