Abstract
The urinary iodine excretion, expressed as the iodine/creatinine (l/Cr) ratio, was correlated with the serum T4 and TSH levels in persons with a relatively constant iodine intake for at least 6 months. It was found that the group with an I/Cr ratio of 151–200 µg/g had on average the lowest serum TSH and the highest serum T4 level. The differences in serum TSH from the other groups were statistically significant, whereas the differences in serum T4 were not. It is concluded that an l/Cr ratio of 151–200, corresponding to an iodine intake of about 200 µg/day, is associated with the lowest TSH stimulation of the thyroid gland in man and probably represents the optimal conditions for its function.
References
Ermans A.M. Etiopathogenesis of endemic goiter. In: Stanbury J.B., Hetzet B.S. (Eds.), Endemic goiter and endemic cretinism: iodine nutrition in health and disease. John Wiley and Sons, New York-Chichester-Brisbane- Toronto, 1980, p. 287.
Ermans A.M. Endemic goiter. In: Ingbar S.H., Braverman L.H. (Eds.), Werner’s the thyroid, a fundamental and clinical text, ed. 5. J.B. Lippincott, Philadelphia, 1986, p. 705.
Vagenakis A.G., Koutras D.A., Burger A., Malamos B., Ingbar S.H., Braverman L.E. Studies of serum triiodothyronine, thyroxine and thyrotropin concentration in endemic goiter in Greece. J. Clin. Endocrinol. Metab. 37: 485, 1973.
Boukis M.A., Koutras D.A., Souvatzoglou A., Evangelopoulou A., Vrontakis M., Moulopoulos S.D. Thyroid hormone and immunologic studies in endemic goiter. J. Clin. Endocrinol. Metab. 57: 859, 1983
Benotti J., Benotti N. Protein-bound iodine, total iodine, and butanol-extract- able iodine by partial automation. Clin. Chem. 9: 408, 1963.
Querido A., Delange P., Dunn T, Fierro-Benitez R., Ibbertson H.K., Koutras D.A., Perinetti H. Definitions of endemic goiter and cretinism, classification of goiter size and severity of endemias, and survey techniques. In: Dunn J.T, Medeiros-Neto G.A. (Eds.), Endemic goiter and cretinism: continuing threats to world health, No 292. PAHO Sci. Publ., PAHO Washington, 1974, p. 267.
Wayne E.J., Koutras D.A., Alexander W.D. Clinical aspects of iodine metabolism. Blackwell, Oxford, 1964, p. 303.
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Moulopoulos, D.S., Koutras, D.A., Mantzos, J. et al. The relation of serum T4 and TSH with the urinary iodine excretion. J Endocrinol Invest 11, 437–439 (1988). https://doi.org/10.1007/BF03349078
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DOI: https://doi.org/10.1007/BF03349078