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Zhu H, Chen P, Ding X, Zhao Y. Relationship Between Urinary Iodine Concentration and the Prevalence of Thyroid Nodules and Subclinical Hypothyroidism. Horm Metab Res 2024; 56:368-372. [PMID: 38447949 DOI: 10.1055/a-2258-8258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
The aim of the study was to investigate the iodine intake in the resident population in Xi'an and analyze the relationship between iodine nutritional status and the prevalence of subclinical hypothyroidism and thyroid nodules (TNs). A total of 2507 people were enrolled in Xi'an. Venous serum thyroid stimulating hormone (TSH), thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TgAb), urinary iodine concentration (UIC), and thyroid ultrasonography were collected. Patients with abnormal TSH were checked for free thyroxine (FT4) and triiodothyronine (FT3). Adults in Xi'an had median UICs of 220.80 μg/L and 178.56 μg/l, respectively. A sum of 16.78% of people had subclinical hypothyroidism. Both iodine excess and iodine deficit increased the frequency of subclinical hypothyroidism. The lowest was around 15.09% in females with urine iodine levels between 200 and 299 μg/l. With a rate of 10.69%, the lowest prevalence range for males was 100-199 μg/l. In Xi'an, 11.37% of people have TNs. In comparison to other UIC categories, TN occurrences were higher in females (18.5%) and males (12%) when UIC were below 100 μg/l. In conclusion, iodine intake was sufficient in the Xi'an area, while the adults' UIC remains slightly higher than the criteria. Iodine excess or deficiency can lead to an increase in the prevalence of subclinical hypothyroidism. Patients with iodine deficiency are more likely to develop TNs.
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Affiliation(s)
- Huachao Zhu
- Department of Hematology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Pu Chen
- Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Xi Ding
- Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Yanru Zhao
- Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
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Aarsland TE, Solvik BS, Bakken KS, Sleire SN, Kaldenbach S, Holten-Andersen MN, Nermo KR, Fauskerud IT, Østvedt TH, Lohne S, Gjengedal ELF, Strand TA. Iodine Nutrition in Children ≤2 years of Age in Norway. J Nutr 2023; 153:3237-3246. [PMID: 37742796 PMCID: PMC10687616 DOI: 10.1016/j.tjnut.2023.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 09/14/2023] [Accepted: 09/19/2023] [Indexed: 09/26/2023] Open
Abstract
BACKGROUND As a component of the thyroid hormones (THs), iodine is vital for normal neurodevelopment during early life. However, both deficient and excess iodine may affect TH production, and data on iodine status in young children are scarce. OBJECTIVES To describe iodine nutrition (iodine status and intake) in children ≤2 y of age in Innlandet County (Norway) and to describe the associations with maternal iodine nutrition. METHODS A cross-sectional study was performed in a representative sample of mother-child pairs selected from 30 municipalities from November 2020 until October 2021. Iodine status [child urinary iodine concentration (UIC), maternal UIC, and breast milk iodine concentration (BMIC)] was measured. Child's iodine intake was estimated using 2 24-h dietary recalls (24-HR) and a food frequency questionnaire. The Multiple Source Method was used to estimate the usual iodine intake distributions from the 24-HR assessments. RESULTS The median UIC in 333 children was 145 μg/L, indicating adequate iodine status according to the WHO cutoff (100 μg/L). The median usual iodine intake was 83 μg/d. Furthermore, 35% had suboptimal usual iodine intakes [below the proposed Estimated average requirement (72 μg/d)], whereas <1% had excessive usual iodine intakes [above the Upper intake level (200 μg/d)]. There was a positive correlation between children's iodine intake and BMIC (Spearman rank correlation coefficient r = 0.67, P < 0.001), and between children's UIC and BMIC (r = 0.43, P < 0.001), maternal UIC (r = 0.23, P = 0.001), and maternal iodine intake (r = 0.20, P = 0.004). CONCLUSION Despite a median UIC above the cutoff for iodine sufficiency, more than a third of the children had suboptimal usual iodine intakes. Our findings suggest that many children will benefit from iodine fortification and that risk of iodine excess in this age group is low.
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Affiliation(s)
- Tonje E Aarsland
- Center of International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Women's Clinic at Lillehammer Hospital, Innlandet Hospital Trust, Lillehammer, Norway.
| | - Beate S Solvik
- Center of International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Women's Clinic at Lillehammer Hospital, Innlandet Hospital Trust, Lillehammer, Norway
| | - Kjersti S Bakken
- Center of International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Women's Clinic at Lillehammer Hospital, Innlandet Hospital Trust, Lillehammer, Norway
| | - Synnøve Næss Sleire
- Seafood, Nutrition and Environmental State, Institute of Marine Research, Bergen, Norway
| | - Siri Kaldenbach
- Department of Paediatric and Adolescent Medicine, Innlandet Hospital Trust, Lillehammer, Norway; Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Mads N Holten-Andersen
- Department of Paediatric and Adolescent Medicine, Innlandet Hospital Trust, Lillehammer, Norway; Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Kristina R Nermo
- Center of International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Department of Microbiology, Innlandet Hospital Trust, Lillehammer, Norway
| | - Ingunn T Fauskerud
- Department of Microbiology, Innlandet Hospital Trust, Lillehammer, Norway
| | - Thobias H Østvedt
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, Ås, Norway
| | - Solfrid Lohne
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, Ås, Norway
| | - Elin L F Gjengedal
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, Ås, Norway
| | - Tor A Strand
- Center of International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Department of Research, Innlandet Hospital Trust, Lillehammer, Norway
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Bakken KS, Aarsland TE, Groufh-Jacobsen S, Solvik BS, Gjengedal ELF, Henjum S, Strand TA. Adequate Urinary Iodine Concentration among Infants in the Inland Area of Norway. Nutrients 2021; 13:nu13061826. [PMID: 34071905 PMCID: PMC8229746 DOI: 10.3390/nu13061826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 05/12/2021] [Accepted: 05/25/2021] [Indexed: 11/16/2022] Open
Abstract
Considering the importance of iodine to support optimal growth and neurological development of the brain and central nervous system, this study aimed to assess and evaluate iodine status in Norwegian infants. We collected data on dietary intake of iodine, iodine knowledge in mothers, and assessed iodine concentration in mother’s breast milk and in infant’s urine in a cross-sectional study at two public healthcare clinics in the inland area of Norway. In the 130 mother–infant pairs, the estimated infant 24-h median iodine intake was 50 (IQR 31, 78) µg/day. The median infant urinary iodine concentration (UIC) was 146 (IQR 93, 250) µg/L and within the recommended median defined by the World Health Organization for this age group. Weaned infants had a higher UIC [210 (IQR 130, 330) µg/L] than exclusively breastfed infants [130 (IQR 78, 210) µg/L] and partially breastfed infants [135 (IQR 89, 250) µg/L], which suggest that the dietary data obtained in this study did not capture the accurate iodine intake of the included infants. The iodine status of infants in the inland area of Norway seemed adequate. Weaned infants had higher UIC compared to breastfed infants, suggesting early access and consumption of other sources of iodine in addition to breast milk.
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Affiliation(s)
- Kjersti Sletten Bakken
- Women’s Clinic at Lillehammer Hospital, Innlandet Hospital Trust, 2609 Lillehammer, Norway; (T.E.A.); (B.S.S.)
- Center of International Health, Faculty of Medicine, University of Bergen, P.O. Box 7804, 5020 Bergen, Norway;
- Correspondence: ; Tel.: +47-95-78-13-49
| | - Tonje Eiane Aarsland
- Women’s Clinic at Lillehammer Hospital, Innlandet Hospital Trust, 2609 Lillehammer, Norway; (T.E.A.); (B.S.S.)
- Center of International Health, Faculty of Medicine, University of Bergen, P.O. Box 7804, 5020 Bergen, Norway;
| | - Synne Groufh-Jacobsen
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Universitetsveien 25, 4630 Kristiansand, Norway;
| | - Beate Stokke Solvik
- Women’s Clinic at Lillehammer Hospital, Innlandet Hospital Trust, 2609 Lillehammer, Norway; (T.E.A.); (B.S.S.)
| | - Elin Lovise Folven Gjengedal
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, 1432 Aas, Norway;
| | - Sigrun Henjum
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet–Oslo Metropolitan University, 0130 Oslo, Norway;
| | - Tor Arne Strand
- Center of International Health, Faculty of Medicine, University of Bergen, P.O. Box 7804, 5020 Bergen, Norway;
- Department of Research, Innlandet Hospital Trust, 2609 Lillehammer, Norway
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