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碘摄入量对儿童和成人自身免疫性甲状腺疾病发病机制的影响。

Impact of iodine intake on the pathogenesis of autoimmune thyroid disease in children and adults.

作者信息

Kalarani Iyshwarya Bhaskar, Veerabathiran Ramakrishnan

机构信息

Human Cytogenetics and Genomics Laboratory, Faculty of Allied Health Sciences, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Tamilnadu, India.

出版信息

Ann Pediatr Endocrinol Metab. 2022 Dec;27(4):256-264. doi: 10.6065/apem.2244186.093. Epub 2022 Dec 31.

Abstract

Thyroid hormone (TH) regulates the body's metabolism and iodine, a vital trace mineral, is vital for TH synthesis. As a TH biosynthesis catalyst, iodine has a substantial role in our health. When there is a modest iodine deficit, the thyroid gland grows autonomously, resulting in thyrotoxicosis. Those who consume excessive iodine risk developing hypothyroidism and thyroid autoimmunity. A transient hyperthyroid condition may rapidly increase iodine consumption. Iodine deficiency is common across the globe, and provision of supplementary iodine, in forms such as iodized salt or vegetable oil, has many benefits. Vegetarians, for instance, may not consume adequate amounts of iodine in some countries with high iodine content. Reduced dietary iodine intakes may be a consequence of efforts to reduce salt intakes to prevent hypertension. In addition, iodine consumption is decreasing in many countries, even among those where endemic goiter has previously been eradicated, leading to the re-emergence of iodine-deficiency-related disorders such as goiter. This review will discuss how iodine can contribute to the development of thyroid disease.

摘要

甲状腺激素(TH)调节人体新陈代谢,而碘作为一种至关重要的微量矿物质,对TH的合成至关重要。作为TH生物合成的催化剂,碘在我们的健康中起着重要作用。当碘出现适度缺乏时,甲状腺会自主生长,导致甲状腺毒症。摄入过量碘的人有患甲状腺功能减退和甲状腺自身免疫性疾病的风险。短暂的甲状腺功能亢进状态可能会迅速增加碘的消耗量。碘缺乏在全球范围内普遍存在,提供加碘盐或植物油等形式的碘补充剂有诸多益处。例如,在一些碘含量高的国家,素食者可能无法摄入足够量的碘。减少盐的摄入量以预防高血压可能会导致饮食中碘摄入量降低。此外,在许多国家,即使是那些先前已消除地方性甲状腺肿的国家,碘的消耗量也在下降,导致甲状腺肿等与碘缺乏相关的疾病再次出现。本综述将讨论碘如何导致甲状腺疾病的发生。

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