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Iodine status in populations is assessed using urinary iodine concentration (UIC) measured in spot urine samples. The iodine intake is classified as deficient, sufficient, or excessive iodine based on the median UIC (mUIC). However, this approach has limitations, as it does not quantify the prevalence of individuals with habitually deficient or excess iodine intakes. The EAR cut-point method has the potential to quantify prevalence of iodine deficiency and excess. However, little is known about the effects of the inter- and intra-individual variance of UIC.
The aim of the study is to quantify the intra-individual variability in dietary iodine intake. The overall goal is to estimate the prevalence of iodine deficiency and excess in the study population and propose sample size recommendations for future iodine nutrition population studies. The results will provide evidence guiding international recommendations for iodine nutrition studies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | We will collect two repeated spot urine samples, a DBS sample and obtain weight in all 600 study participants. In a randomly selected subsample (n=200) a third repeat spot urine sample and one 24 h urine will additionally be collected. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention | Other | This is an observational study and no interventions will be administered. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Estimated daily urinary iodine excretion | Estimated urinary iodine excretion (µg/day) will be obtained from urinary iodine concentration (UIC) and urinary creatinine concentration (UCC) measured in two repeat spot urine samples collected within 7 days | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Measured daily iodine excretion | Measured daily iodine excretion (µg/day) will be obtained from urinary iodine concentration (UIC) and urine volume in a 24 h urine collection | 1 day |
| Thyroid function test TSH |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy women of reproductive age and residents of Switzerland since at least 12 months
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| Name | Affiliation | Role |
|---|---|---|
| Jessica Rigutto-Farebrother, PhD | ETH Zurich | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ETH Zurich | Zurich | 8092 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37270291 | Derived | Arns-Glaser L, Zihlmann R, Gessler S, Verkaik-Kloosterman J, Zandberg L, Assey VD, Rigutto-Farebrother J, Braegger CP, Zimmermann MB, Andersson M. Estimating habitual iodine intake and prevalence of inadequacy from spot urine in cross-sectional studies: a modeling analysis to determine the required sample size. Am J Clin Nutr. 2023 Jun;117(6):1270-1277. doi: 10.1016/j.ajcnut.2023.03.012. Epub 2023 May 4. |
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Urine, Dried blood spot
TSH concentration (mU/L) measured in dried blood spots
| 1 day |
| Thyroid function test total T4 | Total T4 concentration (nmol/L) measured in dried blood spots | 1 day |
| Thyroid function test Tg | Tg concentration (µg/L) measured in dried blood spots | 1 day |