Iodine deficiency in the Cirque of Salazie (Reunion Island). Analysis of nutritional causes and study of their consequences

Randomized subjects (n = 294), (35 young children, 6-30 months old--91 children 8.6 +/- 0.7 years, 116 teenagers 13.2 +/- 1.9 y--52 young women 28.5 +/- 6.1 y) leaving in a mountainous area of Reunion Island (Cirque de Salazie) were evaluated according to the following: a questionnaire related to fo...

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Veröffentlicht in:Bulletin de l'Académie nationale de médecine 1997-12, Vol.181 (9), p.1795-807; discussion 1807-10
Hauptverfasser: Jaffiol, C, Manderscheid, J C, Rouard, L, Dhondt, J L, Arguillère, S, Bourdoux, P
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container_end_page 807; discussion 1807-10
container_issue 9
container_start_page 1795
container_title Bulletin de l'Académie nationale de médecine
container_volume 181
creator Jaffiol, C
Manderscheid, J C
Rouard, L
Dhondt, J L
Arguillère, S
Bourdoux, P
description Randomized subjects (n = 294), (35 young children, 6-30 months old--91 children 8.6 +/- 0.7 years, 116 teenagers 13.2 +/- 1.9 y--52 young women 28.5 +/- 6.1 y) leaving in a mountainous area of Reunion Island (Cirque de Salazie) were evaluated according to the following: a questionnaire related to food intake, cervical palpation for thyroid size evaluation and collections of urine and foods (natural and mineral water, breast and commercial milk and salt) for iodine measurement. Neonatal TSH of 308 new borns in Salazie were compared to TSH of 300 new-borns of Lille (France). The prevalence of goiter increases with age (0% in young children, 12.1% in children, 23.3% in teenagers, 38.4% in women) whereas median urinary iodine (microgram/dl) decreases in the same groups (12-7.8-5.6-4.2). The intake of milk and dairy products significantly decreases from children to adults. Neonatal TSH values are significantly higher in Salazie than in Lille (p < 0.005). Natural and mineral water, breast milk and salt contain little iodine. In conclusion iodine deficiency is present in this area of Reunion Island with a significant increment of neonatal TSH values.
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The prevalence of goiter increases with age (0% in young children, 12.1% in children, 23.3% in teenagers, 38.4% in women) whereas median urinary iodine (microgram/dl) decreases in the same groups (12-7.8-5.6-4.2). The intake of milk and dairy products significantly decreases from children to adults. Neonatal TSH values are significantly higher in Salazie than in Lille (p &lt; 0.005). Natural and mineral water, breast milk and salt contain little iodine. 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The prevalence of goiter increases with age (0% in young children, 12.1% in children, 23.3% in teenagers, 38.4% in women) whereas median urinary iodine (microgram/dl) decreases in the same groups (12-7.8-5.6-4.2). The intake of milk and dairy products significantly decreases from children to adults. Neonatal TSH values are significantly higher in Salazie than in Lille (p &lt; 0.005). Natural and mineral water, breast milk and salt contain little iodine. In conclusion iodine deficiency is present in this area of Reunion Island with a significant increment of neonatal TSH values.</abstract><cop>Netherlands</cop><pmid>9611400</pmid></addata></record>
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source MEDLINE; Gallica Periodicals; EZB Electronic Journals Library
subjects Adolescent
Adult
Child, Preschool
Evaluation Studies as Topic
Female
France - epidemiology
Humans
Infant
Iodine - deficiency
Nutrition Disorders - epidemiology
Nutrition Disorders - physiopathology
Prevalence
title Iodine deficiency in the Cirque of Salazie (Reunion Island). Analysis of nutritional causes and study of their consequences
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