Thyroid disease

Fifteen Years of Iodine Prophylaxis in Italy: Results of a Nationwide Surveillance (Period 2015-2019)

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Fifteen years of iodine prophylaxis have led to iodine sufficiency in Italy, although there still is concern about iodine nutritional status during pregnancy.

Study context

Population
Italian population after 2005 voluntary iodine prophylaxis program: adults, school canteens, schoolchildren aged 11–13 years, neonates screened in Northern, Central and Southern Italy
Outcome
Efficiency, effectiveness and adverse effects of iodine prophylaxis
Follow-up
2015–2019
Methodological detailsnationwide survey, 2015–2019
  • Nationwide survey
  • 2015–2019

Main finding

As reported in the abstract

Use of iodized salt, adults (n=164 593)
71.5%
Use of iodized salt, school canteens (n=998)
78%
Median urinary iodine concentration, schoolchildren (n=4233)
124 μg/L
Prevalence of goiter, schoolchildren
2.2%
Prevalence of thyroid hypoechogenicity on US, schoolchildren
5.7%
Neonatal TSH values >5.0 mIU/L (n=197 677), still higher than WHO threshold of 3.0%
5.1%
Reduction in MMI prescriptions
13.5%

Observational data: associations, not effects.

Original publication

Fifteen Years of Iodine Prophylaxis in Italy: Results of a Nationwide Surveillance (Period 2015-2019). J Clin Endocrinol Metab. Published 11 October 2023. doi:10.1210/clinem/dgad593

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