New adventures of the median urinary iodine
Abstract
From the beginning of the 1990s until the end of the 2000s, Russian thyroidology developed under the auspice of “median ioduria”. The emergence of available techniques, such as urinary iodine analysis and the estimation of thyroid volume by ultrasonography, multiplied by the vast expanses of Russia, gave researchers an uncultivated field for epidemiological studies. In the course of the research, there were sometimes difficulties in interpreting the data identified in the epidemiological studies, which was partly due to the imperfection of the then existing international guidelines. In 2018, UNICEF and the Iodine Global Network (IGN) released updated recommendations based on an analysis of the experience and mistakes of the past 10–15 years. In his regular column, the author discusses new approaches to monitoring of iodine prophylaxis programs, in which the “median of ioduria” remains a central piece.
About the Author
Gregory A. Gerasimov
https://www.researchgate.net/profile/Gregory_Gerasimov2
United States
Iodine Global Network (IGN)
United States
MD, PhD, Professor
References
1. Герасимов Г.А., Фадеев В.В., Свириденко Н.Ю., и др. Йододефицитные заболевания в России. Простое решение сложной проблемы. – М.: Адамантъ, 2002. [Gerasimov GA, Fadeev VV, Sviridenko NY, et al. Yododefitsitnye zabolevaniya v Rossii. Prostoe reshenie slozhnoy problemy. Moscow: Adamant; 2002. (In Russ.)]
2. Кияев А.В., Платонова Н.М., Абдулхабирова Ф.Х., и др. Влияние избыточного потребления йода на функциональное состояние щитовидной железы и спектр ее патологии у жителей г. Туринска, Свердловской области. // Клиническая и экспериментальная тиреоидология. – 2015. – Т. 11. – №1. – С. 43-49. [Kiyaev AV, Platonova NM, Abdulhabirova FM, et al. Influence of excessive iodine intake on the thyroid function and spectrum of thyroid abnormalities in population of Turinsk, Sverdlovsk Region, of Russia. Clinical and experimental thyroidology. 2015;11(1):43-49. (In Russ.)] doi: 10.14341/ket2015143-49.
3. Андрюков Б.Г., Кику П.Ф., Семенова В.В. Гигиеническая оценка влияния факторов среды обитания Приморского края на заболеваемость щитовидной железы. // Гигиена и санитария. – 2005. – №4. – C. 6-9. [Andryukov BG, Kiku PF, Semenova VV. Hygienic assessment of the impact of environmental factors of the Primorye Territory on the incidence of thyroid diseases. Gig Sanit. 2005;(4):6-9. (In Russ.)]
4. Герасимов Г.А. Отзыв на дискуссионную статью Э.П. Касаткиной “Диффузный нетоксический зоб. Вопросы классификации и терминологии”. // Проблемы эндокринологии. – 2001. – Т. 47. – №6. – С. 12-15. [Gerasimov GA. Otzyv na diskussionnuyu stat’yu E.P. Kasatkinoy “Diffuznyy netoksicheskiy zob. Voprosy klassifikatsii i terminologii”. Problems of endocrinology. 2001;47(6):12-15. (In Russ.)]
5. Герасимов Г.А. Куда катится колесо, или вновь о простом решении сложной проблемы. // Клиническая и экспериментальная тиреоидология. – 2006. – Т. 2. – №4. – С. 4-7. [Gerasimov GA. Where does the wheel roll or again about simple solution of the difficult problem. Clinical and experimental thyroidology. 2006;2(4):4-7. (In Russ.)]
6. World Health Organization. Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers. Geneva: WHO; 2007.
7. UNICEF. Guidance of the monitoring of salt iodization programmes and determination of population iodine status [Internet]. UNICEF, 2018 [cited 2018 Jul 22]. Avaliable from: https://www.unicef.org/nutrition/files/Monitoring-of-Salt-Iodization.pdf
8. ЮНИСЕФ; Глобальная сеть по йоду. Рекомендации по мониторингу программ йодирования соли и оценке статуса йодной обеспеченности населения (русскоязычная версия) // Клиническая и экспериментальная тиреоидология. – 2018. – Т. 14. – №2. – C. 100-112 [UNICEF; IGN. Guidance on the monitoring of salt iodization programmes and determination of population iodine status: Russian language version. Clinical and experimental thyroidology. 2018;14(2):100-112 (In Russ.)] doi: 10.14341/ket9734.
9. Мохорт Т.В., Петренко С.В., Леушев Б.Ю., и др. Оценка йодного обеспечения детей школьного возраста и беременных женщин в Республике Беларусь в 2017–2018 годах. // Клиническая и экспериментальная тиреоидология. – 2018. – Т. 14. – №3. (в печати). [Mokhort TV, Petrenko SV, Leushev BY, et al. Assessment of iodine provision of school-age children and pregnant women in the Republic of Belarus in 2017–2018. Clinical and experimental thyroidology. 2018;14(3) (in press). (In Russ.)] doi: 10.14341/ket9732.
10. Zimmermann MB, Gizak M, Abbott K, et al. Iodine deficiency in pregnant women in Europe. Lancet Diabetes Endocrinol. 2015;3(9):672-674. doi: 10.1016/s2213-8587(15)00263-6.
11. Zimmermann MB, Aeberli I, Andersson M, et al. Thyroglobulin is a sensitive measure of both deficient and excess iodine intakes in children and indicates no adverse effects on thyroid function in the UIC range of 100-299 mug/L: a UNICEF/ICCIDD study group report. J Clin Endocrinol Metab. 2013;98(3):1271-1280. doi: 10.1210/jc.2012-3952.
12. Gerasimov G, Sturua L, Ugulava T, van der Haar F. Georgia celebrates optimal iodine nutrition. IDD Newsletter. 2018;46(1):2-4.
13. Трошина Е.А., Платонова Н.М., Панфилова Е.А., Панфилов К.О. Аналитический обзор по результатам мониторинга основных эпидемиологических характеристик йододефицитных заболеваний у населения Российской Федерации за период 2009–2015 гг. // Проблемы эндокринологии. – 2018. – Т. 64. – №1. – С. 21-37. [Troshina EA, Platonova NM, Panfilova EA, Panfilov KO. The analytical review of monitoring of the basic epidemiological characteristics of iodine deficiency disorders among the population of the Russian Federation for the period 2009–2015. Problems of endocrinology. 2018;64(1): 21-37. (In Russ.)] doi: 10.14341/probl9308.
14. Дедов И.И., Безлепкина О.Б., Вадина Т.А., и др. Скрининг на врожденный гипотиреоз в Российской Федерации. // Проблемы эндокринологии. – 2018. – Т. 64. – №1. – С. 14-20. [Dedov II, Bezlepkina OB, Vadina TA., et al. Screening for congenital hypothyroidism in the Russian Federation. Problems of endocrinology. 2018;64(1):14-20. (In Russ.)] doi: 10.14341/probl8752.
15. Суплотова Л.А., Макарова О.Б., Ковальжина Л.С., Шарухо Г.В. Профилактика йодного дефицита в Тюменской области: успех или неудача? // Клиническая и экспериментальная тиреоидология. – 2015. – Т. 11. – №3. – C. 39-46. [Suplotova LA, Makarova OB, Kovalzhina LS, Sharuho GV. Prevention of iodine deficiency in the Tyumen region: success or failure? Clinical and experimental thyroidology. 2015;11(3):39-46. (In Russ.)] doi: 10.14341/ket2015339-46.
16. Barnabishvilli N, Gerasimov G, Azikuri T. The results of neonatal TSH screening do not agree with indicators of the optimal iodine status of pregnant women in the Republic of Georgia. Clinical and experimental thyroidology. 2018;14(2):81-85. doi: 10.14341/ket9777.
17. Hutchings N, Gerasimov G. Salt iodization in Armenia: a model for sustained success. IDD Newsletter. 2017;45(4):2-4.
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For citations:
Gerasimov G.A. New adventures of the median urinary iodine. Clinical and experimental thyroidology. 2018;14(2):58-63. (In Russ.)
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