REVIEW ERS ' CONCLUSIONS Despite most of the included studies being of low quality , the results suggest that iodine supplementation , especially iodised oil , is an effective means of decreasing goitre rates and improving iodine status in children .
Indications of positive effects on physical and mental development and mortality were seen , although results were not always significant .
Adverse effects were generally minor and transient .
BACKGROUND Iodine deficiency is the main cause of potentially preventable mental retardation in childhood , as well as causing goitre and hypothyroidism in people of all ages .
It is still prevalent in large parts of the world .
OBJECTIVES To assess the effects of iodine supplementation overall , and of different forms and dosages of iodine supplementation separately , in the prevention of iodine deficiency disorders in children .
Prophylaxis of endemic goiter with iodized oil in rural Peru.
Three And ean villages at altitudes of 3,100 to 3,500 meters above sea level were studied in order to determine the prophylac— ' tic effect of iodized oil administration on endemic goiter \ and cretinism ( 1 ) . At the time of the study the population in | these villages was approximately 4,000 , with an annual growth ' rate of about three percent . In a group of 3,000 subjects i examined in a house-to-house survey , the visible goiter rate , : as defined in an accompanying paper ( 2 ) , was 55 percent . However , ? when the cccurrence of palpable goiter was considered as well , | the incidence of goiter rose to 83 percent . Fifty percent of * the children in the 0 - 5 yr age group were goitrous and of these , | 20 percent demonstrated visible goiter . Goiter prevalence l increased with age , as did nodularity . An example of this is ‘ shown in Fig. 1 . In some families every member was found with ii goiter as illustrated in Fig. 2 . Goiter was also found among 4 the domestic animals . The percentage of defective persons in the i three villages ranged from 1.0 to 3.6 percent . Although these _ . x villages are accessible by automobile , they are still quite remote * , and isolated
REVIEW ERS ' CONCLUSIONS Despite most of the included studies being of low quality , the results suggest that iodine supplementation , especially iodised oil , is an effective means of decreasing goitre rates and improving iodine status in children .
Indications of positive effects on physical and mental development and mortality were seen , although results were not always significant .
Adverse effects were generally minor and transient .
BACKGROUND Iodine deficiency is the main cause of potentially preventable mental retardation in childhood , as well as causing goitre and hypothyroidism in people of all ages .
It is still prevalent in large parts of the world .
OBJECTIVES To assess the effects of iodine supplementation overall , and of different forms and dosages of iodine supplementation separately , in the prevention of iodine deficiency disorders in children .