Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool Children

Variations in different urinary measurements for evaluating iodine status are concerning to clinicians and researchers. The present study aimed to analyze the interindividual and intraindividual variations in the urinary iodine concentration (UIC) and urinary iodine/creatinine (UI/Cr) ratio and eval...

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Main Authors: Dong An, Rui Yang, Yuping Du, Xuan Wang, Ying Yang, Wenxing Guo, Junhong Yang, Dongmei Meng, Weiwei Gao, Jiayi Zhang, Wen Chen, Wanqi Zhang
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2023/6779094
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author Dong An
Rui Yang
Yuping Du
Xuan Wang
Ying Yang
Wenxing Guo
Junhong Yang
Dongmei Meng
Weiwei Gao
Jiayi Zhang
Wen Chen
Wanqi Zhang
author_facet Dong An
Rui Yang
Yuping Du
Xuan Wang
Ying Yang
Wenxing Guo
Junhong Yang
Dongmei Meng
Weiwei Gao
Jiayi Zhang
Wen Chen
Wanqi Zhang
author_sort Dong An
collection DOAJ
description Variations in different urinary measurements for evaluating iodine status are concerning to clinicians and researchers. The present study aimed to analyze the interindividual and intraindividual variations in the urinary iodine concentration (UIC) and urinary iodine/creatinine (UI/Cr) ratio and evaluate their application in assessing the iodine nutrition of preschool children. Four repeated spot urine samples were collected from 163 children at different times within one day. The urinary iodine concentration (UIC) and urinary creatinine concentration (UCr) were measured, and the UI/Cr ratio was calculated. The UIC (P < 0.001) and urinary iodine/creatinine ratio (P = 0.019) of multiple measurements were significantly different. The UIC of morning urine was highest (99.83 μg/L) and then gradually decreased with collection time (P < 0.001). In contrast, the UI/Cr ratio of morning urine samples increased with collection time. By computing the mean intraindividual and interindividual coefficients of variance (CV), the intraindividual variation of the UI/Cr ratio (68%) was significantly lower than that of the UIC (86%). Nevertheless, the interindividual variation was lowest in the UIC (78.62%) of morning urine. In addition, the UIC and UI/Cr ratio showed moderate correlations (r = 0.52, P < 0.001), with kappa values of 0.42 in assessing iodine nutrition. The UIC of morning urine samples taken at 8:00–10:00 am was perhaps more stable and reliable in evaluating the iodine nutrition of preschool children at the population level. The UI/Cr ratio showed lower intraindividual variation and may be more suitable for assessing individual iodine nutrition.
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spelling doaj-art-f447574cc2eb4bd7935be17bdb1752102025-02-03T06:47:46ZengWileyInternational Journal of Endocrinology1687-83452023-01-01202310.1155/2023/6779094Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool ChildrenDong An0Rui Yang1Yuping Du2Xuan Wang3Ying Yang4Wenxing Guo5Junhong Yang6Dongmei Meng7Weiwei Gao8Jiayi Zhang9Wen Chen10Wanqi Zhang11Department of Nutrition and Food HygieneDepartment of Nutrition and Food HygieneDepartment of Clinical NutritionDepartment of Nutrition and Food HygieneDepartment of Nutrition and Food HygieneDepartment of Nutrition and Food HygieneTianjin Children’s Hospital (Tianjin University Children’s Hospital)Tianjin Children’s Hospital (Tianjin University Children’s Hospital)Tianjin Children’s Hospital (Tianjin University Children’s Hospital)Tianjin Children’s Hospital (Tianjin University Children’s Hospital)Department of Nutrition and Food HygieneDepartment of Nutrition and Food HygieneVariations in different urinary measurements for evaluating iodine status are concerning to clinicians and researchers. The present study aimed to analyze the interindividual and intraindividual variations in the urinary iodine concentration (UIC) and urinary iodine/creatinine (UI/Cr) ratio and evaluate their application in assessing the iodine nutrition of preschool children. Four repeated spot urine samples were collected from 163 children at different times within one day. The urinary iodine concentration (UIC) and urinary creatinine concentration (UCr) were measured, and the UI/Cr ratio was calculated. The UIC (P < 0.001) and urinary iodine/creatinine ratio (P = 0.019) of multiple measurements were significantly different. The UIC of morning urine was highest (99.83 μg/L) and then gradually decreased with collection time (P < 0.001). In contrast, the UI/Cr ratio of morning urine samples increased with collection time. By computing the mean intraindividual and interindividual coefficients of variance (CV), the intraindividual variation of the UI/Cr ratio (68%) was significantly lower than that of the UIC (86%). Nevertheless, the interindividual variation was lowest in the UIC (78.62%) of morning urine. In addition, the UIC and UI/Cr ratio showed moderate correlations (r = 0.52, P < 0.001), with kappa values of 0.42 in assessing iodine nutrition. The UIC of morning urine samples taken at 8:00–10:00 am was perhaps more stable and reliable in evaluating the iodine nutrition of preschool children at the population level. The UI/Cr ratio showed lower intraindividual variation and may be more suitable for assessing individual iodine nutrition.http://dx.doi.org/10.1155/2023/6779094
spellingShingle Dong An
Rui Yang
Yuping Du
Xuan Wang
Ying Yang
Wenxing Guo
Junhong Yang
Dongmei Meng
Weiwei Gao
Jiayi Zhang
Wen Chen
Wanqi Zhang
Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool Children
International Journal of Endocrinology
title Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool Children
title_full Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool Children
title_fullStr Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool Children
title_full_unstemmed Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool Children
title_short Variations in the Urinary Iodine Concentration and Urinary Iodine/Creatinine Ratio among Preschool Children
title_sort variations in the urinary iodine concentration and urinary iodine creatinine ratio among preschool children
url http://dx.doi.org/10.1155/2023/6779094
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