Endocrine Abstracts (2006) 11 P786

Epidemiology of endemic goiter in mountain region of Adjara Autonomy Republic (Georgia)

N Sekhniashvili1, R Kvanchakhadze1, D Tsereteli1, Z Sekhniashvili1 & L Baramidze2


1National Center of Nutrition, Tbilisi, Georgia; 2Department of Public Health, Tbilisi, Georgia.


2.788 inhabitant (726 men 1192 women and 870 children) were examined in mountain region of Adjara on thyroid gland pathology at the age from 1 to 75 (2003-2005 years). The investigated population was selected by ‘randomized method’. The data of ultrasonography, clinical and laboratory tests (defining T3, T4, TSH hormones, antibodies and iodine excretion in urine) were diagnostic criteria’s of thyroid gland pathology. To study risk factors of thyroid gland pathology development the examined population was asked by special Ask-tests. Obtained data were treated by means of computer program Epi info. Spread of thyroid gland pathology in examined population is 53.6% (41.6% men, 50.8% women and 67.4% children). The main form of endemic goiter is euthyroid diffuse goiter (specific share is 59.5%). The highest spreading of goiter in women of the age 21–30 was 58.3%. Index of Lenz-Bauer was 0.82. Spreading of nodular goiter in examined adult population is 6.8% (8.2% men and 8.2% women). Nodular goiter starts in women 3-4 years earlier than in men. Together with age increases the frequency of the nodular goiter. Date of iodurie median among children corresponds to middleweight of iodine deficiency disorders (4.3 mkg%). Concentration of iodine in water was 2.0 mg/l and soil was 0.3 mg/kg its evidence to iodine deficiency in environment. High index of endemic goiter spreading in mountain region of Adjara is caused by iodine deficiency.

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