| Abstract
Background:Adequate iodine intake by women in child-bearing age affects fetus
neurodevelopment during pregnancy. A majority of previous studies has investigated iodine
status among children, and there is limited data on female adolescents who are more exposed
to consequences of iodine deficiency (ID) in their near-future pregnancies; thus, we aimed to
assess iodine status, and knowledge on iodine deficiency disorders (IDDs) among adolescent
school girls (14-19 years old) in Shahriar, Iran.
Methods:This cross-sectional study was conducted among 223 female students selected
through multi-stage cluster sampling from 12 schools. Iodine and creatinine concentrations
were measured in casual urine samples. Iodine content of household salts was also assessed.
Data on intake of salt and iodine-rich food sources were collected applying a food frequency
questionnaire (FFQ), and knowledge about iodine and IDDs were assessed by a questionnaire.
Results:Median and Mean (95% CI) concentrations of urinary iodine and creatinine were
129 µg/L, 137.62 µg/L (95% CI: 126.28, 148.95) and 1.72 g/L, 1.86 g/L (95% CI: 0.55-3.17),
respectively. The frequency of mild, moderate and severe ID were 22.4%, 14.3% and 0%,
respectively; 43.5% had adequate, and 3.1% had excessive urinary iodine levels. Mean salt
iodine concentration was 21.69 (SD=10.56) ppm. Mean knowledge score was 12.7 (SD=3.44).
About half of the students had a poor (25.1%) or fair (24.2%) knowledge about iodine deficiency.
Adjusting for the confounders, no significant positive association was found between knowledge
about iodine-rich food sources and goitrogens with urinary iodine excretion.
Conclusion:Adolescent girls in Shahriar had relatively poor knowledge of iodine, and about
one third of them suffered from ID. |