Department of Endocrinology and Medicine, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands.
Center of Health Science, Faculty of Health Science, University of the Faroe Islands, Torshavn, Faroe Islands.
J Nutr Sci. 2023 Feb 8;12:e17. doi: 10.1017/jns.2022.111. eCollection 2023.
Iodine nutrition is critical for human health. While iodine excretion was low within the recommended range among adult Faroese, younger generations tend to abandon local foods. Such changes raise a concern about iodine intake, which led us to perform this first study of iodine nutrition among teenagers in the North Atlantic islands. We used samples from a nationwide collection of urine samples in 14-year-olds following iodine fortification of salt in 2000. Urine was analysed for iodine and creatinine to adjust for dilution by iodine/creatinine, and a food frequency questionnaire was used to record the intake of iodine-rich foods. The 129 participants yielded a 90 % precision of the estimated iodine nutrition level. The median urinary iodine concentration (UIC) was 166 μg/l (bootstrapped 95 % confidence interval 156–184 μg/l). The median creatinine-adjusted UIC was 132 μg/g (bootstrapped 95 % CI 120–138 μg/g). Fish and whale meat dinners were more frequent among residents of villages compared with the capital: median fish dinners, 3 2 per week ( = 0⋅001), and whale meat, 1 0⋅4 per month ( < 0⋅001). UIC decreased with fewer fish dinners ( = 0⋅03). Our study demonstrated that Faroese teenagers were iodine-replete. The changing dietary habits emphasise the need for continuous monitoring of iodine nutrition and surveying iodine deficiency disorders.
碘营养对人类健康至关重要。虽然法罗群岛成年人的碘排泄量在推荐范围内较低,但年轻一代往往会放弃当地食物。这些变化引起了人们对碘摄入量的担忧,这促使我们首次在北大西洋岛屿的青少年中进行了碘营养研究。我们使用了 2000 年盐加碘后全国范围内收集的 14 岁青少年尿液样本进行了这项研究。对尿液中的碘和肌酐进行了分析,以调整碘/肌酐的稀释,同时使用食物频率问卷记录富含碘的食物的摄入量。129 名参与者的碘营养水平估计具有 90%的精度。尿碘浓度(UIC)中位数为 166μg/l(自举 95%置信区间 156-184μg/l)。肌酐校正后的 UIC 中位数为 132μg/g(自举 95%置信区间 120-138μg/g)。与首都相比,村庄居民吃鱼和鲸肉的频率更高:鱼餐中位数每周 3 次( = 0.001),鲸肉每月 1 次( < 0.001)。UIC 随鱼餐次数减少而降低( = 0.03)。我们的研究表明,法罗群岛青少年碘充足。饮食习惯的变化强调了需要持续监测碘营养状况并调查碘缺乏症。