Skip to main content
Erschienen in: European Journal of Nutrition 1/2016

01.02.2016 | Original Contribution

Iodine status from childhood to adulthood in females living in North-East Italy: Iodine deficiency is still an issue

verfasst von: Sara Watutantrige Fernando, Elisabetta Cavedon, Davide Nacamulli, Dina Pozza, Andrea Ermolao, Marco Zaccaria, Maria Elisa Girelli, Loris Bertazza, Susi Barollo, Caterina Mian

Erschienen in: European Journal of Nutrition | Ausgabe 1/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This survey aimed to assess iodine status in a female population at different ages, also investigating their eating habits.

Methods

We measured urinary iodine concentrations (UIC) in: 634 females at puberty and 361 fertile women in 246 of whom were considered also their children (134 daughters and 120 sons). All subjects completed a food frequency questionnaire.

Results

Median UIC decreased from childhood to adulthood (median UIC 107, 77 and 55 μg/l in the young girls, females at puberty and fertile women, respectively). Though using iodized salt improved iodine status in all groups, a significantly higher UIC was only noted in females at puberty. Milk consumption significantly increased UIC at all ages. In mother–child (both daughters and sons) pairs, the children’s median UIC was nearly twice as high as their mothers’ (UIC 115 vs. 57 μg/l). Milk consumption varied significantly: 56 % of the mothers and 76 % of their children drank milk regularly. The children (both daughters and sons) and mothers who drank milk had UIC ≥100 μg/l in 59 and 34 % of cases, respectively, among the pairs who did not drink milk, 44 % of the children and 19 % of the mothers had UIC ≥100 μg/l. On statistical regression, 3.6 % of the variability in the children’s UIC depended on that of their mothers.

Conclusions

Dietary iodine status declines from childhood to adulthood in females due to different eating habits. A mild iodine deficiency emerged in women of child-bearing age that could have consequences during pregnancy and lactation.
Literatur
1.
Zurück zum Zitat World Health Organization, UNICEF, ICCIDD (2007) Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers, 3rd edn. WHO Press, Geneva World Health Organization, UNICEF, ICCIDD (2007) Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers, 3rd edn. WHO Press, Geneva
2.
Zurück zum Zitat Engle PL, Black MM, Behrman JR, de Mello MC, Gertler PJ, Kapiriri L, Martorell R et al (2007) Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. Lancet 369:229–242CrossRef Engle PL, Black MM, Behrman JR, de Mello MC, Gertler PJ, Kapiriri L, Martorell R et al (2007) Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. Lancet 369:229–242CrossRef
3.
4.
Zurück zum Zitat Gordon RC, Rose MC, Skeaff SA, Gray AR (2009) Iodine supplementation improves cognition in mildly iodine-deficient. Am J Clin Nutr 90:1264–1271CrossRef Gordon RC, Rose MC, Skeaff SA, Gray AR (2009) Iodine supplementation improves cognition in mildly iodine-deficient. Am J Clin Nutr 90:1264–1271CrossRef
5.
Zurück zum Zitat Brantsæter AL, Abel MH, Haugen M, Meltzer HM (2013) Risk of suboptimal iodine intake in pregnant Norwegian women. Nutrients 5:424–440CrossRef Brantsæter AL, Abel MH, Haugen M, Meltzer HM (2013) Risk of suboptimal iodine intake in pregnant Norwegian women. Nutrients 5:424–440CrossRef
6.
Zurück zum Zitat Bath SC, Steer CD, Golding J, Emmett P, Rayman MP (2013) Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC). Lancet 382:331–337CrossRef Bath SC, Steer CD, Golding J, Emmett P, Rayman MP (2013) Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC). Lancet 382:331–337CrossRef
7.
Zurück zum Zitat Phillips DI (1997) Iodine, milk and the elimination of endemic goitre in Britain: the story of an accidental public health triumph. J Epidemiol Community Health 51:391–393CrossRef Phillips DI (1997) Iodine, milk and the elimination of endemic goitre in Britain: the story of an accidental public health triumph. J Epidemiol Community Health 51:391–393CrossRef
8.
Zurück zum Zitat Girelli ME, Coin P, Mian C, Nacamulli D, Zambonin L, Piccolo M et al (2004) Milk represents an important source of iodine in schoolchildren of the Veneto region, Italy. J Endocrinol Invest 27:709–713CrossRef Girelli ME, Coin P, Mian C, Nacamulli D, Zambonin L, Piccolo M et al (2004) Milk represents an important source of iodine in schoolchildren of the Veneto region, Italy. J Endocrinol Invest 27:709–713CrossRef
9.
Zurück zum Zitat Lamberg B (1986) Endemic goiter in Finland and changes during 30 years of iodine prophylaxis. Endocrinol Exp 20:35–47 Lamberg B (1986) Endemic goiter in Finland and changes during 30 years of iodine prophylaxis. Endocrinol Exp 20:35–47
10.
Zurück zum Zitat Rasmussen LB, Larsen EH, Ovesen L (2000) Iodine content in drinking water and other beverages in Denmark. Eur J Clin Nutr 54:57–60CrossRef Rasmussen LB, Larsen EH, Ovesen L (2000) Iodine content in drinking water and other beverages in Denmark. Eur J Clin Nutr 54:57–60CrossRef
11.
Zurück zum Zitat Rasmussen LB, Ovesen L, Bülow I, Jørgensen T, Knudsen N, Laurberg P, Pertild H (2002) Dietary iodine intake and urinary iodine excretion in a Danish population: effect of geography, supplements and food choice. Br J Nutr 87:61–69CrossRef Rasmussen LB, Ovesen L, Bülow I, Jørgensen T, Knudsen N, Laurberg P, Pertild H (2002) Dietary iodine intake and urinary iodine excretion in a Danish population: effect of geography, supplements and food choice. Br J Nutr 87:61–69CrossRef
12.
Zurück zum Zitat Andersson M, de Benoist B, Delange F, Zupan J (2007) Prevention and control of iodine deficiency in pregnant and lactating women and in children less than 2-years-old: conclusions and recommendations of the technical consultation. Public Health Nutr 10:1606–1611CrossRef Andersson M, de Benoist B, Delange F, Zupan J (2007) Prevention and control of iodine deficiency in pregnant and lactating women and in children less than 2-years-old: conclusions and recommendations of the technical consultation. Public Health Nutr 10:1606–1611CrossRef
13.
Zurück zum Zitat Andersson M, Karumbunathan V, Zimmermann MB (2012) Global iodine status in 2011 and trends over the past decade. J Nutr 142:744–751CrossRef Andersson M, Karumbunathan V, Zimmermann MB (2012) Global iodine status in 2011 and trends over the past decade. J Nutr 142:744–751CrossRef
14.
Zurück zum Zitat Zimmermann MB, Andersson M (2012) Assessment of iodine nutrition in populations: past, present and future. Nutr Rev 70:553–570CrossRef Zimmermann MB, Andersson M (2012) Assessment of iodine nutrition in populations: past, present and future. Nutr Rev 70:553–570CrossRef
15.
Zurück zum Zitat Vandevijvere S, Mourri AB, Amsalkhir S, Avni F, Van Oyen H, Moreno-Reyes R (2012) Fortification of bread with iodized salt corrected iodine deficiency in school-aged children, but not in their mothers: a national cross-sectional survey in Belgium. Thyroid 22:1046–1053CrossRef Vandevijvere S, Mourri AB, Amsalkhir S, Avni F, Van Oyen H, Moreno-Reyes R (2012) Fortification of bread with iodized salt corrected iodine deficiency in school-aged children, but not in their mothers: a national cross-sectional survey in Belgium. Thyroid 22:1046–1053CrossRef
16.
Zurück zum Zitat Skeaff SA (2011) Iodine deficiency in pregnancy: the effect on neurodevelopment in the child. Nutrients 3:265–273CrossRef Skeaff SA (2011) Iodine deficiency in pregnancy: the effect on neurodevelopment in the child. Nutrients 3:265–273CrossRef
17.
Zurück zum Zitat Li M, Eastman CJ (2012) The changing epidemiology of iodine deficiency. Nat Rev Endocrinol 8:434–440CrossRef Li M, Eastman CJ (2012) The changing epidemiology of iodine deficiency. Nat Rev Endocrinol 8:434–440CrossRef
18.
Zurück zum Zitat Watutantrige Fernando S, Barollo S, Nacamulli D, Pozza D, Giachetti M, Frigato F et al (2013) Iodine status in schoolchildren living in northeast Italy: the importance of iodized salt use and milk consumption. Eur J Clin Nutr 67:366–370CrossRef Watutantrige Fernando S, Barollo S, Nacamulli D, Pozza D, Giachetti M, Frigato F et al (2013) Iodine status in schoolchildren living in northeast Italy: the importance of iodized salt use and milk consumption. Eur J Clin Nutr 67:366–370CrossRef
19.
Zurück zum Zitat Vanderpump MPJ, Lazarus JH, Smyth PP, Laurberg P, Holder RL, Boelaert K et al (2011) Iodine status of UK schoolgirls: a cross-sectional survey. Lancet 377:2007–2012CrossRef Vanderpump MPJ, Lazarus JH, Smyth PP, Laurberg P, Holder RL, Boelaert K et al (2011) Iodine status of UK schoolgirls: a cross-sectional survey. Lancet 377:2007–2012CrossRef
20.
Zurück zum Zitat Pearce EN, Andersson M, Zimmermann MB (2013) Global iodine nutrition: where do we stand in 2013? Thyroid 23:523–528CrossRef Pearce EN, Andersson M, Zimmermann MB (2013) Global iodine nutrition: where do we stand in 2013? Thyroid 23:523–528CrossRef
21.
Zurück zum Zitat Gowachirapant S, Winichagoon P, Wyss L, Tong B, Baumgartner J, Melse-Boonstra A et al (2009) Urinary iodine concentrations indicate iodine deficiency in pregnant Thai women but iodine sufficiency in their school-aged children. J Nutr 139:1169–1172CrossRef Gowachirapant S, Winichagoon P, Wyss L, Tong B, Baumgartner J, Melse-Boonstra A et al (2009) Urinary iodine concentrations indicate iodine deficiency in pregnant Thai women but iodine sufficiency in their school-aged children. J Nutr 139:1169–1172CrossRef
22.
Zurück zum Zitat Wong EM, Sullivan KM, Perrine CG, Rogers LM, Peña-Rosas JP (2011) Comparison of median urinary iodine concentration as an indicator of iodine status among pregnant women, school-age children, and nonpregnant women. Food Nutr Bull 32:206–212CrossRef Wong EM, Sullivan KM, Perrine CG, Rogers LM, Peña-Rosas JP (2011) Comparison of median urinary iodine concentration as an indicator of iodine status among pregnant women, school-age children, and nonpregnant women. Food Nutr Bull 32:206–212CrossRef
23.
Zurück zum Zitat Marchioni E, Fumarola A, Calvanese A, Piccirilli F, Tommasi V, Cugini P et al (2008) Iodine deficiency in pregnant women residing in an area with adequate iodine intake. Nutrition 24:458–461CrossRef Marchioni E, Fumarola A, Calvanese A, Piccirilli F, Tommasi V, Cugini P et al (2008) Iodine deficiency in pregnant women residing in an area with adequate iodine intake. Nutrition 24:458–461CrossRef
24.
Zurück zum Zitat Mian C, Vitaliano P, Pozza D, Barollo S, Pitton M, Callegari G et al (2009) Iodine status in pregnancy: role of dietary habits and geographical origin. Clin Endocrinol (Oxf) 70:776–780CrossRef Mian C, Vitaliano P, Pozza D, Barollo S, Pitton M, Callegari G et al (2009) Iodine status in pregnancy: role of dietary habits and geographical origin. Clin Endocrinol (Oxf) 70:776–780CrossRef
25.
Zurück zum Zitat Pearce EN (2012) Effects of iodine deficiency in pregnancy. J Trace Elem Med Biol 26:131–133CrossRef Pearce EN (2012) Effects of iodine deficiency in pregnancy. J Trace Elem Med Biol 26:131–133CrossRef
26.
Zurück zum Zitat Glinoer D (2004) The regulation of thyroid function during normal pregnancy: importance of the iodine nutrition status. Best Pract Res Clin Endocrinol Metab 18:133–152CrossRef Glinoer D (2004) The regulation of thyroid function during normal pregnancy: importance of the iodine nutrition status. Best Pract Res Clin Endocrinol Metab 18:133–152CrossRef
27.
Zurück zum Zitat Stagnaro-Green A, Abalovich M, Alexander E, Azizi F, Mestman J, Negro R et al (2011) Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid 21:1081–1125CrossRef Stagnaro-Green A, Abalovich M, Alexander E, Azizi F, Mestman J, Negro R et al (2011) Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid 21:1081–1125CrossRef
28.
Zurück zum Zitat National Research Council (1989) Nutrient requirements of dairy cattle, 6th edn. National Academy Press, Washington D.C National Research Council (1989) Nutrient requirements of dairy cattle, 6th edn. National Academy Press, Washington D.C
29.
Zurück zum Zitat EFSA (2005) Opinion of the scientific panel on additives and products or substances used in animal feed on the request from the commission on the use of iodine in feedingstuffs. Eur Food Saf Author Journal 168:1–42 EFSA (2005) Opinion of the scientific panel on additives and products or substances used in animal feed on the request from the commission on the use of iodine in feedingstuffs. Eur Food Saf Author Journal 168:1–42
30.
Zurück zum Zitat Ni Mhurchu C, Capelin C, Dunford EK, Webster JL, Neal BC, Jebb SA (2011) Sodium content of processed foods in the United Kingdom: analysis of 44,000 foods purchased by 21,000 households. Am J Clin Nutr 93:594–600CrossRef Ni Mhurchu C, Capelin C, Dunford EK, Webster JL, Neal BC, Jebb SA (2011) Sodium content of processed foods in the United Kingdom: analysis of 44,000 foods purchased by 21,000 households. Am J Clin Nutr 93:594–600CrossRef
31.
Zurück zum Zitat Law N.55, 21st March 2005, “Disposizioni finalizzate alla prevenzione del gozzo endemico e di altre patologie da carenza iodica”, published in Gazzetta Ufficiale n. 91, 20 April 2005 Law N.55, 21st March 2005, “Disposizioni finalizzate alla prevenzione del gozzo endemico e di altre patologie da carenza iodica”, published in Gazzetta Ufficiale n. 91, 20 April 2005
32.
Zurück zum Zitat Olivieri A, Rotondi D, Stracchini P, Pastorelli A, Raschetti R, Da Cas R et al (2013) Monitoraggio della iodoprofilassi in Italia. L’Endocrinologo 14:14–17 Olivieri A, Rotondi D, Stracchini P, Pastorelli A, Raschetti R, Da Cas R et al (2013) Monitoraggio della iodoprofilassi in Italia. L’Endocrinologo 14:14–17
Metadaten
Titel
Iodine status from childhood to adulthood in females living in North-East Italy: Iodine deficiency is still an issue
verfasst von
Sara Watutantrige Fernando
Elisabetta Cavedon
Davide Nacamulli
Dina Pozza
Andrea Ermolao
Marco Zaccaria
Maria Elisa Girelli
Loris Bertazza
Susi Barollo
Caterina Mian
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 1/2016
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-015-0853-x

Weitere Artikel der Ausgabe 1/2016

European Journal of Nutrition 1/2016 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.