The correlation between breast cancer and urinary iodine excretion levels

Objective To compare urinary iodine excretion levels in patients with breast cancer and control subjects. Methods In this prospective pilot study, patients with breast cancer and normal controls were recruited. Age and menopausal status were recorded. Levels of serum thyroid-stimulating hormone, blood urea nitrogen and creatinine and urine iodine concentration (UIC) were measured. UIC levels were divided into three categories: low (<100 µg/l), normal (100–200 µg/l) or high (>200 µg/l). Results A total of 24 patients with breast cancer and 48 controls were included in the study. There were no statistically significant differences between the two groups with regard to thyroid-stimulating hormone, blood urea nitrogen or creatinine levels. When considered overall, there was no statistical difference in UIC between patients and controls. However, comparisons within each category (low, normal or high UIC) showed a significantly higher percentage of patients with breast cancer had a high UIC compared with controls. Conclusions A high UIC was seen in a significantly higher percentage of patients with breast cancer than controls. UIC may have a role as a marker for breast cancer screening. Further studies evaluating UIC and iodine utilization in patients with breast cancer are warranted.

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Maternal iodine status and neonatal thyroid-stimulating hormone concentration: a community survey in Songkhla, southern Thailand

Public Health Nutrition ◽

10.1017/s1368980009005205 ◽

2009 ◽

Vol 12 (12) ◽

pp. 2279-2284 ◽

Cited By ~ 17

Author(s):

Somchit Jaruratanasirikul ◽

Pasuree Sangsupawanich ◽

Ounjai Koranantakul ◽

Prasin Chanvitan ◽

Prasit Ruaengrairatanaroj ◽

...

Keyword(s):

Pregnant Women ◽

Iodine Deficiency ◽

Urinary Iodine ◽

Iodine Intake ◽

Thyroid Stimulating Hormone ◽

Iodized Salt ◽

Urinary Iodine Excretion ◽

Southern Thailand ◽

Iodine Excretion ◽

Stimulating Hormone

AbstractObjectiveTo determine iodine intake and urinary iodine excretion (UIE) in a group of pregnant Thai women and the concentration of thyroid-stimulating hormone (TSH) in their neonates.DesignA prospective cohort study.SettingThree districts of Songkhla, southern Thailand.SubjectsTwo hundred and thirty-six pregnant women.ResultsA quarter of the participants lacked knowledge of iodine and the prevention of iodine deficiency, although 70 % used iodized salt. Those who did not use iodized salt stated that they had no knowledge about iodine (57 %) and no iodized salt was sold in their village (36 %). The median iodine intake in the three districts was 205–240 μg/d, with 53–74 % of pregnant women having iodine intake <250 μg/d. The median UIE in the three districts was 51–106 μg/l, with 24–35 % having UIE < 50 μg/l. The mean neonatal TSH was 2·40 (sd1·56) mU/l, with 8·9 % of neonates having TSH > 5 mU/l.ConclusionsThe studied women and their fetuses were at risk of mild iodine deficiency. About a quarter of the participants lacked knowledge of the importance of iodine. Education regarding the importance of iodine supplements and the promotion of iodized salt should be added to national health-care policies in order to prevent iodine-deficiency disorders, diseases that are subclinical but have long-term sequelae.

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Nativer 99mTc-Uptake in der Differentialdiagnostik von unauffälliger Schilddrüse, Struma mit Euthyreose und Schilddrüsenautonomie in einem Jodmangelgebiet

Nuklearmedizin ◽

10.1055/s-0038-1629519 ◽

1990 ◽

Vol 29 (03) ◽

pp. 113-119

Author(s):

C. R. Pickardt ◽

K. Horn ◽

G. Bechtner ◽

C. Vaitl ◽

C. M. Kirsch ◽

...

Keyword(s):

Urinary Iodine ◽

Inverse Correlation ◽

Iodine Concentration ◽

Urinary Iodine Excretion ◽

Large Scatter ◽

Spot Urine ◽

Iodine Supply ◽

Iodine Contamination ◽

Iodine Excretion ◽

Overt Hyperthyroidism

Global TcTU was determined in 568 patients without any specific thyroid drug intake - 54 with normal thyroid, 274 with goitre and euthyroidism and 240 with thyroid autonomy. 57 patients with autonomy and overt hyperthyroidism were the only group with TcTU values significantly higher than normals. Common to all groups was a large scatter of the TcTU values. In 332, the effects of individual iodine supply were studied by measuring the iodine concentration in spot urine samples. There was a significant inverse correlation between the TcTU values and the urinary iodine excretion in the groups of normal thyroids and of goitres with euthyroidism. In the group with autonomy an effect of iodine supply could only be seen in cases of greatly increased urinary iodine excretion, resulting in very low TcTU values. Out of 20 patients with autonomy and iodine contamination, only 4 showed overt hyperthyroidism. The large scatter of TcTU values in all groups may be explained by the persistent iodine deficiency as well as by the frequent exposure to unknown amounts of iodine in patients with thyroid disease. Therefore, the spontaneous TcTU alone cannot identify a small group of patients with autonomy and high risk of iodine-induced hyperthyroidism, from a very large group of patients with goitre.

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24-hour urinary iodine concentration and 24 h urinary iodine excretion in a sample of Australian primary school children

Journal of Nutrition & Intermediary Metabolism ◽

10.1016/j.jnim.2015.12.266 ◽

2016 ◽

Vol 4 ◽

pp. 31

Author(s):

K. Beckford ◽

C. Grimes ◽

C. Margerison ◽

L. Riddell ◽

C. Nowson ◽

...

Keyword(s):

Primary School ◽

School Children ◽

Urinary Iodine ◽

Iodine Concentration ◽

Primary School Children ◽

Urinary Iodine Excretion ◽

Urinary Iodine Concentration ◽

Iodine Excretion

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Thyroid stimulating hormone isn’t a sensitive indicator of iodine nutritional status in schoolchildren

Revista de Ciências Médicas e Biológicas ◽

10.9771/cmbio.v14i3.14990 ◽

2016 ◽

Vol 14 (3) ◽

pp. 350

Author(s):

Renata De Oliveira Campos ◽

Joaquim Custódio Silva Júnior ◽

Elton Estrela Ramos

Keyword(s):

Public Schools ◽

Nutritional Status ◽

Filter Paper ◽

Urinary Iodine ◽

Iodine Concentration ◽

Thyroid Stimulating Hormone ◽

Urinary Iodine Concentration ◽

Iodine Nutrition ◽

Cross Sectional ◽

Stimulating Hormone

Introduction: iodine deficiency disorders (IDD) are most common cause of preventable brain damage, mental retardation and stunted growth in children worldwide. Several indicators are complementary to urinary iodine concentration (UIC) for assessing iodine nutritional status, as thyroid size, thyroglobulin (Tg) and thyroid stimulating hormone (TSH) concentrations in the blood. Objective: analyze TSH in filter paper blood values and correlate with UIC in schoolchildren from public school at state of Bahia, Brazil. Methodology: cross-sectional study was conducted in 880 schoolchildren aged 6-14 years, randomly selected, of public schools in five cities of four micro-regions of Bahia between October 2013 and September 2014. TSH was analyzed in filter-paper blood and UIC were measured by adapted Sandell-Kolthoff reaction. Results: 880 blood samples on filter-paper were analyzed for TSH. The reference range previously established is 0.72 to 6.0 μUI/mL. Results of this research TSH dosage ranged from 0.24 μIU/L to 7.71 μIU/L, with a mean of 1.01±0.55 μUI/L and median 0.89 μUI/L. Only one child presented TSH greater than 6.0 (7.71 μIU/L); however, results of urinary iodine were consistent with a more than adequate nutrition iodine (243.70μg/L). There’ no correlation between TSH and UIC (r= 0.115; p= 0.002). Conclusion: in the present study, schoolchildren showed low values of TSH, but the mean UIC was indicative of adequate iodine nutrition.

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Intra-individual and inter-individual variations in iodine intake and excretion in adult women: implications for sampling

British Journal Of Nutrition ◽

10.1017/s0007114519003015 ◽

2019 ◽

Vol 123 (9) ◽

pp. 987-993 ◽

Cited By ~ 1

Author(s):

Wen Chen ◽

Shu Gao ◽

Wenxing Guo ◽

Long Tan ◽

Ziyun Pan ◽

...

Keyword(s):

Urinary Iodine ◽

Sampling Period ◽

Iodine Concentration ◽

Iodine Intake ◽

Urine Samples ◽

Urinary Iodine Excretion ◽

Urinary Iodine Concentration ◽

Adult Women ◽

Individual Variations ◽

Iodine Excretion

AbstractIodine intake and excretion vary widely; however, these variations remain a large source of geometric uncertainty. The present study aims to analyse variations in iodine intake and excretion and provide implications for sampling in studies of individuals or populations. Twenty-four healthy women volunteers were recruited for a 12-d sampling period during the 4-week experiment. The duplicate-portion technique was used to measure iodine intake, while 24-h urine was collected to estimate iodine excretion. The mean intra-individual variations in iodine intake, 24-h UIE (24-h urinary iodine excretion) and 24-h UIC (24-h urinary iodine concentration) were 63, 48 and 55 %, respectively, while the inter-individual variations for these parameters were 14, 24 and 32 %, respectively. For 95 % confidence, approximately 500 diet samples or 24-h urine samples should be taken from an individual to estimate their iodine intake or iodine status at a precision range of ±5%. Obtaining a precision range of ±5% in a population would require twenty-five diet samples or 150 24-h urine samples. The intra-individual variations in iodine intake and excretion were higher than the inter-individual variations, which indicates the need for more samples in a study on individual participants.

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Current iodine status in Japan: A cross-sectional nationwide survey of schoolchildren, 2014–2019

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/clinem/dgab919 ◽

2021 ◽

Author(s):

Yozen Fuse ◽

Yoshiya Ito ◽

Yoshimasa Shishiba ◽

Minoru Irie

Keyword(s):

Urinary Iodine ◽

Nationwide Survey ◽

Iodine Concentration ◽

Iodine Intake ◽

Urinary Iodine Excretion ◽

Urinary Iodine Concentration ◽

Cross Sectional ◽

Iodine Status ◽

Iodine Excretion ◽

Cr Concentration

Abstract Context Japan has been regarded as a long-standing iodine sufficient country without iodine fortification; however, data on nationwide iodine status is lacking. Objective This study aimed to characterize the iodine status in Japan. Methods From 2014 through 2019 a nationwide school-based survey was conducted across all districts in Japan. Urinary iodine concentration (UIC), creatinine (Cr) concentration and anthropometry were assessed in healthy school-aged children (SAC) aged 6 to 12 years. Their iodine status is regarded as generally representative of the nation's iodine status. Results A total of 32,025 children participated. The overall median UIC was 269 μg/L which was within the WHO’s adequacy range. There was a regional difference in UIC values within 14 regions, and the lowest and highest median UIC were found in Tanegashima Island (209 μg/L) and Nakashibetsu, Hokkaido (1,071 μg/L), respectively. The median UIC ≥ 300 μg/L was observed in 12 out of 46 regions. By using estimated 24-h urinary iodine excretion (UIE), the prevalence of SAC exceeding the upper tolerable limit of iodine for Japanese children was from 5.2 to 13.7%. The UIC values did not change with age, BSA and BMI percentile, while the Cr concentration simultaneously increased suggesting the effect of urinary creatinine on UI/Cr and estimated 24-h UIE values. Conclusions The iodine intake of Japanese people is adequate, but in some areas it is excessive. The incidence and prevalence of thyroid disorders associated with iodine intake should be obtained especially in the areas where high amounts of iodine are consumed.

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Current trends of 24-h urinary iodine excretion in German schoolchildren and the importance of iodised salt in processed foods

British Journal Of Nutrition ◽

10.1017/s0007114511005502 ◽

2011 ◽

Vol 106 (11) ◽

pp. 1749-1756 ◽

Cited By ~ 30

Author(s):

Simone A. Johner ◽

Anke L. B. Günther ◽

Thomas Remer

Keyword(s):

Urinary Iodine ◽

Iodine Concentration ◽

Urinary Iodine Excretion ◽

Urinary Iodine Concentration ◽

Processed Foods ◽

Food Groups ◽

Linear Regression Models ◽

Iodine Status ◽

Iodised Salt ◽

Iodine Excretion

Worldwide, the iodisation of salt has clearly improved iodine status. In industrialised countries, iodised salt added to processed food contributes most to iodine supply. Yet it is unclear as to what extent changes in the latter may affect the iodine status of populations. Between 2004 and 2009, 24-h urinary iodine excretions (UIE) were repeatedly measured in 278 German children (6 to 12 years old) of the Dortmund Nutritional and Anthropometric Longitudinally Designed Study (n707). Na excretion measurements and simultaneously collected 3-d weighed dietary records provided data on intakes of the most important dietary sources of iodine in the children's diet. Actual trends of UIE (2004–9) and contributions of relevant food groups were analysed by mixed linear regression models. Longitudinal regression analysis showed a plateau of UIE in 2004–6; afterwards, UIE significantly decreased till 2009 (P = 0·01; median 24-h UIE in 2004–6: 85·6 μg/d; 2009: 80·4 μg/d). Median urinary iodine concentration fell below the WHO criteria for iodine sufficiency of 100 μg/l in 2007–9. Salt, milk, fish and egg intake (g/d) were significant predictors of UIE (P < 0·005); and the main sources of iodine were salt and milk (48 and 38 %, respectively). The present data hint at a beginning deterioration in the iodine status of German schoolchildren. A decreased use of iodised salt in industrially produced foods may be one possible reason for this development. Because of the generally known risks for cognitive impairment due to even mild iodine deficits in children, a more widespread use of iodised salt, especially in industrially processed foods, has to be promoted.

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Low-Iodine Diet for Producing Iodine Deficiency in Rats

Australian Journal of Biological Sciences ◽

10.1071/bi9800205 ◽

1980 ◽

Vol 33 (2) ◽

pp. 205 ◽

Cited By ~ 6

Author(s):

GH McIntosh ◽

GB Jones ◽

DA Howard ◽

GB Belling ◽

BJ Potter ◽

...

Keyword(s):

Iodine Deficiency ◽

Urinary Iodine ◽

Iodine Content ◽

Fold Increase ◽

Thyroid Stimulating Hormone ◽

Female Rats ◽

Urinary Iodine Excretion ◽

Control Value ◽

Thyroid Uptake ◽

Iodine Excretion

A low-iodine diet has been prepared for rats, using locally available low-iodine ingredients. On analysis it has been shown to consistently contain 15-20 ng iodine/g. When fed to growing female rats, this diet produced severe iodine deficiency while not significantly affecting growth or reproduction. The deficiency was manifested by a fall in daily urinary iodine excretion (to less than 1 JIg/day) and a seven-fold increase in thyroid uptake (1311) observable within 3 months. Levels of plasma thyroxine (T 4) and thyroid stimulating hormone (TSH) continued to change for 4-5 months, T 4 falling from 69�9 to 7�5 nmol/l and TSH increasing seven-fold from a control value of 364 to 2406 ng/ml. Goitre was present in all iodine-deficient rats and iodine content in the thyroid was 10 % of the control value.

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Iodine nutrition in pregnancy and lactation in Iran

Public Health Nutrition ◽

10.1017/s1368980007360977 ◽

2007 ◽

Vol 10 (12A) ◽

pp. 1596-1599 ◽

Cited By ~ 22

Author(s):

Fereidoun Azizi

Keyword(s):

Pregnant Women ◽

Urinary Iodine ◽

Thyroid Volume ◽

Iodine Concentration ◽

Iodine Intake ◽

Urinary Iodine Excretion ◽

Urinary Iodine Concentration ◽

Lactating Women ◽

Iodine Excretion ◽

Pregnancy And Lactation

AbstractObjective: To describe studies evaluating urinary iodine excretion during pregnancy and lactation in women living in cities with adequate or more than adequate iodine intake.Design: Cross-sectional study conducted between 1996 and 1998 in pregnant women and a study of lactating women conducted in 2003.Settings and Subjects: Pregnant women attending prenatal clinics in four cities in the Islamic Republic of Iran. Urinary iodine excretion and thyroid volume was measured in 403 women. In a second study, 100 lactating women from Taleghani Hospital in Gorgan, Iran were evaluated for thyroid size, and both urinary and breast milk iodine concentrations were determined.Results: In Rasht city, 84% of pregnant women had a urinary iodine concentration of ≥ 200 μg l-1, while in the other cities this percentage ranged from 45 to 55%. When data were combined for the cities of Ilam, Isfahan and Tehran, where women have an adequate or more than adequate median urinary iodine concentration, 51% of pregnant women had a urinary iodine concentration less than that recommended during pregnancy. In Rasht, where the median urinary iodine concentration indicates an excessive iodine intake, 15.4% of pregnant women had a urinary iodine concentration < 200 μg l-1. The mean urinary iodine concentration in lactating women was 250 μg l-1, and 16% of women had a urinary iodine concentration < 100 μg l-1. Grade 1 goitre was present in 8% of lactating women, and another 8% had grade 2 goitre.Conclusions: Findings of this study call for further attention to iodine intake during pregnancy and lactation. The currently recommended intake of iodine through universal salt iodisation may not be adequate for pregnant and lactating women, and supplementation during pregnancy and lactation should be further considered in light of the latest recommendations.

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A study to assess the prevalence of iodine deficiency disorders in Betul district, Madhya Pradesh, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194008 ◽

2019 ◽

Vol 6 (9) ◽

pp. 3999

Author(s):

Sudarshan Kushwah ◽

Akhil R. Nair ◽

Jeevan Singh Meena ◽

Shipra Verma ◽

Harshima Sawlani ◽

...

Keyword(s):

Public Health ◽

Iodine Deficiency ◽

Urinary Iodine ◽

Public Health Problem ◽

Iodine Concentration ◽

Madhya Pradesh ◽

Urinary Iodine Excretion ◽

Iodine Deficiency Disorders ◽

Neurological Damage ◽

Iodine Excretion

Background: Iodine deficiency disorders (IDD) constitute the single largest cause of preventable neurological damage worldwide. Majority of consequences of IDD are invisible and irreversible but at the same time these are preventable. The study was conducted to assess the prevalence of goiter in school children aged 6-12 years, to estimate the urinary iodine excretion and to assess the level of iodine concentration in salt samples obtained from households of selected school children.Methods: Population proportionate to size sampling. Sample size was 90 primary school-going children of age 6-12 years in each selected village, total 2700 from 30 villages/wards in Betul district, Madhya Pradesh, India.Results: The prevalence of goiter among the 6-12 years children was found to be 32.06%. Females had higher prevalence compared to males. Of the 540 salt samples, 370 (68.4%) had iodine concentration ≥15 ppm at household level.Conclusions: IDD is a mild public health problem in Betul district.

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