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dc.contributor.authorR. A. Thurlowen_US
dc.contributor.authorP. Winichagoonen_US
dc.contributor.authorT. Pongcharoenen_US
dc.contributor.authorS. Gowachirapanten_US
dc.contributor.authorA. Boonpradermen_US
dc.contributor.authorM. S. Mangeren_US
dc.contributor.authorK. B. Baileyen_US
dc.contributor.authorE. Wasantwisuten_US
dc.contributor.authorRasalind S. Gibsonen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherUniversity of Otagoen_US
dc.identifier.citationEuropean Journal of Clinical Nutrition. Vol.60, No.5 (2006), 623-632en_US
dc.description.abstractIntroduction: Micronutrient deficiencies during childhood can contribute to impairments in growth, immune competence, and mental and physical development, and the coexistence of several such deficiencies can adversely affect the efficacy of single micronutrient interventions. Objective: To assess the prevalence of zinc and iodine deficiency and their interrelationships with vitamin A deficiency and anemia and associations with socio-economic status, hemoglobin type, and anthropometry in a cross-sectional study. Setting: A total of 10 primary schools in North East Thailand. Methods: Non-fasting venipuncture blood samples and casual urine samples were collected from 567 children aged 6-13 years. Anthropometric measures and serum zinc, albumin, C-reactive protein and urinary iodine, are reported here and integrated with published data on vitamin A, anemia, and socio-economic status. Results: Of the children, 57% had low serum zinc and 83% had urinary iodine levels below the 100 μg/l cutoff. Suboptimal serum zinc and urinary iodine concentrations may result from low intakes of zinc and iodized salt. Significant risk factors for low serum zinc were serum retinol <1.05 μmol/l and being male. Those for urinary iodine <100 μg/l were height-for-age score > median and being female. For serum retinol <1.05 μmol/l, risk factors were low hemoglobin, low serum zinc, and <9 years, and for low hemoglobin indicative of anemia risk factors were <9 years, AE hemoglobinopathy, and serum retinol < 1.05 μmol/l. Of the children, 60% were at risk of two or more coexisting micronutrient deficiencies, most commonly suboptimal urinary iodine and low serum zinc. Conclusion: The findings emphasize the need for multimicronutrient interventions in North East Thailand. © 2006 Nature Publishing Group. All rights reserved.en_US
dc.rightsMahidol Universityen_US
dc.subjectAgricultural and Biological Sciencesen_US
dc.titleRisk of zinc, iodine and other micronutrient deficiencies among school children in North East Thailanden_US
Appears in Collections:Scopus 2006-2010

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