RESUMEN
The effect of protein energy malnutrition (PEM) in the children on serum levels of total thyroxine (TT4), total triodothyronine (TT3) and thyrotropin (TSH) were evaluated. There were 107 children aged 2 to 60 months in the malnutrition group and 54 healthy age and sex matched controls. Serum TT4 and TT3 were all reduced in the malnutrition group. This decrease in TT3 was more significant (p < 0.01) in severe malnutrition than in mild PEM. Serum TSH levels in the malnutrition and control groups were similar. These results suggest that the children remained euthyroid and represent an adaptive response to protein energy malnutrition.
Asunto(s)
Estudios de Casos y Controles , Preescolar , Femenino , Humanos , Lactante , Masculino , Desnutrición Proteico-Calórica/sangre , Valores de Referencia , Pruebas de Función de la Tiroides , Glándula Tiroides/metabolismo , Tirotropina/sangre , Tiroxina/sangre , Triyodotironina/sangreRESUMEN
Malnutrition grades of 1000 children were established by various anthropometric measures in Sivas area. The general malnutrition rate was 30.5% according to weight for age, 27.7% for weight for height and 33.7% for mid upper arm circumference (MUAC) to head circumference (HC) ratio. The rates of severe malnutrition were noted to be low (1.8-2.2%) when using these criteria. Malnutrition in the 0-3 month babies was misleading, when measurement were solely based on the MUAC/HC ratio.