Effect of the new policy regarding iodine salt on the nutritional status of preschool children in Hefei City
-
摘要: 目的 对7年监测工作进行评估,分析新碘盐政策调整对合肥市学龄儿童碘营养的影响,为科学调整干预策略提供依据。方法 按照《安徽省碘缺乏病监测方案》对合肥市原7县(区)学龄儿童进行甲状腺触诊和尿碘水平检测,并对辖区居民户食用盐进行盐碘含量检测。结果 2008-2014年合肥市原7县(区)居民户食用盐碘中位数为26.8 mg/kg,学龄儿童总甲状腺肿大率为0.76%,尿碘中位数为292 μg/L。新碘盐政策调整前后,居民户盐碘水平分别为28.4 mg/kg和24.1 mg/kg,差异有统计学意义(Z=-55.064,P<0.001);学龄儿童甲状腺肿大率分别为0.84%和0.64%,差异无统计学意义(χ2=1.236,P=0.266);学龄儿童尿碘中位数分别为334.00 μg/L和250.60 μg/L,儿童尿碘值和尿碘频数分布差异亦有统计学意义(均有P<0.05)。结论 安徽省新碘盐政策实施后,学龄儿童尿碘水平均有所下降且尿碘逐步趋向适宜水平,应继续贯彻落实新碘盐政策。Abstract: Objective To assess the effect of the new policy about iodine salt on the nutritional status of preschool children by urinary iodine monitoring fom the year of 2008 to 2014. Methods According to the Anhui Iodine Deficiency Disorder Control Monitoring Program, the palpation of thyroid and the determination of urinary iodine were done on preschool children in Hefei. Additionally, the level of iodine in salt was also tested. Results From 2008 to 2014, the median salt iodine, the total goiter rate and the median urine iodine of preschool children in Hefei City were 26.8 mg/kg, 0.76% and 292 μg/L, respectively. The median salt iodine were 28.4 mg/kg, while it was 24.1 mg/kg after the adjustment, and there was a significant differences of iodine salt level between these two years (Z=-55.064,P<0.001); The goiter rates of preschool children were 0.84% and 0.64%, and there were no significant differences(χ2=1.236,P=0.266). The median urine iodine were 334.00 μg/L and 250.60 μg/L between those two periods. The distribution of the urine iodine value and the urine iodine frequency were also significantly different (all P<0.05). Conclusions It is suggested that the urinary iodine level would decrease with the implementation of new policy regarding iodine salt. The new policy should continue to be implemented under the urinary iodine monitoring.
-
Key words:
- Iodine /
- Children /
- Epidemiologic methods
-
陈先玲,王雯易,任青. 碘摄入与甲状腺疾病的研究进展 [J]. 医学理论与实践, 2012,25(4):405-407. 楼晓明,王晓峰,莫哲,等. 浙江省不同地区学龄儿童碘营养状况评价 [J]. 中国学校卫生, 2012,33(8):904-906. 申红梅. 中国碘缺乏病防治达到消除标准后面临的问题与挑战 [J]. 中华预防医学杂志, 2013,47(1):5-7. 中华人民共和国卫生部. GB26878-2011食用盐碘含量 [S]. 北京:中国标准出版社, 2011. 国家技术监督局. GB/T13025.7-1999制盐工业通用试验方法:碘离子的测定 [S]. 北京:中国标准出版社, 1999. 中华人民共和国卫生部. WS276-2007地方性甲状腺肿诊断标准 [S].北京:中国标准出版社, 2007. 中华人民共和国卫生部. WS/T107-2006尿中碘的砷铈催化分光光度测定方法 [S]. 北京:中国标准出版社, 2006. 国家轻工业局. GB5461-2000食用盐 [S]. 北京:中国标准出版社, 2000. Walser M,Rahil WJ. Renal tubular reabsorption of iodide as compared with chloride [J]. Clin Invest, 1965,44(8):1371-1381. WHO. UNICEF,ICCIDD. Assessment of iodine deficiency disorders and monitoring their elimination [M]. Geneva:WHO/NUT, 2007. 中华人民共和国卫生部. GB16006-2008碘缺乏病消除标准 [S]. 北京:中国标准出版社, 2008. 范义兵,陈海婴,凌军,等. 尿碘作为碘缺乏病监测指标的意义 [J]. 中国地方病学杂志, 2005,24(3):346-348 刘芳,李素梅. 尿碘和甲状腺体积作为碘缺乏病监测指标的探讨 [J]. 中国地方病防治杂志, 2008,23(5):343-346. 张进国,赵宝军,胡超安,等. 易县8~10岁儿童碘缺乏性甲状腺肿患病状况 [J]. 中国学校卫生, 2012,33(10):1270-1271. 王洋,韩树清,候常春,等. 天津市不同水碘地区人群碘营养水平分析 [J]. 中华疾病控制杂志, 2013,17(1):24-26.
点击查看大图
计量
- 文章访问数: 322
- HTML全文浏览量: 70
- PDF下载量: 37
- 被引次数: 0