Impact of Smoking and Thiocyanate on Perchlorate and Thyroid Hormone Associations in the 2001–2002 National Health and Nutrition Examination Survey
2007

Impact of Smoking and Thiocyanate on Thyroid Hormone Levels

Sample size: 1203 publication 10 minutes Evidence: moderate

Author Information

Author(s): Craig Steinmaus, Mark D. Howd

Primary Institution: Office of Environmental Health Hazard Assessment, California Environmental Protection Agency

Hypothesis

Does smoking and thiocyanate exposure affect the relationship between urinary perchlorate and thyroid hormone levels?

Conclusion

Thiocyanate in tobacco smoke and perchlorate interact to affect thyroid function, particularly in women with low iodine levels.

Supporting Evidence

  • 35% of women ≥ 12 years of age had urinary iodine levels < 100 μg/L.
  • Perchlorate exposure levels in the study are representative of a large portion of the U.S. population.
  • Thiocyanate is a metabolite of cyanide found in tobacco smoke.

Takeaway

Smoking and certain chemicals in tobacco can make it harder for your body to use iodine, which is important for making thyroid hormones.

Methodology

Data from the 2001–2002 NHANES was used to analyze the effects of smoking and thiocyanate on thyroid hormones in women with low iodine levels.

Potential Biases

Potential confounding factors such as estrogen use and thyroid disease were not fully accounted for.

Limitations

The study is based on a single assessment of urinary perchlorate and thyroid hormones, which may not reflect long-term levels.

Participant Demographics

Women aged 12 years and older, with a focus on those with urinary iodine levels < 100 μg/L.

Statistical Information

P-Value

0.0005

Confidence Interval

95% CI, 8.11 to 9.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.10300

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