PREVALENCE OF THYROID DYSFUNCTION IN MALWA REGION OF INDIA

Dr. Sourabh Mandwariya, Dr. Vijayshankar Mishra

Abstract


The prevalence of thyroid disorder in Malwa region of India is unknown. The aim of the present study is to estimate the prevalence of overt and subclinical thyroid disorder among the age group of 15 to 69 years after universal salt iodization. A prospective study was conducted from February 2018 to June 2018. Those patients who had performed the serum thyroid stimulation hormone (TSH) were enrolled in the study. All subjects of study were resident of Mandsaur district of Malwa region with age 15 to 69 year. The reference interval for TSH is 0.50 to 4.70 μIU/ml. Thyroid function is categorized as Euthyroidism (Normal TSH), Hyperthyroidism (Decreased TSH) and Hypothyroidism (Increased TSH).
The overall prevalence of thyroid disorder was 23.8%. Prevalence of hypothyroidism was 20.1% and hyperthyroidism was 3.7%. Thyroid disorders were more prevalent among Women. Age group 35 to 44 years was having more thyroid disorders as compared to other age groups. The high prevalence of thyroid disorders is due to iodine deficiency, autoimmune disorders, metabolic disorders and Down’s syndrome.


Keywords


autoimmune, Malwa, Mandsaur, thyroid disorders

Full Text:

PDF

References


Vir. S. Universal iodization of salt: A mid decade goal. In Sachdev HPS and Choudhary (Eds.) Nutrition in Children – Developing country concerns. New Delhi: Cambridge Press, 1994; p. 525-535

Directorate General of Health Services (DGHS). Ministry of Health and Family Welfare, Govt. of India. Policy Guidelines on National Iodine Deficiency Disorders Control Programme. New Delhi; 2003; p. 1-10.

Singh S, Duggal J, Molnar J, Maldonado F, Barsano CP, Arora R. Impact of subclinical thyroid disorders on coronary heart disease, cardiovascular, and all-cause mortality: a meta-analysis. Int J Cardiol. 2008; 125: 41 – 48.

Haggerty JJ Jr., Stern RA, Mason GA, Beckwith J, Morey CE, Prange AJ Jr. Subclinical hypothyroidism: a modifiable risk factor for depression? Am J Psychiatry. 1993; 150: 508 – 510.

Danese MD, Powe NR, Sawin CT, Ladenson PW. Screening for mild thyroid failure at the periodic health examination: a decision and cost-effectiveness analysis. JAMA. 1996; 276: 285 – 292.

Vaderpump MPJ, Tunbridge WMG. The epidemiology of thyroid diseases. In: Braverman LE, Utiger RD, eds. Werner and Ingbar's the Thyroid. Philadelphia: Lippincott-Raven; 2000: 467 – 473.

ICMR. Epidemiological survey of endemic goiter and endemic cretinism. New Delhi: Indian Council of Medical Research; 1989.

Indicators for Assessing Iodine Deficiency Disorders and their Control Programmes. Report of a Joint WHO/UNICEF/ICCIDD Consultation, Geneva: World Health Organization; 1992. p. 22-29.

Control of iodine deficiency through safe use of iodized salt. ICMR Bull. 1996; 26: 41-46. 6. NIHFW. National iodine deficiency disorders control Program . National Health Program Series 5. National Institute of Health and Family Welfare, New Delhi: 2003; p. 99.

Völzke H, Lüdemann J, Robinson DM, Spieker KW, Schwahn C, Kramer A, et al. The prevalence of undiagnosed thyroid disorders in a previously iodinedeficient area. Thyroid. 2003; 13: 803 – 810.

Delange F. The disorders induced by iodine deficiency. Thyroid. 1994; 4: 107 – 128.

Sichieri R, Baima J, Marante T, de Vasconcellos MT, Moura AS, Vaisman M. Low prevalence of hypothyroidism among black and Mulatto people in a population-based study of Brazilian women. ClinEndocrinol (Oxf). 2007; 66: 803 – 807.

WHO. Indicators for Assessing Iodine Deficiency Disorders and their Control through Salt Iodization. WHO/NUT/94.6: 1994; p. 14.


Refbacks

  • There are currently no refbacks.