Йодне забезпечення дітей м. Київ

The aim — determination of iodine providing Kyiv children. Material and methods. The iodine status of 121 children in 2 m districts of Kyiv is investigated. 60 children were surveyed in Podolsky and 61 in Darnytsky district. The examination of students aged 10-12 years was carried out by selecting the children by the method of even distribution by the permission of the educational authorities and the consent of the parents. All the subjects were weighed, measuredthe height, examined the doctor endocrinologist, and examined the thyroid gland. The children were given 50 ml morning urine. The urine was transferred to appropriately signed tubes, sealed them and stored for about 7-10 days at –20 °C until iodine was detected. Determination of iodine content in the urine was carried out by cerium-arsenic method. Using ultrasound examination of the thyroid gland, its dimensions were measured and their relation to the surface area of the body was calculated. Results. The obtained results were compared with the relevant indicators of the Ministry of Health. With the help of a specialquestionnaire, which was provided to parents of children, they determined the relation to the problem of prevention of iodine-dependent diseases, the use of seafood, preparations enriched in iodine and iodized salt. The level of iodine supply of children from two districts was satisfactory, median iodine was 107.23 μg l, although 45.4% of children were in the zone of iodine deficiency of weak and medium severity. The presence of a problem indicated iodine deficiency was indicated by another indicator of iodine availability — the frequency of goiter. According to ultrasound data, 20.5% of children had significantly increasedthyroid gland size, with girls having these changes being 3 times more frequent than boys. According to the survey data, only 20.5% of respondents used iodized salt. Conclusion. The conclusion is made about insufficient iodine maintenance of children of Kyiv and the need to increase consumption of iodized salt.