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
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Date
2016-12-09Author
GUGUN, ADANG MUHAMMAD
NOOR, ZULKHAH
RASYAD, JIFANI
FITRIANY, MARDYLLA NUR
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Show full item recordAbstract
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.