iodine Flashcards

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1
Q

what type of element is iodine

A

trace element

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2
Q

what percentage of the total body iodide does the thyroid contain

A

70-80%

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3
Q

explain iodines importance in thyroid hormones

A

Integral to structure of thyroid hormones:
Thyroid glad makes thyroid hormones which important to our metabolism by controlling basal metabolic rate
Growth hormone is also a metabolic hormone which is obligatory to appropriate growth, and is Important for development of CNS – central nervous system. So why iodine important in babies

so If not enough idodine then not enough thiroid hormone production

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4
Q

iodine occurs in food in what form

A

as inorganic iodides (I-) or iodates (iodine and oxygen)(IO3-; food additive in doughs)

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5
Q

what does iodine content in food depend on and explain

A

on soil content

For fruit veg, animal products then they need to be grown in soil and feed with adequate iodine for the source to have adequate iodine

So if soil isn’t rich in iodine then food produced from this wont be rich in iodine

Mountainous areas have bad iodine levels. Particularly north Scotland

So if diet is locally based and iodine in local land is low then iodine consumption will be reduced

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6
Q

what 2 sources of food are high in iodine and explain why

A

Dairy products have become significant source – supplementation of feeds, sterilisation of teats

Seafood naturally rich and predictable source, as doesn’t depend on content in soil – seaweed 0.5mg/100 g; fish up to 0.3 mg/kg (saltwater not freshwater) (shell fish and seaweed have naturally high levels)

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7
Q

what are goitrogens

A

something which Interfere with uptake of iodide by thyroid gland, incorporation into T3/4 or secretion of T3/4

  • thiocyanates (SCN-) – associated with plant foods
  • perchlorates (ClO4-)- associated with plant food
  • cyanoglucosides – associated with plant foods
  • brassicas, cassava, maize, bamboo shoots, sweet potato, lima beans, Lithium
    (Lithium helps treat depression and bipolar disorder so impacts there peoples iodine uptake)
    (Cassava is staple in parts of Africa, this is where iodine deficiency is already a problem so this is making the problem worse , maize is staple in Latin America)

Only likely to be problematic where diet low in iodine

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8
Q

iodine requirements are related to what

A

to thyroid function

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9
Q

how much iodine do adults require to avoid severe deficiency and what happens if this isnt met

A

70 µg/d to avoid severe deficiency, (otherwise would develop goitre – adaptation of thyroid gland as not making enough t3/4 so causes swelling at base of neck)

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10
Q

iodine level in thyroid gland is normal at iodine intakes of what

A

100 µg/d

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11
Q

what is the RNI for iodine

A

140 µg/d

We need it in tiny quantities but on a daily basis

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12
Q

explain iodine deficiency disease (IDD)

A

Symptoms of hypothyroidism (underactive thyroid) however there are also other causes of hypothyroidism
Hypo = less than
So hypothyroidism is less thyroid hormones than should have. Individual will be come tired, less active and lethargic as have less energy and feel cold. So decreases fertility as don’t have enough energy to. And if sever enough then leads to goitre.

mental retardation, neonatal and infant deaths as lack of brain development, this is irreversible and can cause death

Estmated > 800 million people live in iodine-deficient environments as geographical area is iodine deficient (IDD endemic)

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13
Q

explain the WHOS recommendations in preventing iodine deficiency

A

WHO public health strategy for elimination of IDD is universal salt iodization (USI)

WHO recommends salt should contain 20–40 mg of iodine per kg of salt (provides 150 μg/day of iodine)

assumes average intake of salt per person per day is 10 g (exceeds the WHO recommended upper limit of 6 g salt/day)
WHO use salt to fortify with iodine as salt is needed in the diet

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14
Q

explain problems in relation to the WHOs recommendation in preventing iodine deficiency

A

Requirements to reduce salt intake is more of a problem here than increasing iodine consumption so wouldn’t be worth creating iodized salt

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15
Q

what countries have Less than 35 % of households with access to iodinated salt

A

russia
sudan
yemen
pakistan
afghanistan

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16
Q

what countries have > 90 % of households
with access to iodinated salt

A

north America
uk
spain
germany
france
norway
finland
iceland
portugal

17
Q

what 6 countries in 1993 didnt report endemic iodine deficiency disease and suffering of goitre

A

Finland
Iceland
Norway
Sweden
Switzerland
United Kingdom