Svoboda | Graniru | BBC Russia | Golosameriki | Facebook

Iodine status of New Zealand residents as assessed by urinary iodide excretion and thyroid hormones

Br J Nutr. 1997 Dec;78(6):901-12. doi: 10.1079/bjn19970208.

Abstract

The aims of this study were (1) to compare various measures of I status, and (2) to assess urinary I and thyroid hormone status of residents of two areas of New Zealand where, before the iodization of salt, goitre was endemic due to low soil I. A total of 189 subjects (102 males, eighty-seven females) were recruited from the Dunedin Blood Transfusion Centre, and 144 (sixty-seven males, seventy-seven females) from the Waikato Blood Transfusion Centre between November 1993 and June 1994. Blood was taken for thyroid hormone assays, and subjects collected a fasting overnight urine specimen, a double-voided fasting urine sample, and a complete 24 h specimen for iodide and creatinine analyses. Positive correlations (P < 0.0001) between daily iodide excretion and iodide concentrations in fasting and double-voided fasting urines, identical median values for iodide concentrations in the three samples, and similar numbers of subjects classified as at risk from I deficiency disorders according to the International Committee for the Control of Iodine Deficiency Disorders/World Health Organization categories (World Health Organization, 1994) confirmed indications from earlier studies that fasting urine samples were suitable for population studies. However 24 h urinary iodide excretion remains the recommended measure for individual I status. Waikato residents excreted more iodide in urine and all measures were significantly greater than for Otago residents. However median urinary iodide excretions for both areas (60 and 76 microgram/d for Otago and Waikato respectively) were considerably lower than those reported previously for New Zealand. Thyroid hormone concentrations were within normal ranges. Our findings suggest that I status of New Zealanders may no longer be considered adequate and may once again be approaching levels of intake associated with clinical I deficiency.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Creatinine / urine
  • Data Interpretation, Statistical
  • Female
  • Health Status*
  • Humans
  • Iodides / urine*
  • Iodine / administration & dosage
  • Iodine / deficiency
  • Iodine / metabolism*
  • Male
  • Middle Aged
  • New Zealand
  • Regression Analysis
  • Risk
  • Thyroid Hormones / urine*
  • Thyroxine / urine
  • Triiodothyronine / urine

Substances

  • Iodides
  • Thyroid Hormones
  • Triiodothyronine
  • Iodine
  • Creatinine
  • Thyroxine