Nutritional status vis-a-vis iodine deficiency in children of "Save Our Soul"children’s village in rural Varanasi: a micro-level study

Madan M. Majhi, Chandra P. Mishra, Prem Shankar, Zoobi Khanam


Background: There is paucity of data with regard to the Iodine deficiency in an organized sector like SOS children’s village which is an independent, non-governmental, social development organization located in urban Varanasi. Uttar Pradesh is one of the endemic states for goiter. It is expected that similar situation of goiter may prevail in children as well. It is a matter of concern that micro nutrient deficiency and under-nutrition may exist side by side. The objectives of the study were to assess nutritional status and find out the extent of Iodine deficiency in the study subjects, to find out the association between under nutrition and Iodine deficiency and to find out the Iodine content of salt used for cooking in the family.

Methods: 118 children of age group 6 to 15 years, from a Non-Governmental Organization (Save Our Soul) in Rural Varanasi constituted materials of the study. Consent from the director of the institution and assent from the individual children was taken prior to examination. All the subjects were examined clinically for the Presence of Goiter. They were subjected to weight and height recording following standard technique. Salt samples from the houses were tested by spot Iodine detection kit.

Results: In case of 72.6% female and 91.3% male subjects, BMI for age was <100% of the respective reference values; in all 76.3% subjects belonged to this category. Presence of Goiter among male children was 34.7% and among female children it was 22.2% and overall it was 24.6%. Significant association was observed between nutritional status and iodine deficiency (p<0.05). In 37.5% of salt samples, iodine content was 7 ppm and rest 62.5% shows iodine content 15ppm.

Conclusions: Nutritional status of the children under reference was far from being satisfactory. High prevalence of Goiter is matter of serious concern. Iodized salt consumption in the houses was up to the mark but Iodine content of the salt samples from houses was not satisfactory.


Goiter, Iodized salt, Iodine deficiency disorder, SOS children’s village

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New Delhi: Micronutrient Initiative. Micronutrient Initiative. Investing in the future - a united call to action on vitamin and mineral deficiencies. Global report, 2009. Available at http://www. Assessed on 15 Mach 2017.

United Nations Children's Fund. Sustainable Elimination of Iodine Deficiency, Progress since the 1990 World Summit for Children; May 2008. Available at Sustainable_Elimination_of_iodine_Deficiency_053008%281%29.pdf. Assessed on 15 Mach 2017.

Hetzel BS, Delange F, Dunn JT, Ling J, Mannar Venkatesh, Pandav CS. International Council forthe Control of Iodine Deficiency Disorders. New Delhi: Oxford University Press; 2004. Towards the global elimination of brain damage due to iodine deficiency- a global program for human development with a model applicable to a variety of health, social and environmental problems. Available at Assessed on 15 Mach 2017.

de Benoist B, McLean E, Andersson M, Rogers L. Iodine deficiency in 2007. Global progress since 2003. Food Nutr Bull. 2008;29:195-202.

Pandav CS, Yadav K, Srivastava R, Pandav R, Karmarkar MG. Iodine deficiency disorders (IDD) control in India. Indian J Med Res. 2013;138:418-33.

Iodine Network. Global score card, 2010. Available at /documents/ scorecard-2010.pdf. Assessed 15 on Mach 2017.

Sen TK, Das DK, Biswas AB, Chakrabarty I, Mukhopadhyay S, Roy R. Limited access to iodized salt among the poor and disadvantaged in North 24 Parganas district of West Bengal, India. J Health Popul Nutr. 2010;28:369-74.

Kamath R, Bhat V, Rao R, Das A, Ks G, Kamath A. Prevalence of goiter in rural area of Belgaum district, Karnataka. Indian J Community Med. 2009;34:48-51.

New Delhi: Ministry of Health and Family Welfare, Government of India; 2011. Department of Health and Family Welfare. Annual Report 2010-2011. Available at php?lid=767.Assessed on 15 March 217.

Prevalence of Micronutrient Deficiencies. Hyderabad: NNMB Technical Report No.22. ICMR, National Institute of Nutrition; 2003. National Nutrition Monitoring Bureau. Available at Assessed on 15 March 2017.

Government of India. Press note: Withdrawal of restriction on sale of common salt for direct human consumption, Vaisakha 21, 1922, May 11, 2000. Press Information Bureau, Ministry of Health and family Welfare, (Dept. of Health), New Delhi.

New Delhi: Directorate General of Health Services Ministry of Health and Family Welfare, Government of India; 2006. National Rural Health Mission IDD and Nutrition Cell. Revised Policy Guidelines on National Iodine Deficiency Disorders Control Programme. Available at Assessed on 15 March 2017.

Joint WHO/UNICEF/ICCIDD Consultation. Indicators of assessing iodine deficiency disorders and their control through salt iodization. Geneva: World Health Organization; November 1992. (WHO/NUT/94.6).

United Nations Children's Fund. United Nations Plaza, New York: UNICEF, The State of the World's Children. 2011. Adolescence; an Age of Opportunity. Available at Assessed on 15 March 2017.

UNICEF. Coverage Evaluation Survey 2009, All India Report. Ministry of Health and Family Welfare, Government of India, New Delhi. Available at health.html. Assessed on 15 March 2017.

SOS Children’s Village. Available at Assessed 15 March 2017.

Abebe Z, Gebeye E, Tariku A. Poor dietary diversity, wealth status and use of un-iodized salt are associated with goiter among school children: a cross-sectional study in Ethiopia. BMC Public Health. 2017;17(1):44.

Al-Dakheel MH, Haridi HK, Al-Bashir BM, Al-Shingiti A, Al-Shehri S, Gassem MA, et al. Prevalence of iodine deficiency disorders among school children in Saudi Arabia: results of a national iodine nutrition study. Eastern Mediterranean Health Journal. 2016;22(5):301.

Abuye C, Berhane Y, Akalu G, Getahun Z, Ersumo T. Prevalence of goiter in children 6 to 12 years of age in Ethiopia. Food and Nutrition Bulletin. 2007;28(4):391.

Kapil U, Pandey RM, Prakash S, Kabra M, Sareen N, Bhadoria AS, et al. Assessment of iodine deficiency in school age children in Nainital District, Uttarakhand State, Asia Pac J Clin Nutr. 2014;23(2):278-81.

Sen TK, Biswas AB, Chakrabarty I, Das DK, Ramakrishnan R, Manickam P, et al. Persistence of iodine deficiency in a Gangetic floodprone area, West Bengal, India, Asia Pac J Clin Nutr. 2006;15(4):528-32.

Kumari R. Goiter Prevalence in Children in North India Region. Asian Journal of Biomedical and Pharmaceutical Sciences. 2016;6(53):39-40.

Aslami AN, Ansri MA, Khalique N, Kapil U. Iodine Deficiency in School Children in Aligarh District, India. Indaian Pediatr. 2016;53(8):742-3. (Pubmed).

Sareen N, Kapil U, Nambiar V, Pandey RM, KhendujaIndian P. J Endocrinol Metab. 2016;20(2):171-6.