Abstract:
:Iodine deficiency has multiple adverse effects in humans, termed iodine deficiency disorders, due to inadequate thyroid hormone production. Globally, it is estimated that 2 billion individuals have an insufficient iodine intake, and South Asia and sub-Saharan Africa are particularly affected. However, about 50% of Europe remains mildly iodine deficient, and iodine intakes in other industrialized countries, including the United States and Australia, have fallen in recent years. Iodine deficiency during pregnancy and infancy may impair growth and neurodevelopment of the offspring and increase infant mortality. Deficiency during childhood reduces somatic growth and cognitive and motor function. Assessment methods include urinary iodine concentration, goiter, newborn TSH, and blood thyroglobulin. But assessment of iodine status in pregnancy is difficult, and it remains unclear whether iodine intakes are sufficient in this group, leading to calls for iodine supplementation during pregnancy in several industrialized countries. In most countries, the best strategy to control iodine deficiency in populations is carefully monitored universal salt iodization, one of the most cost-effective ways to contribute to economic and social development. Achieving optimal iodine intakes from iodized salt (in the range of 150-250 microg/d for adults) may minimize the amount of thyroid dysfunction in populations. Ensuring adequate iodine status during parenteral nutrition has become important, particularly in preterm infants, as the use of povidone-iodine disinfectants has declined. Introduction of iodized salt to regions of chronic iodine deficiency may transiently increase the incidence of thyroid disorders, but overall, the relatively small risks of iodine excess are far outweighed by the substantial risks of iodine deficiency.
journal_name
Endocr Revjournal_title
Endocrine reviewsauthors
Zimmermann MBdoi
10.1210/er.2009-0011subject
Has Abstractpub_date
2009-06-01 00:00:00pages
376-408issue
4eissn
0163-769Xissn
1945-7189pii
er.2009-0011journal_volume
30pub_type
杂志文章,评审abstract::Rats bearing transplantable Walker 256 carcinoma provide an opportunity to assess thyroid function and activity during an interval of time when the tumor has not affected growth rate. Rats with tumor have decreased serum T4 and T3 concentration and decreased serum FT4 and FT3 as well. These changes are due to a decrea...
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journal_title:Endocrine reviews
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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journal_title:Endocrine reviews
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pub_type: 杂志文章,meta分析,评审
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:1993-10-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2005-12-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:1993-04-01 00:00:00
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journal_title:Endocrine reviews
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更新日期:2019-04-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2003-12-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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journal_title:Endocrine reviews
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