TY - JOUR
T1 - Selenium status, thyroid volume, and multiple nodule formation in an area with mild iodine deficiency
AU - Rasmussen, Lone Banke
AU - Schomburg, Lutz
AU - Köhrle, Josef
AU - Pedersen, Inge Bülow
AU - Hollenbach, Birgit
AU - Hög, Antonia
AU - Ovesen, Lars
AU - Perrild, Hans
AU - Laurberg, Peter
PY - 2011/4/1
Y1 - 2011/4/1
N2 - Objective: The objective was to study the associations between serum selenium concentration and thyroid volume, as well as the association between serum selenium concentration and risk for an enlarged thyroid gland in an area with mild iodine deficiency before and after iodine fortification was introduced. Another objective was to examine the association between serum selenium concentration and prevalence of thyroid nodules. Design: Cross-sectional study. Methods:We studied participants of two similar cross-sectional studies carried out before (1997-1998, n=405) and after (2004-2005, n=400) introduction of iodine fortification. Serum selenium concentration and urinary iodine were measured, and the thyroid gland was examined by ultrasonography in the same subjects. Associations between serum selenium concentration and thyroid parameters were examined in multiple linear regression models or logistic regression models. Results: Serum selenium concentration was found to be significantly, negatively associated with thyroid volume (P=0.006), and a low selenium status significantly increased the risk for thyroid enlargement (P=0.007). Furthermore, low serum selenium status had a tendency to increase the risk for development of multiple nodules (P=0.087). Conclusions: Low serum selenium concentration was associated with a larger thyroid volume and a higher prevalence of thyroid enlargement.
AB - Objective: The objective was to study the associations between serum selenium concentration and thyroid volume, as well as the association between serum selenium concentration and risk for an enlarged thyroid gland in an area with mild iodine deficiency before and after iodine fortification was introduced. Another objective was to examine the association between serum selenium concentration and prevalence of thyroid nodules. Design: Cross-sectional study. Methods:We studied participants of two similar cross-sectional studies carried out before (1997-1998, n=405) and after (2004-2005, n=400) introduction of iodine fortification. Serum selenium concentration and urinary iodine were measured, and the thyroid gland was examined by ultrasonography in the same subjects. Associations between serum selenium concentration and thyroid parameters were examined in multiple linear regression models or logistic regression models. Results: Serum selenium concentration was found to be significantly, negatively associated with thyroid volume (P=0.006), and a low selenium status significantly increased the risk for thyroid enlargement (P=0.007). Furthermore, low serum selenium status had a tendency to increase the risk for development of multiple nodules (P=0.087). Conclusions: Low serum selenium concentration was associated with a larger thyroid volume and a higher prevalence of thyroid enlargement.
U2 - 10.1530/eje-10-1026
DO - 10.1530/eje-10-1026
M3 - Journal article
SN - 0804-4643
VL - 164
SP - 585
EP - 590
JO - European Journal of Endocrinology
JF - European Journal of Endocrinology
IS - 4
ER -