Seroprevalence rate of poliovirus antibodies among the healthy and protein energy malnutrition children

To study the association between Protein energy malnutrition and polio-specific immunoglobulin G antibodies production among children in Gadap Town Karachi, Pakistan. Comparative cross sectional survey conducted at fixed EPI center and Pediatric OPD of a tertiary care hospital Karachi. Children were selected by convenient sampling method during the period from 17 March to 17 May 2013. It was ensured that they must have received more than seven oral polio vaccine doses as eligibility criteria for the study. A total of 170 blood samples were collected and tested for the presence of polio-specific IgG antibodies using Poliomyelitis IgG ELISA Test Kit produced. Statistically significant relation was found between PEM and IgG antibodies production OR [P = 0.000]. Overall Seroprevalence rate among the study population was 98.8%, PEM group 97.6% and healthy group 100%. The study demonstrated that there is a need to focus on the protein energy malnutrition among the children as an immunization strategy for the 100% seroprevalence rate in all population against polio in Pakistan

Trends of serum thyrotropin concentration and associated factors in urban Pakistan [Karachi]

This investigation aimed at assessing trends of TSH levels and associated factors in apparently normal subjects of urban Pakistan [Karachi]. The survey was conducted in 2004 in Lyari, Karachi. Using a geographical imaging system, 85, 520 households were identified, of which 532 were randomly selected; 867 adults aged >/= 25 years consented to take part in the study. Blood samples from 324 subjects were available for analyses. Subjects with previous history of thyroid disorders were excluded. Mean age of subjects was 40.8 +/- 14.13 years; 68.2% were females; mean values of waist circumference of males and females were 89.5 +/- 16 cm 87.8 +/- 15.7 cm repectively. Fifty-nine [18.2%] subjects had TSH>6.0 cm [mU/L] based on the ELISA laboratory reference range, used for the estimation of TSH. Based on the American Thyroid Association [ATA] guidelines, 159 [49.07%] subjects had TSH<2.5, while 76 [23.45%] subjects with TSH between 2.5-4.0 mU/L as per ATA definition were in the "at risk" category. Thirty subjects [9.26%] had TSH levels between 4.1-6.0 mU/L. A significant correlation was found between TSH and BMI and waist circumference, whereas a weak, non significant one was observed between TSH and waist hip ratio. A strong association between overweight [BMI>23] and elevated serum TSH concentration [TSH>4.1 mU/L] was also observed. This spectrum of TSH levels highlighted a high prevalence of increased serum TSH levels in the population studied, a trend that was associated with obesity and various lipid abnormalities. Further population based studies are needed to correlate these findings with clinical parameters of hypothyroidism

Relation between family history, obesity and risk for diabetes and heart disease in Pakistani children

Objective: To assess the differences in relative risk of developing diabetes and CHD, obesity, fasting blood glucose, insulin and lipids of children having family history of diabetes or heart disease in first or second degree relatives as compared to control group

Design: Children were given a questionnaire to collect demographic data and to assess their dietary habits and family history. Anthropometric measurements and blood samples for fasting blood glucose, insulin and lipids of 8-10 years old children from 4 schools was taken

Setting: The samples of ninety-nine children were obtained to assess fasting blood glucose, insulin and lipids of children

Subjects: Children having positive family history of diabetes [n=44] or heart disease [n=16] in first or second degree relatives were compared with a control group [n=39]

Results: Children having positive family history for diabetes had slightly higher mean values for BMI, waist circumference, arm fat% as compared to the controls but the differences were not statistically significant. Overweight children [>85[th] Percentile of BMI for age] did not differ significantly in terms of various risk indicators however those who were in the uppermost tertile of arm fat% had significantly higher total Cholesterol, Triglycerides, LDL-C, LDL:HDL and Insulin levels [P<0.05 in each case]

Conclusion: Diabetes and CVD risks from positive family history for the disease are probably mediated through increased body fat percentage. Thus even when information about family history of disease is lacking, arm-fat-percentage could be used as an important screening tool for determining the risk status of children