ENDEMIC GOITRE IN PEDREGOSO (Chile)

1967 ◽  
Vol 54 (4) ◽  
pp. 591-603 ◽  
Author(s):  
C. Beckers ◽  
J. Barzelatto ◽  
C. Stevenson ◽  
A. Gianetti ◽  
A. Pardo ◽  
...  
Keyword(s):  
Iodine Deficiency ◽  
Degradation Rate ◽  
Turnover Rate ◽  
Endemic Goiter ◽  
Kinetic Studies ◽  
Endemic Goitre ◽  
Distribution Space ◽  
Comparable Group ◽  
The Mean ◽  
Fractional Turnover

ABSTRACT Iodine kinetic studies have been performed in 61 Indians from the Pedregoso goitre endemic in Chile. The daily absolute iodine uptake in the thyroid averaged 98 μg I, with maximal values in the cases of diffuse goitre. The mean thyroxine degradation rate in the same group of patients corresponded to 102 μg I per day, when using the mean thyroxine distribution space and thyroxine (T4) fractional turnover rate obtained from a comparable group of the same population. The output of iodine from the thyroid was calculated by 3 different methods. In each case, the iodine output appears to be higher than the amount of halogen accumulated by the thyroid or metabolized by the tissues. These findings suggest an important spillage of iodine (as iodide and/or iodinated tyrosines) by the goitrous gland. Such a disturbance apart from nutritional iodine deficiency may be an important factor in the pathogenesis of endemic goiter.

Studies of human zinc kinetics using the stable isotope 70Zn

1993 ◽  
Vol 84 (1) ◽  
pp. 113-117 ◽  
Author(s):  
N. M. Lowe ◽  
A. Green ◽  
J. M. Rhodes ◽  
M. Lombard ◽  
R. Jalan ◽  
...  
Keyword(s):  
Liver Disease ◽  
Alcoholic Liver Disease ◽  
Turnover Rate ◽  
Kinetic Studies ◽  
Normal Subjects ◽  
Short Term ◽  
Control Subjects ◽  
Two Component ◽  
Kinetics Of ◽  
Fractional Turnover

1. The short-term (120 min) kinetics of Zn turnover has been studied in control subjects and patients with alcoholic liver disease after intravenous injection of 0.5 mg of 96.5% enriched 70ZnCl2. 2. The 70Zn enrichment of plasma was found closely to obey two-compartment kinetics and the derived two-component decay equation has been used to calculate the size and turnover of the initial two rapidly exchanging pools of body Zn. 3. In normal subjects isotopic Zn appears initially to equilibrate with the whole of the plasma Zn which comprises the first metabolic compartment, pool a. This has a size of 0.72 ± 0.1 μmol/kg. 70Zn equilibration then occurs with a second compartment, pool b, consistent with a rapidly exchanging liver Zn pool of size 3.60 ± 0.93 μmol/kg. The fractional turnover rate of pool b was found to be fivefold slower than that of pool a. 4. In the alcoholic group an expansion of pool a was observed (1.63 ± 0.39 μmol/kg), but the size of the second pool was not significantly different from that of control subjects (5.55 ± 1.0 μmol/kg), although its fractional turnover was significantly increased (Kab: control subjects, 0.018 ± 0.002 min−1, alcoholic patients, 0.031 ± 0.006 min−1). 5. These data therefore demonstrate that kinetic studies using stable isotopes of Zn can provide novel information on exchangeable Zn pools in man, but provide no support for the possibility of an underlying Zn depletion in patients with alcoholic liver disease.

EFFECTS OF OESTROGENS ON THYROXINE TURNOVER IN HYPERTHYROIDISM

1972 ◽  
Vol 71 (3) ◽  
pp. 491-497 ◽  
Author(s):  
Angel A. Zaninovich
Keyword(s):  
Degradation Rate ◽  
Control Period ◽  
The Other ◽  
Graves Disease ◽  
Oestrogen Therapy ◽  
Distribution Space ◽  
Oestrogen Treatment ◽  
Before And After ◽  
Peripheral Metabolism ◽  
Fractional Turnover

ABSTRACT The peripheral metabolism of thyroxine (T4) was studied before and after the administration of oestrogens in 21 patients with Graves' disease and in 5 subjects with thyrotoxicosis factitia. In addition, 6 patients with Graves' disease while receiving oestrogen treatment were given 600 mg of diphenylhydantoin (DPH) orally daily; the study on the peripheral metabolism of T4 was similarly performed. Oestrogens induced the following changes in T4 metabolism: a decrease in the concentration of free T4 in the serum, an increase in serum total T4, slowing of the fractional turnover, and contraction of the distribution space. The extrathyroidal T4 pool remained unchanged. These changes led to a decrease in daily T4 degradation rate from 469 μg in the control period to 348 μg during oestrogen therapy (P < 0.001). Fifteen of these patients showed apparent clinical improvement. The 2 subjects with T4-thyrotoxicosis factitia had decreased T4 degradation and remission of symptomatology following oestrogen administration; on the other hand, 3 subjects with T3-thyrotoxicosis factitia had no appreciable amelioration of their symptoms. The administration of DPH to oestrogen-treated patients with Graves' disease induced a slight acceleration of the absolute T4 turnover. It is concluded that the decreased T4 degradation induced by oestrogens in spontaneous and iatrogenic hyperthyroidism was mediated by an increase in T4-binding globulin capacity in the serum.

ENDEMIC GOITRE IN ALTO ADIGE (ITALY)

1977 ◽  
Vol 85 (2) ◽  
pp. 325-334 ◽  
Author(s):  
S. Platzer ◽  
H. Fill ◽  
G. Riccabona ◽  
J. Glatzl ◽  
J. Seidl ◽  
...  
Keyword(s):  
Iodine Deficiency ◽  
School Children ◽  
Urinary Iodine ◽  
Iodine Content ◽  
Urinary Iodine Excretion ◽  
Endemic Goitre ◽  
Mean Values ◽  
Iodine Excretion ◽  
The Mean ◽  
Slight Alteration

ABSTRACT The whole population of Certosa (Karthaus) (altitude 1327 m), a little village in the Alto Adige province in Northern Italy, was studied regarding the incidence and pathophysiological data of endemic goitre. The study included 204 subjects: in 85 % of the whole population, and in 48 % of the school-children population from 6-14 years of age, thyroid enlargement and/or nodularity was found. The 24 h [131I]uptake was 48.6 ± 11.96; the grade "O" thyroids also showed an increased uptake. The region is poor in iodine; the mean iodine content of 55 samples of local drinking water was 0.81 ± 0.96 μg/I; the iodine content of several foodstuffs was definitely lower than those from Turin's markets. The mean iodine excretion in 60 samples of urine was 35.96 ± 22.4 μg/g creatinine. Urinary iodine excretion showed a linear negative correlation with [131I]uptake and did not correlate well with the presence or size of the goitre. The mean values of PBI (6.12 ± 1.57 μg/100 ml) of T4 (7 ± 2.3 μg/100 ml), of T3 (121 ± 55.4 ng/100 ml) and of a free thyroxine index (ETR = 0.95), as well as of TSH (2.63 ± 1.9 μU/ml) were in the normal range. Grade III goitres had slightly lower hormonal values, and a somewhat elevated T3/(T4x100) ratio (0.19). Serum TSH levels showed no correlation with the presence or size of the goitre, radioiodine uptake, the urinary iodine excretion, and not always showed an inverse correlation with the peripheral thyroid hormone values. Urinary thiocyanate excretion (mean value 9.28 ± 2.96 mg/24 h) did not show any relation to the presence of goitre. Raven's tests and physical data obtained from school-children in Alto Adige show some slight alteration in the distribution pattern when compared to normal populations. It is concluded that iodine deficiency exists in the studied area, but that it is not always associated with goitre, and that other pathological factors must be involved in goitrogenesis. Goitre is not coupled with enhanced TSH serum levels. The slight alteration in intellectual and somatic development in schoolchildren may possibly be related to iodine deficiency; other environmental or genetic factors, however, cannot be excluded.

Impairment of neuromotor and cognitive development in iodine-deficient schoolchildren with normal physical growth

1993 ◽  
Vol 129 (6) ◽  
pp. 501-504 ◽  
Author(s):  
F Azizi ◽  
A Sarshar ◽  
M Nafarabadi ◽  
A Ghazi ◽  
M Kimiagar ◽  
...  
Keyword(s):  
Cognitive Development ◽  
Children And Adolescents ◽  
Thyroid Function ◽  
Iodine Deficiency ◽  
Endemic Goiter ◽  
Physical Growth ◽  
Psychomotor Development ◽  
Somatic Development ◽  
Intellectual Quotient ◽  
The Mean

In order to detect somatic and psychomotor disturbances in children and adolescents residing in areas of iodine deficiency, schoolchildren from three areas with different degrees of iodine deficiency were studied. In Randan, the prevalence of severe endemic goiter was accompanied by alteration in thyroid function, increased thyrotropin levels and retardation of both bone and psychomotor age and decreased intellectual quotient. In Tehran, where iodine deficiency is mild, visible goiter was present in 1 5% of schoolchildren but no alterations in thyroid function, serum thyrotropin, somatic or psychomotor development could be detected. In Zagoon, where the prevalence and severity of goiter was less than Randan but more than Tehran, thyroid function was normal but slightly decreased as compared to Tehran; somatic development was unaltered, but retardation in psychomotor development was evident and the mean intellectual quotient was less than that of Tehranian schoolchildren. These findings indicate the occurrence of physical and psychomotor disturbances in apparently normal schoolchildren from areas of iodine deficiency. Alteration in psychomotor development may occur in children with normal physical growth, due to iodine deficiency.

Study on Association between Height, Weight, Iodine Supplementation and Thyroid Volume

2021 ◽  
pp. 1-25
Author(s):  
Lanchun Liu ◽  
Lixiang Liu ◽  
Ming Li ◽  
Yang Du ◽  
Peng Liu ◽  
...  
Keyword(s):  
Iodine Deficiency ◽  
Linear Models ◽  
Thyroid Volume ◽  
Salt Iodization ◽  
Iodine Supplementation ◽  
Random Pairing ◽  
Level Data ◽  
The Mean ◽  
Salt Iodine ◽  
The Difference

Abstract The policy of Universal Salt Iodization (USI) could reduce population’s thyroid volume (TVOL) in iodine deficiency areas. Conversely, the improved growth and developmental status of children might increase the TVOL accordingly. Whether the decreased TVOL by USI conceals the increase effect of height and weight on TVOL is unclear. The aim of this study was to analyse the association between height, weight, iodine supplementation and TVOL. Five national Iodine Deficiency Disorder surveys were matched into four pairs according to the purpose of analysis. County-level data of both detected by paired surveys were incorporated, 1: 1 random pairing method was used to match counties or individuals. The difference of TVOL between different height, weight, different iodine supplementation measures groups and the association between TVOL and them were studied. The mean height and weight of children aged 8-10 years increased from 129.9cm and 26.9kg in 2002 to 136.2cm and 32.1kg in 2019; while the median TVOL decreased from 3.10ml to 2.61ml. Iodine supplementation measures can affect TVOL; after exclude iodine effects, the median TVOL was increased with the height and weight. On the other side, after excluding the influence of height and weight, the median TVOL remained decreased. Only age, weight and salt iodine were significant associated with TVOL in multiple linear models. Development of height and weight in children is the evidence of improved nutrition. The decreased TVOL caused by iodized salt measures conceals the increase effect of height and weight on TVOL. Age, weight, and salt iodine affect TVOL significantly.

Glycerol metabolism in rabbits

1968 ◽  
Vol 46 (9) ◽  
pp. 1107-1114 ◽  
Author(s):  
Jean Himms-Hagen
Keyword(s):  
Turnover Rate ◽  
Glycerol Kinase ◽  
Rabbit Liver ◽  
Constant Infusion ◽  
Glycerol Dehydrogenase ◽  
Glycerol Metabolism ◽  
Utilization Rate ◽  
Glycerol Concentration ◽  
Glycerol Utilization ◽  
Fractional Turnover

The endogenous rate of glycerol production in rabbits was measured by several techniques: constant infusion of 1,3-14C-glycerol or 2-3H-glycerol or unlabeled glycerol; single injection of 1,3-14C-glycerol or 2-3H-glycerol or unlabeled glycerol. The rate was 5.5–11.6 μmoles/kg per minute (9 rabbits). The mean fractional turnover rate was 0.0585 ± 0.0052. During infusion of noradrenaline together with 3H-glycerol, the fractional turnover rate was no different from that in the absence of noradrenaline. The maximum utilization rate of glycerol was 28.1 ± 1.40 μmoles/kg per minute. The glycerol space was 58.1% of body weight. The relationship of glycerol concentration to rate of glycerol utilization in the intact rabbit suggests the existence of an enzyme with a KM for glycerol of 0.33 × 10−3 M; the glycerol kinase of rabbit liver was found to have a KM for glycerol of 0.29 × 10−3 M. This enzyme could account for the disappearance of glycerol in the intact animal except that its Vmax is only 4% of that expected. Possible reasons for this are discussed. A glycerol dehydrogenase with a Vmax similar to that of the glycerol kinase also exists in rabbit liver; its KM for glycerol is so high (0.5 M) that it is unlikely to play a significant role in glycerol metabolism in the normal rabbit.

Iodized salt prophylaxis of endemic goiter: an experience in Toscana (Italy)

1993 ◽  
Vol 129 (6) ◽  
pp. 497-500 ◽  
Author(s):  
F Aghini-Lombardi ◽  
A Pinchera ◽  
L Antonangeli ◽  
T Rago ◽  
GF Fenzi ◽  
...  
Keyword(s):  
Iodine Deficiency ◽  
Endemic Goiter ◽  
Urinary Iodine ◽  
Thyroid Volume ◽  
Iodized Salt ◽  
Urinary Iodine Excretion ◽  
Goiter Prevalence ◽  
Iodine Excretion ◽  
Health Organization ◽  
Legislative Measures

It is well established that iodine supplementation is effective in correcting iodine deficiency and reducing goiter prevalence. In Italy, legislation has allowed the production of iodized salt since 1972, but its consumption is on a voluntary basis. In the present study, the efficacy of legislative measures that made compulsory the availability of iodized salt in foodstores has been evaluated. Urinary iodine excretion and thyroid size, scored according to Pan American Health Organization recommendations, were determined prior to (1981) and 10 years after (1991) the introduction of legislative measures in the whole schoolchildren population residing in a restricted area of the Tuscan Appennines. Moreover, in 1991, thyroid volume was determined by ultrasonography. In 1981, mean urinary iodine excretion was 47.1±22.4 mg/kg creatinine (0.412 μmol/l) and goiter prevalence was 60%, indicating a moderate iodine deficiency. Eighty of the families subsequently used iodized salt on a regular basis; as a result of this excellent compliance, in 1991 the mean urinary iodine excretion increased to 129.7±73 mg/kg creatinine (1.24 μmol/l) and goiter prevalence dropped to 8.1%. The results of this study underline the effectiveness of iodine prophylaxis in correcting iodine deficiency and abating endemic goiter in schoolchildren, and suggest that implementation of measures that make compulsory the availability of iodized salt in foodstores overcomes the fact that there is no law governing the exclusive production and trading of iodized salt.

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