温州市居民碘营养水平调查

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目的了解温州市居民碘营养水平,为碘缺乏病防制提供依据。方法采用多阶段抽样方法,抽取温州市11个县(市、区)居民家庭3 300户、8~10岁儿童2 200人、孕妇1 100人,按照GB/T 13025.7—2012《制盐工业通用试验方法碘的测定》等相关标准检测和评估居民家庭食用盐碘、儿童尿碘和甲状腺肿大情况以及孕妇尿碘及其家庭盐碘含量。结果温州市居民家庭食用碘盐中位数为22.50 mg/kg,碘盐覆盖率、合格碘盐食用率分别为80.47%和73.03%。8~10岁儿童甲状腺肿大率为2.35%,尿碘中位数为147.2μg/L,尿碘<50μg/L占11.07%。孕妇尿碘中位数为104.83μg/L,尿碘<50μg/L占17.04%。孕妇家庭盐碘中位数为22.17 mg/kg,碘盐覆盖率、合格碘盐食用率分别为83.05%和77.76%,孕妇尿碘浓度与家庭盐碘浓度呈正相关(rs=0.105,P<0.01)。结论温州市居民碘盐覆盖率及合格碘盐食用率偏低,儿童碘营养水平适宜,孕妇碘营养不足。 Objective To understand the iodine nutrition level of residents in Wenzhou and provide evidence for the prevention of iodine deficiency disorders. Methods The multi-stage sampling method was used to extract 3 300 households, 2 200 children aged 8-10 and 1 100 pregnant women in 11 counties (cities and districts) in Wenzhou City. According to GB / T 13025.7-2012 “Salt Industry General Test methods iodine determination ”and other related standards testing and assessment of household consumption of salt iodine, urinary iodine and thyroid enlargement of children as well as urinary iodine in pregnant women and their families salt iodine content. Results The median of iodized salt consumed by households was 22.50 mg / kg in Wenzhou. The iodized salt coverage and the qualified iodized salt consumption rates were 80.47% and 73.03% respectively. The prevalence of goiter in children aged 8-10 years was 2.35%, the median urinary iodine was 147.2μg / L, and urinary iodine <50μg / L accounted for 11.07%. Pregnant women urinary iodine median 104.83μg / L, urinary iodine <50μg / L accounted for 17.04%. The iodine-iodine median of pregnant women was 22.17 mg / kg, the coverage rate of iodized salt and the qualified iodized salt were 83.05% and 77.76% respectively. There was a positive correlation between urinary iodine concentration and salt iodine concentration in the pregnant women (rs = 0.105, P <0.01) ). Conclusion The coverage rate of iodine salt and the rate of qualified iodized salt in Wenzhou residents are low. The iodine nutrition of children is suitable and iodine deficiency of pregnant women is insufficient.
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