Evaluation of variation of saliva iodine and recommendations for sample size and sampling time: Implications for assessing iodine nutritional status
Evaluation of variation of saliva iodine and recommendations for sample size and sampling time: Implications for assessing iodine nutritional status
复制标题
唾液碘变化的评估以及样本量和采样时间的建议:对评估碘营养状况的影响。
DOI:
10.1016/j.clnu.2020.12.010
复制
发表时间:
2021-05-01
影响因子:
6.3
通讯作者:
Zhang, Wanqi
中科院分区:
文献类型:
--
作者:
Guo, Wenxing;Dong, Shuyao;Zhang, Wanqi
Background: Saliva iodine concentration (SIC) has been found to be a good indicator of iodine nutritional status. However, limited information is available regarding saliva iodine characteristics.Aims: The study aimed to evaluate intra-day, intra-individual, and population SIC variation in order to provide information on optimal sample size and sampling time for assessing iodine nutritional status.Methods: Twenty-nine healthy school-aged students were recruited. Iodine intake from diet and water, and iodine excretion through urine and feces were assessed over a three-day period. Saliva samples were collected six times a day.Results: Diurnal variations were observed in SIC corresponding to iodine intake. The mean CV in SIC was lower than that for 24-hour urinary iodine concentration (24-h UIC) and 24-hour urinary iodine excretion (24-h UIE) not only at the individual level (42.73% vs. 47.71% and 49.69%) but also at the population level (71.29% vs. 100.43% and 72.49%). The number of saliva samples needed to estimate the iodine level with 95% CI within precision ranges of +/- 10%, +/- 20% was 55,14 in an individual, and 180, 45 in a population. There was a good correlation between post-lunch SIC and total daily iodine intake.Conclusions: Saliva iodine has utility for evaluating the recent iodine nutrition of individuals and populations. The variation in SIC was lower than that for 24-h UIC and 24-h UIE. Saliva may be preferred over urine because of its ease of collection. Fourteen samples are needed to assess individual iodine status and forty-five saliva samples for assessment of population iodine status with reasonable precision. We recommend that saliva samples be collected after 14:00 in a day. (c) 2020 Published by Elsevier Ltd.