Urinary iodine concentration during pregnancy in an area of unstable dietary iodine intake in Switzerland

Brander, L; Als, C.; Buess, H; Haldimann, F; Harder, M; Hänggi, W.; Herrmann, U; Lauber, K; Niederer, U; Zürcher, T; Bürgi, U; Gerber, H (2003). Urinary iodine concentration during pregnancy in an area of unstable dietary iodine intake in Switzerland. Journal of endocrinological investigation, 26(5), pp. 389-96. Milano: Ed. Kurtis, Milano 10.1007/BF03345192

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We prospectively investigated urinary iodine concentration (UIC) in pregnant women and in female, non-pregnant controls in the canton of Berne, Switzerland, in 1992. Mean UIC of pregnant women [205 +/- 151 microg iodine/g creatinine (microg l/g Cr); no. = 153] steadily decreased from the first (236 +/- 180 microg l/g Cr; no. = 31) to the third trimester (183 +/- 111 microg l/g Cr, p < 0.0001; no. = 66) and differed significantly from that of the control group (91 +/- 37 microg l/g Cr, p < 0.0001; no. = 119). UIC increased 2.6-fold from levels indicating mild iodine deficiency in controls to the first trimester, demonstrating that high UIC during early gestation does not necessarily reflect a sufficient iodine supply to the overall population. Pregnancy is accompanied by important alterations in the regulation of thyroid function and iodine metabolism. Increased renal iodine clearance during pregnancy may explain increased UIC during early gestation, whereas increased thyroidal iodine clearance as well as the iodine shift from the maternal circulation to the growing fetal-placental unit, which both tend to lower the circulating serum levels of inorganic iodide, probably are the causes of the continuous decrease of UIC over the course of pregnancy. Mean UIC in our control group, as well as in one parallel and several consecutive investigations in the same region in the 1990s, was found to be below the actually recommended threshold, indicating a new tendency towards mild to moderate iodine deficiency. As salt is the main source of dietary iodine in Switzerland, its iodine concentration was therefore increased nationwide in 1998 for the fourth time, following increases in 1922, 1965 and 1980.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Institute of Clinical Chemistry
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine

UniBE Contributor:

Als, Claudine; Hänggi, Willy and Bürgi, Ulrich

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0391-4097

ISBN:

12906364

Publisher:

Ed. Kurtis, Milano

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:01

Last Modified:

10 Sep 2018 14:18

Publisher DOI:

10.1007/BF03345192

PubMed ID:

12906364

Web of Science ID:

000184138600002

BORIS DOI:

10.7892/boris.26572

URI:

https://boris.unibe.ch/id/eprint/26572 (FactScience: 73521)

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