RELATIONSHIP THYROID STATUS TO THE PHYSICAL GROWTH AND PSYCHOMOTROR DEVELOPMENT ON CHILDREN UNDER 2 YEARS IN ENDEMIC AREAS OF IODINE DEFICIENCY DISORDERSIN DISTRICT SAMIGALUH OF KULONPROGO REGENCY
GUGUN, ADANG MUHAMMAD
FITRIANY, MARDYLLA NUR
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Children in endemic areas of Iodine de ciency disorders (IDD) are at risk for hypothyroidism that make disruption of growth and development. Children under 2 years olds is a critical age when there is a rapid growth in both physical and social development, mental, emotional, and intelligence that will greatly affect the growth of subsequent developments.The aim to determine the pro le of thyroid status and its relationship to growth and psychomotor development of children under the age of 2 years in an endemic area IDD.This research used analytic observational with cross sectional design. The subjects were 50 children under the age of 2 years in the village Ngargosari, Samigaluh, Kulonprogro. Measurement of levels of thyroid status (TSH and FT4) using ELISA method in the Laboratory of Research and Development of Iodine De ciency Disorders Borobudur Magelang. Physical growth indicators were measured include body weight, body length, body mass index (BMI) using indicators Z-score. Anthropometric measurements using a standardized measuring tool. Measurement of psychomotor development is done by using the Denver II test. Data were analyzed by Spearman correlation test.Retrieved median TSH level was 1,715 ng / dL (1.4 to 2.1 ng / dL) and the median levels of FT4 was 1,620 ng / dL (0.08 to 17.4 ng / dL).Thyroid status consist euthyroid82%,subclinical hypothyroidism14%, and subclinical hyperthyroidism 4%. Anthropometric results are generally within the normal range. But there are still 4% malnutrition, 6% thin, 2% very thin, and 4% fat. Four percent have short stature and 2% very short. Thyroid status with euthyroid distribution, Subclinical Hypothyroidism and Hyperthyroidism Subclinical, correlated with Weight to age (W/A) (p = 0.027; r = - 0.313). No signi cant correlation was found between thyroid status with Body Length / Age, Body Mass Index/Age, Body Weigth / Body Length. Psychomotor development of children consist advance 8% and normal 66%, but still found the subjects with suspected delays about 26%. Thyroid status is correlated to the development of ne motor skills of children under two years of age (p = 0.027 and r = -0.320). Thyroid status did not correlate with the other three aspects, namely the development of gross motor, social and personal language.Thyroid status of children under 2 years olds consist euthyroid 82%, subclinical hypothyroidism14% and subclinical hyperthyroidism 4%. Thyroid status correlates to Weight/Age and ne motor development.