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Iodine intake and iodine deficiency in vegans as assessed by the duplicate-portion technique and urinary iodine excretion

Published online by Cambridge University Press:  09 March 2007

Helen J. Lightowler*
Affiliation:
Nutrition Research Centre, School of Applied Science, South Bank University, 103 Borough Road, London SE1 0AA, UK
G. Jill Davies
Affiliation:
Nutrition Research Centre, School of Applied Science, South Bank University, 103 Borough Road, London SE1 0AA, UK
*
*Dr Helen Lightowler, fax +44 (0) 171 815 7999, email lightohj@sbu.ac.uk
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Abstract

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I intake and I deficiency were investigated in thirty vegans (eleven males and nineteen females) consuming their habitual diet. I intake was estimated using the chemical analysis of 4 d weighed duplicate diet collections. The probability of I-deficiency disorders (IDD) was judged from the measurement of urinary I excretion in 24 h urine specimens during the 4 d. There was wide variation in I intake. Mean I intake in males was lower than the reference nutrient intake (RNI; Department of Health, 1991) and mean intake in females was above the RNI, although 36% males and 63% females had I intakes below the lower RNI. Mean I intake in subjects who consumed seaweed (n 3) was in excess of the RNI, and approached the provisional maximum tolerable daily intake (World Health Organization/Food and Agriculture Organization Joint Expert Committee on Food Additives, 1989). The probability of IDD in the group investigated was moderate to severe: three of five subgroups were classified as moderate and two subgroups were classified as severe IDD possibility. The findings highlight that vegans are an ‘at risk’ group for I deficiency. The I status of vegans and the subclinical effects of low I intakes and infrequent high I intakes on thyroid function in this group should be further studied. Our work has also raised the question of adequate I intakes in groups where cow's milk is not consumed, and has exposed a need for more research in this area.

Type
Research Article
Copyright
Copyright © The Nutrition Society 1998

References

Abdulla, M, Andersson, I, Asp, N, Berthelsen, K, Birkhed, D, Dencker, I, Johansson, C, Jägerstad, M, Kolar, K, Nair, BN, Nilsson-Ehle, P, Norden, A, Rassner, S, Akesson, B & Ockerman, P (1981) Nutrient intake and health status of vegans. Chemical analyses of diets using the duplicate portion sampling technique. American Journal of Clinical Nutrition 34, 24642477.CrossRefGoogle ScholarPubMed
Abdulla, M, Behbehani, A & Dashti, H (1989) Dietary intake and bioavailability of trace elements. Biological Trace Element Research 21, 173178.CrossRefGoogle ScholarPubMed
Bingham, SA (1987) The dietary assessment of individuals; methods, accuracy, new techniques and recommendations. Nutrition Abstracts and Reviews 57, 705742.Google Scholar
Bingham, SA, Cassidy, A, Cole, TJ, Welch, A, Runswick, SA, Black, AE, Thurnham, D, Bates, C, Khaw, KT, Key, TJA & Day, NE (1995) Validation of weighed records and other methods of dietary assessment using the 24 h urine nitrogen technique and other biological markers. British Journal of Nutrition 73, 531550.CrossRefGoogle ScholarPubMed
Bingham, SA & Cummings, JH (1983) The use of 4-aminobenzoic acid as a marker to validate the completeness of 24 h urine collections in man. Clinical Science 64, 629635.CrossRefGoogle ScholarPubMed
Bingham, SA, Nelson, M, Paul, AA, Haraldsdottir, J, Bjørge, Løken E & van, Staveren WA (1988) Methods for data collection at an individual level. In Manual on Methodology for Food Consumption Studies, pp. 53106 [Cameron, ME and van Staveren, WA, editors]. New York, NY: Oxford University Press.Google Scholar
Broadhead, GD, Pearson, IB & Wilson, GM (1965) Seasonal changes in iodine metabolism. British Medical Journal 1, 343348.CrossRefGoogle ScholarPubMed
Delange, F (1994) The disorders induced by iodine deficiency. Thyroid 4, 107128.CrossRefGoogle ScholarPubMed
Department of Health (1991) Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects no. 41. London: HM Stationery Office.Google Scholar
Department of Health (1994) Nutritional Aspects of Cardiovascular Disease. Report on Health and Social Subjects no. 46. London: HM Stationery Office.Google Scholar
Draper, A, Lewis, J, Malhotra, N & Wheeler, E (1993) The energy and nutrient intakes of different types of vegetarian: a case for supplements? British Journal of Nutrition 69, 319.CrossRefGoogle ScholarPubMed
Dunn, JT, Crutchfield, HE, Gutekunst, R & Dunn, AD (1993a) Two simple methods for measuring iodine in urine. Thyroid 3, 119123.CrossRefGoogle ScholarPubMed
Dunn, JT, Crutchfield, HE, Gutekunst, R & Dunn, AD (1993b) Methods for Measuring Iodine in Urine. Wageningen, The Netherlands: ICCIDD/UNICEF/WHO.Google ScholarPubMed
Fehily, AM (1983) Epidemiology for nutritionists: 4. Survey methods. Human Nutrition: Applied Nutrition 37A, 419425.Google ScholarPubMed
Gaitan, E (1980) Goitrogens in the etiology of endemic goitre. In Endemic Goiter and Endemic Cretinism, pp. 219236 [Stanbury, JB and Hetzel, BS, editors]. New York, NY: John Wiley & Sons.Google Scholar
Gregory, J, Foster, K, Tyler, H & Wiseman, M (1990) The Dietary and Nutritional Survey of British Adults. London: HM Stationery Office.Google Scholar
Katamine, S, Mamiya, Y, Sekimoto, K, Hoshino, N, Totsuka, K & Suzuki, M (1987) Differences in bioavailability of iodine among iodine-rich foods and food colors. Nutrition Reports International 35, 289297.Google Scholar
Key, TJA, Thorogood, M, Keenan, J & Long, A (1992) Raised thyroid stimulating hormone associated with kelp intake in British vegan men. Journal of Human Nutrition and Dietetics 5, 323326.CrossRefGoogle Scholar
Lee, SM, Lewis, J, Buss, DH, Holcombe, GD & Lawrance, PR (1994) Iodine in British foods and diets. British Journal of Nutrition 72, 435446.CrossRefGoogle ScholarPubMed
Lightowler, HJ & Davies, GJ (1996) Sources of iodine in the vegan diet. Proceedings of the Nutrition Soceity 55, 13A.Google Scholar
Malvaux, P, Beckers, C & De Visscher, M (1969) Iodine balance studies in nongoitrous children and in adolescents on low iodine intake. Journal of Clinical Endocrinology 29, 13721380.CrossRefGoogle ScholarPubMed
Ministry of Agriculture, Fisheries and Food (1994) The Dietary and Nutritional Survey of British Adults – Further Analysis. London: HM Stationery Office.Google Scholar
Moxon, RED & Dixon, EJ (1980) Semi-automatic method for the determination of total iodine in food. Analyst 105, 344352.CrossRefGoogle ScholarPubMed
Nelson, M, Qualye, A & Phillips, DIW (1987) Iodine intake and excretion in two British towns: aspects of questionnaire validation. Human Nutrition: Applied Nutrition 41A, 187192.Google ScholarPubMed
Rauma, AL, Törmälä, ML, Nenonen, M & Hänninen, O (1994) Iodine status in vegans consuming a living food diet. Nutrition Research 14, 17891795.CrossRefGoogle Scholar
Sandell, EB & Kolthoff, IM (1937) Micro determination of iodine by a catalytic method. Mikrochemica Acta 1, 925.CrossRefGoogle Scholar
Stockley, L (1985) Changes in habitual food intake during weighed inventory surveys and duplication diet collections: a short review. Ecology of Food and Nutrition 17, 263269.CrossRefGoogle Scholar
The Realeat Survey (1997) The Realeat Survey 1984-1997. Changing Attitudes to Meat Consumption. Newport Pagnell, Bucks.: The Realeat Survey Office.Google Scholar
West, CE & van Staveren, WA (1995) Food consumption, nutrient intake, and the use of food composition tables. In Design Concepts in Nutritional Epidemiology, pp. 101109 [Margetts, BM and Nelson, M, editors]. Oxford: Oxford University Press.Google Scholar
World Health Organization (1994) Indicators for Assessing Iodine Deficiency Disorders and their Control through Salt Iodization.WHO/NUT/94.6.Geneva:WHO.Google Scholar
World Health Organization (1989) Toxicological Evaluation of Certain Food Additives and Contaminants. WHO Additives Series no. 24.Geneva:World Health Organization.Google Scholar
World Health Organization (1993) Global Prevalence of Iodine Deficiency Disorders. Micronutrient Deficiency Information System, Working Paper no. 1.Geneva:WHO.Google Scholar