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目的了解丰台区8～10岁儿童碘营养流行病学特征和动态变化趋势,探讨影响碘营养状况的相关因素。方法采用整群随机抽样方法,在丰台区按照东、西、南、北、中的方位抽取5所小学,每所学校再随机抽查8～10岁学生80名,进行尿碘检测、甲状腺触诊检查和自填式结构问卷调查。结果丰台区儿童处于碘缺乏病消除状态。家用盐不含碘或含碘量过低、不食用海带等高碘食品、不喝牛奶等因素是碘缺乏的危险因素,过量食用海带等高碘食品是碘过量的危险因素。结论应采取综合干预措施,使儿童碘营养保持在适宜的水平;适当调低人群食用碘盐的含碘值,注重食品碘的摄入。
Objective To understand the epidemiological characteristics and dynamic changes of iodine nutrition in children aged 8 ~ 10 in Fengtai District, and to explore the related factors that affect iodine nutrition status. Methods A total of 5 primary schools were randomly sampled in Fengtai district according to the directions of East, West, South, North and Central. Random sampling of 80 students aged 8 to 10 in each school was conducted to detect urinary iodine and thyroid palpation Inspection and self-contained structure questionnaire. Results Fengtai children in the elimination of iodine deficiency disorders. Household salt iodine or iodine content is too low, do not eat kelp and other high iodine foods, do not drink milk and other factors is a risk factor for iodine deficiency, excessive consumption of kelp and other high iodine foods are risk factors for iodine excess. Conclusion Comprehensive intervention measures should be taken to keep children’s iodine nutrition at an appropriate level. The iodine value of iodized salt should be appropriately reduced and iodine intake should be paid more attention to.