Impact of protein energy malnutrition on thyroid size in an iodine deficient population of Gujarat (India): Is it an aetiological factor for goiter?

OBJECTIVE: To assess the severity of protein energy malnutrition (PEM) in iodine deficient subjects and to assess the impact of PEM on thyroid size. METHODS: 1002 subjects (530 school-aged children and 472 adults) were assessed for PEM by direct anthropometric measurements of height, weight, triceps...

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Bibliographic Details
Published in:European journal of endocrinology 2001-07, Vol.145 (1), p.11-17
Main Authors: Brahmbhatt, SR, Brahmbhatt, RM, Boyages, SC
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Anthropometry
Biological and medical sciences
Child
Endocrinopathies
Female
Goiter - diagnosis
Goiter - etiology
Humans
India
Iodine - deficiency
Male
Medical sciences
Middle Aged
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Protein-Energy Malnutrition - complications
Protein-Energy Malnutrition - pathology
s
Statistics, Nonparametric
Thyroid Gland - anatomy & histology
Thyroid Gland - diagnostic imaging
Thyroid Gland - pathology
Thyroid. Thyroid axis (diseases)
Ultrasonography
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Summary:OBJECTIVE: To assess the severity of protein energy malnutrition (PEM) in iodine deficient subjects and to assess the impact of PEM on thyroid size. METHODS: 1002 subjects (530 school-aged children and 472 adults) were assessed for PEM by direct anthropometric measurements of height, weight, triceps skinfold (TSF) thickness, mid upper arm circumference (MUAC) and thigh circumference (TC), and derived indices of body surface area (BSA), body mass index (BMI), and Z-scores for weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ). Severity of PEM was based on the World Health Organization (WHO) criteria and the threshold on the Waterlow classification. Thyroid size was measured by ultrasonography to determine the thyroid volume (TV). Linear regression analysis was performed between TV and anthropometric parameters. RESULTS: Children had severe PEM as evident from the WHO percentage prevalence of stunting (HAZ
ISSN:0804-4643
1479-683X
DOI:10.1530/eje.0.1450011