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| Name | Class |
|---|---|
| Tianjin Medical University General Hospital | OTHER |
| Shandong Provincial Institute for Endemic Disease Control | UNKNOWN |
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The aging trend of China's population is intensifying. More than 50% of the elderly in China suffer from thyroid disease. Thyroid dysfunction in the elderly increases the risk of cardiovascular and metabolic diseases. Even if thyroid-stimulating hormone (TSH) is within the normal range, brain atrophy and infarction-like vascular damage in elderly males will be aggravated with the increased TSH level. Iodine is an essential component of thyroid hormones. Iodine deficiency or excess may lead to a series of thyroid diseases. The risk threshold of iodine intake in the elderly is unknown. The goal of this observational study is to clarify the relationship between thyroid diseases and iodine intake in the elderly. The aims are:
Part 1:A cross-sectional survey of thyroid diseases in adults in different iodine nutrition background areas.
Investigators will separately include adults ( middle-aged people and old people) in iodine-deficient, iodine-appropriate, and iodine-excessive areas. Venous blood will be collected to measure thyroid function and serum iodine. Thyroid volume and nodular disease were determined by B-ultrasonography. Drinking water, saliva and 24-h and spot urinary samples will be collected to precisely evaluate the daily iodine intake. Multiple indicators were used to accurately evaluate the iodine intake level of the subjects, and understand the differences in the prevalence of thyroid diseases in the elderly under different iodine nutrition backgrounds. Besides, the differences in thyroid disease and iodine nutritional status between young and middle-aged people and old people will be compared.
Part 2:A survey on the iodine nutrition status in the elderly with/without thyroid disease in iodine-appropriate areas.
Investigators will collect basic information (height, weight, age, other medical histories, etc.) and thyroid disease history information. Thyroid B-ultrasound and thyroid function tests were used to understand the current thyroid status of the elderly. The iodine dietary frequency questionnaire was used to assess the long-term iodine intake level of the survey subjects, and spot urinary iodine, 24-h urinary iodine and salivary iodine were used to assess the short-term iodine intake level of the survey subjects.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Naturally different iodine levels exposure | Other | A cross-sectional survey of thyroid disease in elderly people in areas with different iodine nutrition backgrounds |
| Measure | Description | Time Frame |
|---|---|---|
| thyroid function Indicators | Blood samples were collected to evaluate thyroid function. | 2 years |
| thyroid volume | Thyroid volume was measured by B-ultrasound. | 2 years |
| thyroid nodules | thyroid nodules were measured by B-ultrasound. | 2 years |
| concentration of urinary iodine | The midstream urine samples were collected. | 2 years |
| concentration of salivary iodine | The salivary samples were collected. | 2 years |
| dietary iodine intake | Dietary iodine was measured by idine dietary frequency questionnaire. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| free triiodothyronine (FT3) | thyroid function Indicators | 2 years |
| free thyroxine (FT4) | thyroid function Indicators | 2 years |
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Inclusion Criteria:
1. adults with at least 5 years of local residence;
Exclusion Criteria:
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Elderly people with different levels of iodine exposure.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wenxing Guo, Doctor | Contact | (86)18822024500 | guowenxing@tmu.edu.cn | |
| Zhangzhao Wang, Doctor | Contact | (86)13821470215 | graik.wang@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Wenxing Guo, Doctor | Public Health School, Tianjin Medical University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gansu provincial center for disease control and prevention | Recruiting | Lanzhou | Gansu | 730099 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25591468 | Background | Zimmermann MB, Boelaert K. Iodine deficiency and thyroid disorders. Lancet Diabetes Endocrinol. 2015 Apr;3(4):286-95. doi: 10.1016/S2213-8587(14)70225-6. Epub 2015 Jan 13. | |
| 24342882 | Background | Leung AM, Braverman LE. Consequences of excess iodine. Nat Rev Endocrinol. 2014 Mar;10(3):136-42. doi: 10.1038/nrendo.2013.251. Epub 2013 Dec 17. |
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The data of the study are available from the project leader upon reasonable request.
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| ID | Term |
|---|---|
| D013959 | Thyroid Diseases |
| ID | Term |
|---|---|
| D004700 | Endocrine System Diseases |
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1.Urinary iodine concentration was measured by collecting spot urine and 24-h urine samples. 2.Blood samples were collected to evaluate thyroid function. 3.Thyroid B-ultrasonography was conducted to measure the thyroid volume and thyroid nodule. 4.Saliva samples were collected to measure saliva iodine. 5.The iodine dietary frequency questionnaire was used to assess the long-term iodine intake level of the subjects.
| thyroid-stimulating hormone (TSH) | thyroid function Indicators | 2 years |
| thyroperoxidase antibody (TPOAb) | thyroid function Indicators | 2 years |
| thyroglobulin antibody (TGAb) | thyroid function Indicators | 2 years |
| Shandong provincial institute for endemic disease control | Recruiting | Jinan | Shandong | 250014 | China |
|
| Tianjin Medical University | Active, not recruiting | Tianjin | Tianjin Municipality | 300070 | China |
| 32075540 | Background | Li Y, Teng D, Ba J, Chen B, Du J, He L, Lai X, Teng X, Shi X, Li Y, Chi H, Liao E, Liu C, Liu L, Qin G, Qin Y, Quan H, Shi B, Sun H, Tang X, Tong N, Wang G, Zhang JA, Wang Y, Xue Y, Yan L, Yang J, Yang L, Yao Y, Ye Z, Zhang Q, Zhang L, Zhu J, Zhu M, Ning G, Mu Y, Zhao J, Shan Z, Teng W. Efficacy and Safety of Long-Term Universal Salt Iodization on Thyroid Disorders: Epidemiological Evidence from 31 Provinces of Mainland China. Thyroid. 2020 Apr;30(4):568-579. doi: 10.1089/thy.2019.0067. Epub 2020 Mar 24. |
| 27455319 | Background | Miller JC, MacDonell SO, Gray AR, Reid MR, Barr DJ, Thomson CD, Houghton LA. Iodine Status of New Zealand Elderly Residents in Long-Term Residential Care. Nutrients. 2016 Jul 23;8(8):445. doi: 10.3390/nu8080445. |
| 20172467 | Background | Laurberg P, Cerqueira C, Ovesen L, Rasmussen LB, Perrild H, Andersen S, Pedersen IB, Carle A. Iodine intake as a determinant of thyroid disorders in populations. Best Pract Res Clin Endocrinol Metab. 2010 Feb;24(1):13-27. doi: 10.1016/j.beem.2009.08.013. |
| 30606015 | Background | Limanova Z. [Thyroid disease in the elderly]. Vnitr Lek. 2018 Winter;64(11):993-1002. Czech. |
| 30351201 | Background | Zhai X, Zhang L, Chen L, Lian X, Liu C, Shi B, Shi L, Tong N, Wang S, Weng J, Zhao J, Teng X, Yu X, Lai Y, Wang W, Li C, Mao J, Li Y, Fan C, Li L, Shan Z, Teng W. An Age-Specific Serum Thyrotropin Reference Range for the Diagnosis of Thyroid Diseases in Older Adults: A Cross-Sectional Survey in China. Thyroid. 2018 Dec;28(12):1571-1579. doi: 10.1089/thy.2017.0715. Epub 2018 Nov 27. |
| 30032140 | Background | Barbesino G. Thyroid Function Changes in the Elderly and Their Relationship to Cardiovascular Health: A Mini-Review. Gerontology. 2019;65(1):1-8. doi: 10.1159/000490911. Epub 2018 Jul 20. |
| 34684487 | Background | Iacone R, Iaccarino Idelson P, Russo O, Donfrancesco C, Krogh V, Sieri S, Macchia PE, Formisano P, Lo Noce C, Palmieri L, Galeone D, Rendina D, Galletti F, Di Lenarda A, Giampaoli S, Strazzullo P, On Behalf Of The Minisal-Gircsi Study Group. Iodine Intake from Food and Iodized Salt as Related to Dietary Salt Consumption in the Italian Adult General Population. Nutrients. 2021 Sep 30;13(10):3486. doi: 10.3390/nu13103486. |
| 39441230 | Derived | Jin Q, Wang Z, Li J, Zhang H, Liu M, Wang C, Guo W, Zhang W. Iodine Excess Is Associated with Thyroid Dysfunction Among the Elderly. Biol Trace Elem Res. 2025 Jul;203(7):3470-3478. doi: 10.1007/s12011-024-04420-0. Epub 2024 Oct 23. |