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Effect of iodine status on nutritional status of school-age children in artisanal and small scale gold mining area

Abstract

Background: Nutritional status of school-age children is influenced by several factors, e.g., nutrition intake, hormone, and underlying disease. Mercury, as a pollutant from artisanal and small scale gold mining (ASGM), inhibits thyroxin production-metabolism regulating hormone. The objective of this study was to evaluate the effect of iodine status and nutritional intake on nutritional status of school-age children in ASGM area.

Methods: Study design was cross sectional. There were two groups; case group was school-age children exposed by mercury from ASGM area from Sekotong subdistrict, and control group was school-age children in Narmada subdistrict. Sixty two children from ASGM were enrolled, and fifty two children from the Narmada subdistrict. Iodine status was assessed by measured urine iodine excretion using acid digestion method; nutrition intake assessed by using recall 24 hours; nutritional status by measured anthropometry. Correlation between nutritional and iodine status was examined by using Spearman’ test.

Results: Nutritional status of case group found 45.1 % were stunted and 27.4 % were underweight. Control group found 13.4 %  stunted and 9.6 % underweight. Iodine status of case group: 3.9 %  deficient and 68.6 % at risk of iodine-induced hyperthyroidism, the control group was found that 3.8 % inadequate and 72.8 % at risk of iodine-induced hyperthyroidism. Iodine intake both groups were under RDA value that of the case group was 8.3 µg/day, and the control group was 11.5 µg/day. All nutrition supporting growth did not meet the RDA value.  Spearman’s test result was p=0.56.

Conclusion: Iodine status did not correlate with the nutritional status of children in ASGM area.

References

  1. Vitti,P, Delange F, Vincera A, Zimmermann M, Dunn JT. Europe is Iodine Deficient. Lancet. 2003;361(9364):1226.
  2. Kartono D, Mulyantoro DK. Asupan Iodium Anak Usia Sekolah di Indonesia. Gizi Indon. 2010;33(1):8-19 (Indonesian).
  3. Zimmermann MB. Iodine Deficiency. Endocr Rev. 2009;30(4):376-408
  4. Gowachirapant S, Winichagoon P, Wyss L, Tong B, Baumgartner J, Bonstra AM, Zimmermann MB. Urinary Iodine Concentration Indicate Iodine Deficiency in Pregnant Thai Women but Iodine Sufficiency in their School-Aged Children. The Journal of Nutrition. 2009;139(6):1169-72.
  5. Krisnayanti BD, ASGM status in West Nusa Tenggara Province, Indonesia. Journal of Degraded and Mining Lands Management. 2018;5(2):1077-1084.
  6. Krisnayanti BD, Anderson C, Ekawanti A, Sukarton. Alternative Livelihood in ASGM in Sekotong West Nusa Tenggara. KLN Report. 2015.
  7. World Health Organization. Guidance for Identifying Population at Risk from Mercury Exposure. Geneva. 2008.
  8. Ristic-Medic D, Piscackova G, Hooper L, Ruprich J, Casgrain A, Ashton K, Pavlovic M, Glibetic M. Method of Assessment of Iodine Status in Human, Am J Clin Nutr. 2009; 89 suppl: 2052S-69S.
  9. Priyambodo S, Ekawanti A, Nurbaiti L, C Rifana, Lestarini IA. Nutritional Status of School Aged Children in Telaga Lebur Elementary Public School, Sekotong West Nusa Tenggara Barat 2014-2015 in Proceeding of ISSC 2015. Mataram: Mataram University Press. 2015.
  10. Indonesian Ministry of Health. Hasil Utama Riskesdas. Health Research and Development of Indonesian Ministry of Health. 2018.
  11. World Health Organization. Iodine Status Worldwide. Geneva. 2004
  12. Sartini N. Hubungan Antara Ekskresi Iodium Urin dan Ekskresi Tiosianat Urin dengan Total Goiter Rate [Skripsi]. 2012 (Indonesian).
  13. Pardede LVH, Hardjowasito W, Gross R, Dillon DHS, Totoprajogo OS, Yosoprawoto M, Waskito L, Untoro J. Urinary Iodine Excretion Is the Most Appropriate Outcome Indicator for Iodine deficiency at the Field Conditions at District Level. J Nutr. 1998 :128:1122-1126.
  14. FAO. Human Vitamin and Mineral Requirement. Food and Nutrition Division of WHO. Rome. 2001.
  15. Stanbury JB, Dunn JT. Iodine and Iodine Deficiency Disorder in Present Knowledge in Nutrition. Washington DC: ILSI. 2001.
  16. Dewi IGAMS, Seriani L. Gambaran status nutrisi, pola konsumsi sarapan dan cemilan pada siswa Sekolah Dasar Negeri 1 Gianyar. Intisari Sains Medis. 2015; 3(1): 76-82 (Indonesian).
  17. Kunarti E. Hubungan Status Gizi, Zat Goitrogenik Asupan dan Garam Beriodium Dengan Kadar Ekskresi Iodium Urin pada Anak Sekolah Dasar [Tesis]. UNS. 2016.

How to Cite

Ekawanti, A., Irawati, D., Lestarini, I. A., & Cholidah, R. (2019). Effect of iodine status on nutritional status of school-age children in artisanal and small scale gold mining area. Bali Medical Journal, 8(3). https://doi.org/10.15562/bmj.v8i3.1597

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