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Dietary iodine intake and the association with subclinical thyroid dysfunction in male workers

직장인 남성에서 식이 요오드섭취량과 불현성 갑상선기능이상과의 연관성

  • Kim, Eun-Hye (Deparment of Medical Nutrition, Kyunghee University) ;
  • Choi, Tae-in (Radiation Health Research Institute, Korea & Hydro Nuclear Power Co., Ltd.) ;
  • Park, Yoo-Kyoung (Deparment of Medical Nutrition, Kyunghee University)
  • 김은혜 (경희대학교 동서의학대학원 의학영양학과) ;
  • 최태인 (한국수력원자력 방사선 보건 연구원) ;
  • 박유경 (경희대학교 동서의학대학원 의학영양학과)
  • Received : 2011.12.19
  • Accepted : 2012.03.01
  • Published : 2012.06.30

Abstract

The prevalence rate of thyroid dysfunction (hypothyroidism and hyperthyroidism) has increased within the Korean population and seems to be affected by iodine dietary habits. Some studies reported that the prevalence of thyroid dysfunction increase both in the area of iodine deficiency and excess. In this study, we tried to discover the difference in iodine intake, anthropometric measurements, and blood parameters between male subjects with or without subclinical thyroid dysfunction. A total of 5,249 subjects (Euthyroid: 4706, SubHypo: 454, SubHyper: 89) were used in this study. There were no significant differences in BMI, body fat, visceral fat, waist circumference, SBP, DBP, total cholesterol, HDL-cholesterol, LDL-cholesterol, TG, fasting serum glucose, HbA1c, alcohol intake, however significant differences were noticed in both age and smoking status. Through a food frequency questionnaire (FFQ), iodine intake per day was estimated. The average iodine intake was similar (SubHypo $392.9{\pm}279.0{\mu}g$, Euthyroid $376.5{\pm}281.7{\mu}g$, SubHyper $357.3{\pm}253.8 {\mu}g$) among groups. The main source of iodine intake was eggs (52.8%, 54.2%, 52.4%) followed by milk (16.3%, 15.8%, 17.8%), then sea mustard & sea tangle (12.4%, 11.9%, 11.6%). The prevalence of subclinical hypothyroidism and subclinical hyperthyroidism was higher in subjects whose intake was higher than the recommended nutrient intake (RNI). These results suggest that the excess consumption of iodine intake may act as one of the risk factors regarding thyroid dysfunction in Korea. Therefore, an adequate amount of iodine intake is necessary in order to prevent subclinical thyroid dysfunction and clinical thyroid dysfunction.

Keywords

References

  1. National Health Insurance Corporation. Patients with hypothyroidism and hyperthyroidism over 500,000 people (press release). Seoul: National Health Insurance Corporation; 2011
  2. Oh MK, Cheon KS, Jung SM, Ryu DS, Park MS, Cheong SS, Kim JS, Park BG. Prevalence of thyroid diseases among adult for health check-up in a Youngdong area of Kwangwon province. J Korean Acad Fam Med 2001; 22(9): 1363-1374
  3. Chung JH, Kim BJ, Choi YH, Shin MH, Kim SH, Min YK, Lee MS, Lee MG, Kim KW. Prevalence of thyrotoxicosis and hypothyroidism in the subjects for health check-up. J Korean Soc Endocrinol 1999; 14(2): 301-313
  4. Korea Food & Drug Administration. Report on the intake of sugar, sodium, and the rest of Korea. 2007 Nov 22
  5. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul; 2010
  6. Korea Food & Drug Administration. Iodine. 2010 Dec
  7. Lee HS, Min H. Iodine intake and tolerable upper intake level of iodine for Koreans. Korean J Nutr 2011; 44(1): 82-91 https://doi.org/10.4163/kjn.2011.44.1.82
  8. Hoption Cann SA. Hypothesis: dietary iodine intake in the etiology of cardiovascular disease. J Am Coll Nutr 2006; 25(1): 1-11 https://doi.org/10.1080/07315724.2006.10719508
  9. Lee KN, Yoon JH, Choi YH, Cho HI, Bae KW, Yoon CH, Kim SI. Standardization of reference values among laboratories of Korean Association of Health Promotion. J Lab Med Qual Assur 2002; 24(2): 185-195
  10. Global Health Care Marketing Company; Korea Food & Drug Administration. Iodine analysis method establishment and content monitoring of food. Seoul; 2006
  11. Brent G, Davies T, Larsen P. Chapter 12: Hypothyroidism and thyroiditis. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, editors. Williams Textbook of Endocrinology.11th ed. Philadelphia: Elsevier; 2008
  12. Mishell DR. Year book of contemporary Obstetrics and Gynecology; 2006. p.79-86
  13. Choi HS, Park YJ, Kin HK, Choi SH, Lim S, Park DJ, Jang HC, Cho NH, Cho BY. Prevalence of subclinical hypothyroidism in two population based-cohort: Ansung and KLoSHA cohort in Korea. J Korean Thyroid Assoc 2010; 3(1): 32-40
  14. Biondi B, Cooper DS. The clinical significance of subclinical thyroid dysfunction. Endocr Rev 2008; 29(1): 76-131
  15. Jang HW, Lee JI, Shin HW, Kim SW, Min YK, Lee MS, Lee MK, Kim KW, Chung JH. Reference range of serum TSH with aging and prevalence of subclinical hypothyroidism in patients without history of thyroid disease for the general medical examination. J Korean Thyroid Assoc 2009; 2(1): 28-32
  16. Kim CO, Hwang IC. Serum lipid profile in patients with subclinical hypothyroidism. New Med J 2008; 51(9-10): 49-55
  17. Kim KE, Lee OH, Moon JH, Lee SY, Kim YJ. Serum lipoprotein (a) and lipid concentrations in patients with subclinical hypothyroidism. J Korean Acad Fam Med 2001; 22(3): 345-353
  18. Lee WW, Kim CH, Cheong YS, Yoo SM, Park IH, Park SG. Profile of serum lipoprotein in patients with subclinical hypothyroidism. J Korean Acad Fam Med 2000; 21(3): 376-381
  19. Althaus BU, Staub JJ, Ryff-De Lèche A, Oberhänsli A, Stähelin HB. LDL/HDL-changes in subclinical hypothyroidism: possible risk factors for coronary heart disease. Clin Endocrinol (Oxf) 1988; 28(2): 157-163 https://doi.org/10.1111/j.1365-2265.1988.tb03651.x
  20. Bogner U, Arntz HR, Peters H, Schleusener H. Subclinical hypothyroidism and hyperlipoproteinaemia: indiscriminate L-thyroxine treatment not justified. Acta Endocrinol (Copenh) 1993; 128 (3): 202-206
  21. Moon SJ, Kim JY, Chung YJ, Chung YS. The iodine content in common Korean foods. Korean J Nutr 1998; 31(2): 206-212
  22. Song KW, Lee MH, Han JY, Lim JM, Kim HB. Revolutionary eggs. Seoul: Seoul National University Press; 2009. p.197
  23. Kim JY, Kim KR. Dietary iodine intake and urinary iodine excretion in patients with thyroid diseases. Yonsei Med J 2000; 41(1): 22-28
  24. Laurberg P, Cerqueira C, Ovesen L, Rasmussen LB, Perrild H, Andersen S, Pedersen IB, Carlé A. Iodine intake as a determinant of thyroid disorders in populations. Best Pract Res Clin Endocrinol Metab 2010; 24(1): 13-27 https://doi.org/10.1016/j.beem.2009.08.013
  25. Yoon HJ, Shin HC, Choi JH, Hur YS, Hong SB, Kim YS, Kim K. The relationship between thyroid hormone and metabolic syndrome in obese euthyroid adults. Korean J Obes 2008; 17(1): 10- 19

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