Abstract
Purpose
Although a nation-wide salt iodization program on voluntary basis was implemented in 2005, many areas in our country are still characterized by mild iodine deficiency. Differently from the rest of Italy, an efficient program of iodine prophylaxis was implemented in 1981 in the Autonomous Province of Bolzano. The aim of this study was to investigate whether an adequate iodine intake in the population may affect the incidence of permanent congenital hypothyroidism (CH).
Methods
The incidence trends of permanent CH between 1987 and 2006 in Bolzano Province and in the rest of Italy were estimated.
Results
Over the years, the CH incidence has remained steadily lower in Bolzano than in the rest of the country.
Conclusions
Primary prevention of permanent CH may be possible by assuring an adequate nutritional iodine intake in the population. However, the time needed to observe a decrease in the incidence of CH is about a decade under conditions of iodine sufficiency.
References
Delange F (1997) Neonatal screening for congenital hypothyroidism: results and perspectives. Horm Res 48:51–61
Tylek-Lemanska D, Rybakova M, Kumorowicz-Kopiec M, Dziatkowiak H, Ratajczak R (2003) Iodine deficiency disorders incidence in neonates based on the experience with mass screening for congenital hypothyroidism in southeast Poland in th years 1985–2000. J Endocrinol Inves 26:32–38
Franzellin F (1998) Experience with iodine prophylaxis in the province of Bolzano. Ann Ist Super Sanità 34:377–381
Olivieri A, The Italian Study Group for Congenital Hypothyroidism (2012) Epidemiology of congenital hypothyroidism: what can be deduced from the Italian registry of infants with congenital hypothyroidism. J Matern Fetal Neonatal Med 25:7–9
Leger J, Olivieri A, Donaldson M et al (2014) European society for paediatric endocrinology consensus guidelines on screening, diagnosis, and management of congenital hypothyroidism. J Clin Endocrinol Metab 99:363–384
Elminger MW, Kuhnel W, Lambrecht HG (2001) Reference intervals from birth to adulthood for serum thyroxine (T4), triiodothyronine (T3), freeT3, freeT4, thyroxine binding globuline (TBG) and thyrotropin (TSH). Clin Chem Lab Med 39:973–979
Williams FL, Simpson J, Delahunty C et al (2004) Developmental trends in cord and postpartum serum thyroid hormones in preterm infants. J Clin Endocrinol Metab 89:5314–5320
Cassio A, Corbetta C, Antonozzi I et al (2013) The Italian screening program for primary congenital hypothyroidism: actions to improve screening, diagnosis, follow-up, and surveillance. J Endocrinol Invest 36:195–203
Olivieri A, Corbetta C, Weber G et al (2013) Congenital hypothyroidism due to defects of thyroid development and mild increase of TSH at screening: data From the Italian National Registry of Infants with congenital hypothyroidism. J Clin Endocrinol Metab 98:1403–1408
Zimmermann MB (2007) The impact of iodised salt or iodine supplements on iodine status during pregnancy lactation and infancy. Pub Health Nutr 10:1527–1529
Acknowledgments
This work was partially supported by Project No. RF2010-2309484.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Consortia
Corresponding author
Additional information
The list of the members of the Italian Study Group for Congenital Hypothyroidism is given in “Appendix”.
Appendix
Appendix
The list of the members of the Italian Study Group for Congenital Hypothyroidism is given below:
Representatives of the Italian Screening and Follow-up Centers for Congenital Hypothyroidism: R. Altamura, A. Angeloni, S. Bernasconi, G. Bona, I. Bucci, F. Calaciura, M. Camilot M. Cappa, C. Carducci, U. Caruso, A. Cassio, L. Cavallo, G. Cesaretti, F. Chiarelli, B. Ciannamea, R. Ciatti, MP Cicciò, C. Corbetta, P. Costa, F. De Luca, G. Gallicchio, R. Gastaldi, G. Grasso, R. Gurrado, A. Lelli, D. Leonardi, S. Loche, R. Lorini, G. Minelli, G.Napolitano, P. Narducci, N. Oggiano, V.Pafundi, S. Pagliardini, G. Parlato, E. Pasquini, S.Pilia, M. Pizzolante, F. Righetti, A. Rizzo, MC. Salerno, D. Scognamiglio, V. Stoppioni, M. Tonacchera, G. Vignola, M. C. Vigone, G. Weber.
Rights and permissions
About this article
Cite this article
Olivieri, A., Radetti, G., Medda, E. et al. Incidence of congenital hypothyroidism in the Autonomous Province of Bolzano: benefit of increased iodine intake. J Endocrinol Invest 38, 185–187 (2015). https://doi.org/10.1007/s40618-014-0206-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40618-014-0206-2