Abstract:【Objective】To study the correlation between iodine nutritional status and thyroid related antibody in adolescents in Huizhou. 【Method】A total of 1207 adolescents from 4 high schools in Huizhou were selected randomly in December 2016 and December 2017 respectively, and their urinary iodine concentration, height, weight, serum TSH, FT3, FT4, thyroid peroxidase antibodies (TPOAb), thyroglobulin antibodies (TgAb), and thyrotrophin receptor antibody (TRAb) were detected. 【Results】The median urinary iodine (MUI) of adolescents was 205.93 μg/L in Huizhou region. There was no significant difference in urinary iodine level between boys and girls(P>0.05, Z=-0.97). Urinary iodine level was positively correlated with TPOAb (R=0.42,P<0.001). Serum TSH level was positively correlated with BMI (R=0.24,P<0.01) . There was no significant difference in urinary iodine level between overweight adolescents and normal BMI population(P>0.05,Z=-0.10). Urinary iodine level was significantly higher in first-degree relatives who have history of hyperthyroidism or hypothyroidism of adolescents(P<0.001,Z=-4.91). 【Conclusion】Urinary iodine levels in adolescents may be associated with thyroid autoimmune diseases,however, it does not affect obesity in adolescents. Urinary iodine concentration monitoring is important to adolescents with thyroid disease clustering families.
彭林平, 陈利强, 罗浩元. 惠州地区青少年碘营养状况及其体质量指数与甲状腺相关抗体的相关性分析[J]. 医学临床研究, 2020, 37(6): 834-836.
PENG Lin-ping, CHEN Li-qiang, LUO Hao-yuan. Analysis of Iodine Nutrition with Body Mass Index and Thyroid Related Antibodies in Adolescents in Huizhou. JOURNAL OF CLINICAL RESEARCH, 2020, 37(6): 834-836.
[1] Teng W, Shan Z, Teng X, et al. Effect of iodine intake on thyroid diseases in China[J].N Engl J Med,2006, 354(26):2783-2793. [2] Ji CY,Sun JL,Chen TJ. Dynamic analysis on the prevalence of obesity and overweight school-age children and adolescents in recent 15 years in China [J].Chin J Epidemiol(Engl),2004, 25(2): 103-108. [3] 张竞帆,李玲. 儿童及青少年肥胖与甲状腺功能的关系[J].中国全科医学, 2012, 15( 24): 2729-2731. [4] WHO,UNICEF,ICCIDD. Indicators for assessing iodine deficiency disorders and their elimination through salt iodization[J].IDD News Letter,1994, 2( 6) : 1-4. [5] 江穗宁.新碘盐标准实施前后全市居民盐碘、尿碘含量调查[J].疾病监测与控制杂志, 2013, 7(6) :326-328. [6] 刘礼平,钟文,李澎,等. 2011 年广东省居民碘营养状况调查分析[J].华南预防医学, 2013, 39(5): 77-79. [7] Luo Y, Kawashima A, Ishido Y, et al. Iodine excess as an environmental risk factor for autoimmune thyroid disease[J].Int J Mol Sci,2014 , 15(7): 12895-12912. [8] 唐诗,辛颖.儿童桥本甲状腺炎 55 例的临床特征[J].实用儿科临床杂志, 2012, 27(8): 581-584. [9] de Vries L, Bulvik S, Phillip M. Chronic autoimmune thyroiditis in children and adolescents: at presentation and during long term follow-up[J].Arch Dis Child,2009, 94(1): 33-37. [10] 龚益, 施秉银, 崔燕西,等. 自身免疫性甲状腺病的病因探讨[J] .西安交通大学学报, 2005, 26(3): 298-299. [11] Shalitin S, Yackobovitch-Gavan M, Phillip M. Prevalence of thyroid dysfunction in obese children and adolescents before and after weight reduction and its relation to other metabolic parameters[J].Horm Res,2009, 71(3):155-161.