Epidemiological evaluation of iodine deficiencyand thyroid disorders in the megalopolis of western Siberia in 1995–2010

Abstract

Purpose: to analyze iodine sufficiency and to evaluate thyroid structural and functional status in Novosibirsk citizens for the 1995–2010 periods.Methods and materials. Thyroid structural and functional status, as well as iodine deficiency, were evaluated in Novosibirsk population of adults and adolescents within the international projects MONIСA (1994–1995) and HAPIEE (2004–2005) and cross-sectional populational screening of random representative sample of school students. Results. In 1994–1995 iodine deficiency (mainly minor or moderate) was revealed at 83% of adult Novosibirsk citizens at age 25–34. Median urinary iodine concentration was 47 μg/l. In adolescent population subclinical hypothyreosis was initially revealed in 1,5%. Another 1,5% of adolescents had initially diagnosed subclinical hyperthyreosis. In 2005 median urinary iodine concentration in adult (45–69 years old) was 107 μg/l. Among all urine samples median urinary iodine concentration of more than 100 μg/l (100–360 μg/l) was revealed in 54%, 13% had median urinary iodine concentration less than 50 μg/l. During the period 2009–2010 median urinary iodine concentration in adolescents (14–17 years old) was 93 μg/l. Among all urine samples median urinary iodine concentration of more than 100 μg/l (100–360 μg/l) was revealed in 39%, 7% had median urinary iodine concentration less than 50 μg/l. According to the above mentioned results mass iodine deficiency preventive actions lead to the increase of urinary iodine concentration in Siberian. However to the moment iodine deficiency in Novosibirsk is still exists. Persistent community oriented measures are necessary for the prevention of iodine deficiency.