{"title":"Characteristics of Salivary Iodine Concentration in Elderly Residents of High-iodine Areas.","authors":"Mengxin Liu, Junjing Li, Hexi Zhang, Yantong Liu, Zhangzhao Wang, Zhiyuan Ren, Chunxi Wang, Qi Jin, Ying Zhang, Haohao Meng, Qiuyi Song, Wenxing Guo, Wanqi Zhang","doi":"10.1007/s12011-024-04453-5","DOIUrl":null,"url":null,"abstract":"<p><p>Salivary iodine is considered a potential indicator for assessing iodine nutrition status. However, there is currently a lack of research data on the characteristics of salivary iodine concentration (SIC) in the elderly population. To evaluate the characteristics of SIC and assess its efficacy in diagnosing thyroid disorders among the elderly population, a cross-sectional study was conducted in a high-iodine area. Spot urine, 24-h urine, saliva, drinking, and cooking water samples were collected from the elderly participants. Iodine concentrations were measured in all these samples. Fasting venous blood samples were obtained to assess thyroid function. The study included 1387 elderly individuals from urban (n = 707) and rural (n = 680) areas. Rural residents showed significantly higher median concentration of cooking water iodine (CWIC) and SIC compared to urban residents (P < 0.001). The median SIC in rural elderly was 2733.3 μg/L versus 860.4 μg/L in urban elderly. SIC demonstrated a significant positive correlation with age (P < 0.001). Multiple linear regression analysis revealed significant positive associations between SIC and drinking water iodine concentration (β = 0.341, 95% CI 0.312-0.370), CWIC (β = 0.393, 95% CI 0.356-0.431), thyroid dysfunction (β = 0.107, 95% CI 0.050-0.164), and goiter (β = 0.236, 95% CI 0.129-0.342). Logistic regression showed that higher SIC levels were associated with increased risk of thyroid dysfunction, with odds ratios ranging from 1.649 to 1.994 for ascending SIC categories. The elderly residents in high-iodine areas, particularly in rural settings, exhibit elevated salivary iodine concentrations that increase with age. These high-iodine levels are significantly associated with an increased risk of thyroid dysfunction.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biological Trace Element Research","FirstCategoryId":"99","ListUrlMain":"https://doi.org/10.1007/s12011-024-04453-5","RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"BIOCHEMISTRY & MOLECULAR BIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Salivary iodine is considered a potential indicator for assessing iodine nutrition status. However, there is currently a lack of research data on the characteristics of salivary iodine concentration (SIC) in the elderly population. To evaluate the characteristics of SIC and assess its efficacy in diagnosing thyroid disorders among the elderly population, a cross-sectional study was conducted in a high-iodine area. Spot urine, 24-h urine, saliva, drinking, and cooking water samples were collected from the elderly participants. Iodine concentrations were measured in all these samples. Fasting venous blood samples were obtained to assess thyroid function. The study included 1387 elderly individuals from urban (n = 707) and rural (n = 680) areas. Rural residents showed significantly higher median concentration of cooking water iodine (CWIC) and SIC compared to urban residents (P < 0.001). The median SIC in rural elderly was 2733.3 μg/L versus 860.4 μg/L in urban elderly. SIC demonstrated a significant positive correlation with age (P < 0.001). Multiple linear regression analysis revealed significant positive associations between SIC and drinking water iodine concentration (β = 0.341, 95% CI 0.312-0.370), CWIC (β = 0.393, 95% CI 0.356-0.431), thyroid dysfunction (β = 0.107, 95% CI 0.050-0.164), and goiter (β = 0.236, 95% CI 0.129-0.342). Logistic regression showed that higher SIC levels were associated with increased risk of thyroid dysfunction, with odds ratios ranging from 1.649 to 1.994 for ascending SIC categories. The elderly residents in high-iodine areas, particularly in rural settings, exhibit elevated salivary iodine concentrations that increase with age. These high-iodine levels are significantly associated with an increased risk of thyroid dysfunction.
期刊介绍:
Biological Trace Element Research provides a much-needed central forum for the emergent, interdisciplinary field of research on the biological, environmental, and biomedical roles of trace elements. Rather than confine itself to biochemistry, the journal emphasizes the integrative aspects of trace metal research in all appropriate fields, publishing human and animal nutritional studies devoted to the fundamental chemistry and biochemistry at issue as well as to the elucidation of the relevant aspects of preventive medicine, epidemiology, clinical chemistry, agriculture, endocrinology, animal science, pharmacology, microbiology, toxicology, virology, marine biology, sensory physiology, developmental biology, and related fields.