The relationship between iodine intake and serum thyroglobulin in the general population

Physiol Res. 2015;64(3):345-53. doi: 10.33549/physiolres.932840. Epub 2014 Dec 22.

Abstract

The relationship is shown between a concentration of urinary iodine and serum thyroglobulin in population studies carried out on a general population that was randomly selected from the registry of the General Health Insurance Company (individuals aged 6-98 years, 1751 males, 2420 females). The individuals were divided into subgroups with a urinary iodine concentration of <50, 50-99, 100-199, 200-299 and >/=300 microg/l. The mean and median of thyroglobulin were calculated in these subgroups. Tg concentrations were dependent on gender (males<females), age (thyroglobulin increased with age) and statistically significant negative relationship was observed between thyroglobulin and urinary iodine in individuals with urinary iodine <300 microg/l and the age under 65 years. Upper nonparametric tolerance limits of thyroglobulin in relation to iodine intake were calculated in subgroup of normal individuals (n=1858, thyroglobulin, urinary iodine, thyrotropin and free thyroxine were within the normal reference range). Upper limits were dependent on gender and age. The total value of upper limits is 44 microg/l; for individuals aged 6-17 years it is 39.1 microg/l; 18-65 years = 51.4 microg/l and 66-98 years = 60.6 microg/l. In general, thyroglobulin serum concentrations higher than 40 microg/l should be an indicator for determining urinary iodine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Aging / blood*
  • Child
  • Czech Republic / epidemiology
  • Female
  • Humans
  • Iodine / administration & dosage
  • Iodine / deficiency*
  • Iodine / urine*
  • Male
  • Middle Aged
  • Registries*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Sex Characteristics
  • Sex Distribution
  • Thyroglobulin / blood*
  • Young Adult

Substances

  • Thyroglobulin
  • Iodine