Vitamin A status does not contribute to the residual goiter in schoolchildren of Isfahan, an iodine replenished area

Int J Food Sci Nutr. 2009:60 Suppl 5:19-27. doi: 10.1080/09637480802304473. Epub 2008 Dec 27.

Abstract

Two thousand three hundred and thirty-one schoolchildren were selected by multi-stage random sampling. The thyroid size was estimated by inspection and palpation. The urinary iodine concentration and serum retinol (SR) were measured in 454 and 468 schoolchildren, respectively. Overall, 32.9% of 2,331 children had goiter. The median urinary iodine concentration was 195.5 microg/l. The mean+/-standard deviation of SR in goitrous and non-goitrous children was 34.84+/-7.28 microg/dl and 33.73+/-7.87 microg/dl, respectively (P=0.14). There was no child with vitamin A deficiency (SR <20 microg/dl) in both the goitrous and non-goitrous groups. The prevalence of subjects with low vitamin A status (SR <30 microg/dl) in the goitrous and non-goitrous groups was 27.7% and 33.3%, respectively (P=0.21). In conclusion, the present study reveals that vitamin A deficiency and low vitamin A status are not among the contributing factors of goiter persistence in the studied area, and the role of other responsible factors should be investigated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Body Mass Index
  • Child
  • Cross-Sectional Studies
  • Female
  • Ferritins / blood
  • Goiter, Endemic / blood
  • Goiter, Endemic / epidemiology*
  • Goiter, Endemic / etiology
  • Humans
  • Iodine / administration & dosage*
  • Iodine / deficiency
  • Iodine / urine
  • Iran / epidemiology
  • Iron / blood
  • Male
  • Nutrition Policy
  • Nutritional Status*
  • Organ Size
  • Prevalence
  • Severity of Illness Index
  • Sex Factors
  • Sodium Chloride, Dietary / administration & dosage
  • Thyroid Gland / anatomy & histology
  • Vitamin A / blood*
  • Vitamin A Deficiency / blood
  • Vitamin A Deficiency / complications
  • Vitamin A Deficiency / epidemiology*

Substances

  • Sodium Chloride, Dietary
  • iodized salt
  • Vitamin A
  • Ferritins
  • Iodine
  • Iron