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2022-01-18Zeitschriftenartikel
The DONALD study as a longitudinal sensor of nutritional developments: iodine and salt intake over more than 30 years in German children
dc.contributor.authorRemer, Thomas
dc.contributor.authorHua, Yifan
dc.contributor.authorEsche, Jonas
dc.contributor.authorThamm, Michael
dc.date.accessioned2022-08-18T06:12:11Z
dc.date.available2022-08-18T06:12:11Z
dc.date.issued2022-01-18none
dc.identifier.other10.1007/s00394-022-02801-6
dc.identifier.urihttp://edoc.rki.de/176904/10058
dc.description.abstractPurpose: Mild-to-moderate iodine deficiency was present in large parts of Germany up to the beginning 1990s and improved from then on. Current epidemiological data on spot urine iodine measurements in German children strongly suggest the re-occurrence of an impaired iodine status. We thus examined whether this re-occurrence is identifiable in more detail, through iodine analyses of 24-h urine samples of a well-characterized cohort of German children in whom samples have been systematically collected from 1985 onward. As iodized salt is a major source for iodine supply, urinary sodium excretion was additionally studied. Methods: Daily iodine and sodium excretions were measured in 2600 24-h urine samples collected between 1985 and 2018 by 677 healthy children aged 6–12 years (participants of the DONALD study). These data were compared with 24-h iodine and sodium excretion estimates obtained from spot urine samples collected in the representative German Health Interview and Examination Surveys for Children and Adolescents KiGGS-baseline (2003–2006) and KiGGS-wave-2 (2014–2017). Results: Between 1985 and1992, DONALD participants started with a median daily iodine excretion level of 40.1 µg/d. Then, during 1993–2003, iodine excretions mounted up to an approximate plateau (~ 84.8 µg/d). This plateau lasted until 2012. Thereafter, iodine concentrations started to decrease again resulting in a median iodine excretion of only 58.9 µg/d in 2018. Sodium excretion, however, had increased. The marked decrease in iodine status along with an abundant sodium excretion corresponded closely with nationwide KiGGS data. Conclusions: As exemplified for the clearly worsening iodine status in German children, longitudinal cohort studies collecting detailed biomarker-based prospective data have the potential to reliably capture health-relevant nutritional changes and trends, applicable on a more comprehensive and even representative population level.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subject24-h urineeng
dc.subjectIodine excretioneng
dc.subjectIodine nutritioneng
dc.subjectIodized salteng
dc.subjectLongitudinal cohorteng
dc.subjectSodium excretioneng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleThe DONALD study as a longitudinal sensor of nutritional developments: iodine and salt intake over more than 30 years in German childrennone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/10058-6
dc.type.versionpublishedVersionnone
local.edoc.container-titleEuropean Journal of Nutritionnone
local.edoc.container-issn1436-6215none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://link.springer.com/article/10.1007/s00394-022-02801-6none
local.edoc.container-publisher-nameSpringernone
local.edoc.container-volume61none
local.edoc.container-year2022none
dc.description.versionPeer Reviewednone

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