• Med Klin · Jun 1998

    [Renal iodine excretion by students in East Germany. A prospective study 1989 to 1996].

    • W Meng, A Schindler, S Horack, E Lux, and A Muche.
    • Abteilung für Endokrinologie und Stoffwechselkrankheiten, Ernst-Moritz-Arndt-Universität Greifswald.
    • Med Klin. 1998 Jun 15; 93 (6): 347-51.

    AimA prospective longitudinal study was performed from 1989 to 1996 in order to check the effectiveness of prophylactic measures in Germany.Test Persons And MethodsIn 3 periods the urinary iodine excretion was examined in 1849 adolescents from 2 regions (north, south) of former Eastern Germany.ResultsThe consumption of iodized salt has increased substantially since 1994. This coincides with an increase in urinary iodine excretion. The median iodine excretion found in 1989/92 (n = 744) was 39.0 micrograms/g creatinine (4.7 micrograms/dl), in 1994 (n = 123) 60.1 micrograms/g creatinine (6.0 micrograms/dl), and in 1995/96 (n = 982) 101.1 micrograms/g creatinine (9.8 micrograms/dl). However, the concentration was < 5.0 micrograms in 27.8% and < 10.0 micrograms iodine/dl in 58.0%. Regional differences were not found.ConclusionThe iodine supply has been improved. However, the declared targets have not yet been met. The findings show that effective goitre prophylaxis can still be achieved while maintaining the voluntary principle.

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