Evaluation of endemic goiter prevalence in Bulgarian schoolchildren |
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Authors: | Penka Gatseva Stefka Vladeva Mariana Argirova |
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Institution: | (1) Deptartment of Hygiene and Ecomedicine, Medical University, 4002 Plovdiv, Bulgaria;(2) Clinic of Endocrinology, Medical University, 4002 Plovdiv, Bulgaria;(3) Deptement of Chemistry and Biochemistry, Medical University, 4002 Plovdiv, Bulgaria |
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Abstract: | Iodine deficiency is a major health problem worldwide. The environment of the Balkan countries, including Bulgaria, is distinguished
for its low iodine content. In 1994, the strategies for the prevention and control of iodine-deficiency disorders were actualized
in Bulgaria and universal salt iodization and supplementation for the risk population groups (schoolchildren, pregnant women)
were introduced. The aim of this study was to assess the effectiveness of the iodine prophylaxis in schoolchildren, living
in an endemic for goiter area after the introduction of salt iodization in Bulgaria. For this purpose, the goiter prevalence
and iodine status in 483 schoolchildren (274 boys and 209 girls) aged between 8 and 15 yr, living in an endemic for goiter
area in Bulgaria were evaluated. Despite the normalization of iodine supply, mild iodine deficiency on the basis of goiter
prevalence (16.15%) and urinary iodine excretion was found. These data indicate the need for reevaluation of the national
strategy for prevention of iodine deficiency. |
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Keywords: | Endemic goiter urinary iodine schoolchildren |
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