Iodine and health in the Czech Republic
Authors:
Marie Nejedlá
Authors place of work:
Meziresortní komise pro řešení jodového deficitu, Státní zdravotní ústav, Praha
Published in the journal:
Čas. Lék. čes. 2021; 160: 215-219
Category:
Review Article
Summary
Iodine is a vital essential element, and its deficiency leads to several health disorders. The natural environment isn’t a sufficient source for the necessary iodine saturation of population in the Czech Republic. It is therefore necessary that basic measures against risk of iodine deficiency must be provided by the state. In the Czech Republic it has been achieved since the beginning of the 21st century and the supply of iodine has ensured the optimal iodine saturation. The situation remains unsatisfactory for pregnant and breastfeeding women with a higher iodine requirement than the rest of the population.
The assessment of iodine status of the Czech population is based on enough objective data. 15 representative surveys of urine levels of iodine in school children and adults were performed in years 1995–2016 and mean value of median urine levels was 204 µg/l. It corresponds to the criterion of adequate iodine intake with 150–300 µg/l iodine in the urine. The results of newborns’ TSH monitoring also are used. They show in 4,7 % of newborns light iodine deficiency. Another indicator is the nutritional exposure dose of iodine, which is slightly higher than recommended, especially in schoolchildren without health risk, however.
Keywords:
iodine health significance – solution of iodine deficiency
Zdroje
- Crockford SJ. Evolutionary roots of iodine and thyroid hormones in cell–cell signaling. Integr Comp Biol 2009; 49: 155–166.
- EFSA NDA Panel (EFSA Panel on Panel on Dietetic Products Nutrition and Allergies). Scientific Opinion on Dietary Reference Values for iodine. EFSA Journal 2014; 12 (5): 3660.
- Levie D, Korevaar TIM, Bath SC et al. Association of maternal iodine status with child IQ: A meta-analysis of individual participant data. J Clin Endocrinol Metab 2019; 104: 5957–5967.
- Bílek R, Kaňová N, Mindžáková V a kol. Zásobení jodem u těhotných žen v České republice. Vnitřní lékařství 2016; 62 (Suppl. 3): 10–16.
- Světnička M, Vinohradská H, Hedelová M, El-Lababidi E. Jodové zásobení těhotných a novorozenců: výsledky monitorace prostřednictvím novorozeneckého screeningu TSH za rok 2020. Hygiena 2021; 66: 66.
- The Euthyroid Consortium. The Krakow Declaration on Iodine, 2018. Dostupné na: www.iodinedeclaration.eu/wp-content/uploads/2018/04/Krakow-Declaration-2018_03_29.pdf
- Límanová Z. Suplementace jodem, gravidita, hraniční klinické stavy. Abstrakty z konference Jod v těhotenství. Státní zdravotní ústav, 2020.
- Řehůřková I, Kavřík R, Dofková M a kol. Dietární expozice jodu populace ČR a nejdůležitější dietární zdroje. Státní zdravotní ústav, 2016. Dostupné na: www.szu.cz/uploads/documents/czzp/JOD/2016/rehurkova_dietarni_expozice.pdf
- Ruprich J, Řehůřková I, Dofková M a kol. Studie aktualizace standardu nutriční adekvátnosti školních obědů. Acta hygienica, epidemilogica et microbiologica 2019; 1: 122.
- Iodine Global Network. The 2021 Global Scorecard of Iodine Nutrition. IDD Newsletter 2021; 49 (2): 8–9. Dostupné na: www.ign.org/cm_data/IDD_may21.pdf
- Zamrazil V, Čeřovská J. Jod a štítná žláza. Mladá fronta, Praha, 2014.
- Zamrazil V, Čeřovská J, Bílek R a kol. Jod – prvek nezbytný pro lidské zdraví. In: Bencko V, Novák N, Suk M a kol. Zdraví a přírodní podmínky. Dolin, Praha, 2011.
- Nejedlá M. Prevence jodového deficitu v České republice. Hygiena 2018; 63: 25–27.
- Hanzlíková L, Sochorová L, Kašparová L a kol. Aktuální výsledky biomonitoringu – jodurie u české populace. Hygiena 2018; 63: 84–88.
- Zamrazil V. Iodine nutrition in the Czech Republic. ICCIDD West-Central Europe regional meeting. 35th annual ETA meeting, Krakow, 2011.
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
Journal of Czech Physicians
2021 Číslo 6
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Léčba obezity – přehledně a prakticky
- Iodine-containing food supplements available on the Czech market
- Fish – a source of dietary exposure to iodine and other chemicals
- The importance of iodine nutrition during pregnancy – clinical aspect