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Effects of Excessive Iodine Intake on Blood Glucose, Blood Pressure, and Blood Lipids in Adults

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Abstract

To understand the effects of excess iodine intake on blood glucose, blood pressure, and blood lipids in adults. We selected three villages from Shanxi Province to conduct cross-sectional survey: Maxi [median water iodine concentration (MWIC) 6.3 μg/L, median urinary iodine concentration (MUIC) 126.6 μg/L, 320 adults]; Xiwenzhuang (MWIC 79.8 μg/L, MUIC 221.2 μg/L, 264 adults); and Gaoche (MWIC 506.0 μg/L, MUIC 421.3 μg/L, 241 adults). According to the urinary iodine levels in adults, the three villages were defined as iodine-adequate, iodine-sufficient, and iodine-excess. Urinary iodine, water iodine, thyroid function, blood glucose, blood pressure, and blood lipids were measured. Compared with the iodine-adequate area, blood glucose and systolic and diastolic pressure of adults in iodine-sufficient and iodine-excess areas increased and high-density lipoprotein-cholesterol decreased (all P < 0.001). Urinary iodine, thyroid-stimulating hormone, and free thyroxine have a nonlinear correlation with blood glucose (R2 = 0.8174, 0.8264, and 0.8520, respectively). Excessive iodine intake may result in elevated blood glucose and blood pressure and has some influence on blood lipids, and may increase the risk of hypertension and diabetes.

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References

  1. Shen H, Zhang S, Liu S et al (2007) Geographical distribution of high-water iodine areas in China and research on water iodine isolines in high-iodine areas. Chin J Endemiol 26:658–661

    CAS  Google Scholar 

  2. Shen H, Liu S, Sun D, Zhang S, Su X, Shen Y, Han H (2011) Geographical distribution of drinking-water with high iodine level and association between high iodine level in drinking-water and goitre: a Chinese national investigation. Br J Nutr 106:243–247

    Article  CAS  Google Scholar 

  3. China Center for Disease Control and Prevention, Center for Disease Control and Prevention, National Drinking Water Iodine Survey Report in 2017

  4. Chen W, Zhang Y, Hao Y, Wang W, Tan L, Bian J, Pearce EN, Zimmermann MB, Shen J, Zhang W (2018) Adverse effects on thyroid of Chinese children exposed to long-term iodine excess: optimal and safe tolerable upper intake levels of iodine for 7- to 14-y-old children. Am J Clin Nutr 107:780–788

    Article  Google Scholar 

  5. Aakre I, Strand T, Khalil M et al (2017) Associations between thyroid dysfunction and developmental status in children with excessive iodine status. PLoS One 12:1–15

    Article  Google Scholar 

  6. Kang M, Hwang I, Chung H (2018) Excessive iodine intake and subclinical hypothyroidism in children and adolescents aged 6-19 years: results of the sixth Korean National Health and nutrition examination. Thyroid 28:1–22

    Article  Google Scholar 

  7. Aakre I, Strand T, Bjøro T et al (2016) Thyroid function among breastfed children with chronically excessive iodine intakes. Nutrients 8:2–12

    Article  Google Scholar 

  8. Kassim I, Moloney G, Busili A et al (2014) Iodine intake in Somalia is excessive and associated with the source of household drinking water. J Nutr 144:375–381

    Article  CAS  Google Scholar 

  9. Liu L, Wang D, Liu P, Meng F, Wen D, Jia Q, Liu J, Zhang X, Jiang P, Shen H (2015) The relationship between iodine nutrition and thyroid disease in lactating women with different iodine intakes. Br J Nutr 114:1487–1495

    Article  CAS  Google Scholar 

  10. Lv S, Xu D, Wang Y, Chong Z, du Y, Jia L, Zhao J, Ma J (2014) Goitre prevalence and epidemiological features in children living in areas with mildly excessive iodine in drinking-water. Br J Nutr 111:86–92

    Article  CAS  Google Scholar 

  11. Guo Y, Zynat J, Xu Z, Wang X, Osiman R, Zhao H, Tuhuti A, Abdunaimu M, Wang H, Jin X, Xing S (2016) Iodine nutrition status and thyroid disorders: a cross-sectional study from the Xinjiang autonomous region of China. Eur J Clin Nutr 70:1332–1336

    Article  CAS  Google Scholar 

  12. Henjum S, Barikmo I, Strand T et al (2012) Iodine-induced goitre and high prevalence of anaemia among Saharawi refugee women. Public Health Nutr 15:1512–1518

    Article  Google Scholar 

  13. Teng X, Shan Z, Chen Y, Lai Y, Yu J, Shan L, Bai X, Li Y, Li N, Li Z, Wang S, Xing Q, Xue H, Zhu L, Hou X, Fan C, Teng W (2011) More than adequate iodine intake may increase subclinical hypothyroidism and autoimmune thyroiditis: a cross-sectional study based on two Chinese communities with different iodine intake levels. Eur J Endocrinol 164:943–950

    Article  CAS  Google Scholar 

  14. Cornier M, Dabelea D, Hernandez T et al (2008) The metabolic syndrome. Endocr Rev 29:777–822

    Article  CAS  Google Scholar 

  15. Abuzhalihan JL, Pan S, Ma Y et al (2014) The study of the value of the ratio of waist circumference to hip circumference of Kazakh adult population in Xinjiang to predict hypertension, diabetes and dyslipidemia. Chin J Epidemiol 35:891–895

    Google Scholar 

  16. Jiang X, Yang F, Li K et al (2016) Epidemiological correlation between high iodine intake and abnormal blood lipid and hypertension. Chin J Dis Control 31:601–602

    Google Scholar 

  17. Zhang P, Sang Z, Shen J et al (2015) Impact of high water iodine intake on adult fasting blood-glucose. J Tianjin Med Univ 21:345–348

    Google Scholar 

  18. Liu M, Li S, Li X et al (2009) An exploratory study on the epidemiologic association between high water iodine uptake and abnormal blood pressure. Chin J Epidemiol 24:408–410

    Google Scholar 

  19. Wang J, Sun W, Wells G et al (2018) Pharmacological management of hypertension in the elderly and frail populations. Expert Rev Clin Pharmacol 11:805–817

    Article  Google Scholar 

  20. Yan Y, Zhang Y, Liu L et al (2006) Method for determination of iodine in urine by As3+-Ce4+ catalytic spectrophotometry. Health Standard of China, Beijing WS/T 107–2006

    Google Scholar 

  21. (2007) World Health Organization; The United Nations Children’s Fund; The International Council for Control of Iodine Deficiency Disorders. Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers

  22. Wang H, Liu L, Li S et al (2007) Study on the method of water iodine detection in areas lacking iodine and high iodine. Chin J Endemiol 26:333–336

    Google Scholar 

  23. Teng W, Shan Z, Teng X, Guan H, Li Y, Teng D, Jin Y, Yu X, Fan C, Chong W, Yang F, Dai H, Yu Y, Li J, Chen Y, Zhao D, Shi X, Hu F, Mao J, Gu X, Yang R, Tong Y, Wang W, Gao T, Li C (2006) Effect of iodine intake on thyroid diseases in China. N Engl J Med 354:2783–2793

    Article  CAS  Google Scholar 

  24. Calil-Silveira J, Serrano-Nascimento C, Laconca R et al (2016) Underlying mechanisms of pituitary-thyroid axis function disruption by chronic iodine excess in rats. Thyroid 26:1488–1498

    Article  CAS  Google Scholar 

  25. Dong H (2012) Effect of high iodine on oxidative damage. Master Thesis, Shan Dong University

  26. Nudda A, Battacone G, Bomboi G, Floris B, Decandia M, Pulina G (2013) Effect of dietary iodine on thyroid hormones and energy blood metabolites in lactating goats. Animal 7:60–65

    Article  CAS  Google Scholar 

  27. Sarkar D, Chakraborty A, Saha A, et al. (2018) Iodine in excess in the alterations of carbohydrate and lipid metabolic pattern as well as histomorphometric changes in associated organs. J Basic Clin Physiol Pharmacol aop. 1–13

  28. Agbaht K, Erdogan M, Emral R et al (2014) Circulating glucagon to ghrelin ratio as a determinant of insulin resistance in hyperthyroidism. Endocrine 45:106–113

    Article  CAS  Google Scholar 

  29. Rust P, Ekmekcioglu C (2017) Impact of salt intake on the pathogenesis and treatment of hypertension. Adv Exp Med Biol 956:61–84

    Article  Google Scholar 

  30. Xu J, Yang X, Guo H et al (2006) Intervention of selenium on excessive iodine lipid metabolism disorder in mice. J Hyg Res 35:52

    Google Scholar 

  31. Zhao L, Xu J, Peng X et al (2010) Dose and time-dependent hypercholesterolemic effects of iodine excess via TR b1-mediated down regulation of hepatic LDLr gene expression. Eur J Nutr 49:257–265

    Article  CAS  Google Scholar 

  32. Liu M, Li S, Li X, Wang PH, Liang P, Li SH (2009) An exploratory study of the relationship between high water iodine intake and dyslipidemia epidemiology. Chin J Epidemiol 30:699–701

    CAS  Google Scholar 

  33. Sasaki S, Kawai K, Honjo Y, Nakamura H (2006) Thyroid hormones and lipid metabolism. Nippon Rinsho 64:2323–2329

    PubMed  Google Scholar 

  34. Berti J, Amaral M, Boschero A et al (2001) Thyroid hormone increases plasma cholesteryl ester transfer protein activity and plasma high-density lipoprotein removal rate in transgenic mice. Metabolism 50:530–536

    Article  CAS  Google Scholar 

  35. Huesca-Gómez C, Franco M, Luc G et al (2002) Chronic hypothyroidism induces abnormal structure of high-density lipoproteins and impaired kinetics of apolipoprotein A-I in the rat. Metabolism 51:443–450

    Article  Google Scholar 

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Acknowledgments

The authors are grateful for the assistance provided by the Institute for Prevention and Treatment of Endemic Disease of Shanxi for collecting epidemiological data and urine samples, and contributions and support from all participants.

Funding

This work was supported by the National Natural Science Foundation of China (Grant No. 81573098).

Authors’ Contributions

Hongmei Shen and Lixiang Liu designed the research. Hongmei Shen, Xing Jin, Lixiang Liu, Qingzhen Jia, and Xiangdong Zhang conducted the research. Jiwei Liu analyzed the data and wrote the paper. Hongmei Shen had primary responsibility for the final content. All authors read and approved the final manuscript. Jiwei Liu and Lixiang Liu contributed equally to the work.

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Correspondence to Hongmei Shen.

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All the procedures used in this experiment were reviewed and approved by the Biomedical Research Ethics Committee of Harbin Medical University. Informed consent was obtained from all individual participants included in the study.

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Informed consent was obtained from all individual participants included in the study.

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Liu, J., Liu, L., Jia, Q. et al. Effects of Excessive Iodine Intake on Blood Glucose, Blood Pressure, and Blood Lipids in Adults. Biol Trace Elem Res 192, 136–144 (2019). https://doi.org/10.1007/s12011-019-01668-9

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  • DOI: https://doi.org/10.1007/s12011-019-01668-9

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