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The Phil ippine T hyro i d D isorder Prevalence S urvey ( PhilTiDeS )

The Phil ippine T hyro i d D isorder Prevalence S urvey ( PhilTiDeS ).

chiquita-valdez
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The Phil ippine T hyro i d D isorder Prevalence S urvey ( PhilTiDeS )

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  1. The Philippine Thyroid Disorder Prevalence Survey (PhilTiDeS) A project of the Philippine Society of Endocrinology and Metabolism in cooperation with the Food and Nutrition Research Institute-Department of Science and Technology and the Philippine Council on Health and Research Development

  2. National Prevalence of Goiter • 1987 and 1993 National Nutrition Surveys • National prevalence of goiter based on PE • 1987 - 3.7% • 1993 - 6.7% in 1993 • Highest prevalence rate seen in pregnant women 13-20 yo - 27.4% • This study will be the first national survey in the Philippines on the prevalence of thyroid disorder based on thyroid function tests. Phil. F&F, 2001

  3. Significance of the study • This study is the first national survey in the Philippines on the prevalence of thyroid disorders based on thyroid function tests. Phil. F&F, 2001

  4. Objectives • To determine the prevalence of: • Overt Hyperthyroid and subclinical hyperthyroid disorders • Overt Hypothyroid and subclinical hypothyroid disorders • Thyroid nodules • Iodine deficiency disorders • To evaluate the sufficiency of iodine nutrition based on urinary iodine excretion • To determine the relationship between abnormal thyroid function and: • Lipid levels • Clinical symptoms and signs as assessed by the modified Wayne's index

  5. Population • 7th National Nutrition Survey 2008 • National Statistics Office LaborForce Survey Sample • Non-pregnant, non-lactating adults > 20 yo

  6. Sampling design • stratified multi-stage sampling design • 17 regions, 80 provinces

  7. Methodology • PhilTiDeSquestionnaire administered by trained field personnel • Demographics • Clinical history • PE for goiter grading • Biochemical assays • Serum TSH (microparticle immunoassay Abott) • Ref range 0.47-4.64 • Serum free T4 (ELISA) • Ref range 0.71-1.85 • Urinary iodine • Total cholesterol, triglycerides, HDL, LDL

  8. WHO-UNICEF-ICCIDD 2001 consensus

  9. Thyroid Function Biochemical Status

  10. Classification based on thyroid status

  11. Goiter grading and thyroid status

  12. Population with goiter by PE

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