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Iodine intake assessment in the staff of a Porto region university (Portugal): the iMC Salt trial

Title
Iodine intake assessment in the staff of a Porto region university (Portugal): the iMC Salt trial
Type
Article in International Scientific Journal
Year
2023
Authors
Machado, A
(Author)
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Goncalves, C
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Padrão, Patrícia
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FCNAUP
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Silva Santos, T
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Rodrigues, M
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Norton, P
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Bordalo, AA
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Journal
Vol. 62
Pages: 2245-2256
ISSN: 1436-6207
Publisher: Springer Nature
Indexing
Scientific classification
CORDIS: Health sciences
FOS: Medical and Health sciences
Other information
Authenticus ID: P-00Y-9XG
Abstract (EN): PurposeIodine deficiency disorder (IDD) is an ongoing worldwide recognized problem with over two billion individuals having insufficient iodine intake. School-aged children and pregnant women are often target groups for epidemiological studies, but there is a lack of knowledge on the general adult population. The aim of this study was to assess the iodine status among a Portuguese public university staff as a proxy for the adult working population.MethodsThe population study covered 103 adults within the iMC Salt randomized clinical trial, aged 24-69 years. Urinary iodine concentration was measured spectrophotometrically using the Sandell-Kolthoff reaction. Iodine food intake was assessed using a 24-h dietary recall. The contribution of discretionary salt to the iodine daily intake was assessed through 24-h urinary sodium excretion (UIE) and potentiometric iodine determination of household salt.ResultsThe mean urine volume in 24 h was 1.5 L. The median daily iodine intake estimated from 24-h UIE was 113 mu g/day, being lower among women (p < 0.05). Only 22% of participants showed iodine intake above the WHO-recommended cutoff (150 mu g/day). The median daily iodine intake estimated from the 24-h dietary recall was 58 mu g/day (51 and 68 mu g/day in women and men, respectively). Dairy, including yoghurt and milk products, were the primary dietary iodine source (55%). Iodine intake estimated from 24-h UIE and 24-h dietary recall was moderately correlated (Spearman rank correlation coefficient r = 0.34, p < 0.05). The average iodine concentration in household salt was 14 mg I/kg, with 45% of the samples below the minimum threshold preconized by WHO (15 mg I/kg). The contribution of discretionary salt to the daily iodine intake was around 38%.ConclusionThis study contributes new knowledge about iodine status in Portuguese working adults. The results revealed moderate iodine deficiency, particularly in women. Public health strategies and monitoring programs are needed to ensure iodine adequacy in all population groups.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 12
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