«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

26卷

期数:

2020年01期

页码:

81-85

栏目:

预防医学

出版日期:

2020-04-06

文章信息/Info

Title:

Investigation on iodine nutritional status in preschool children after water reform in high water iodine areas of Tianjin

文章编号:

1006-8147(2020)01-0081-05

作者:

刘 捷; 贾晓敏; 刘雯迪; 桑茂诚; 刘晓潼; 刘施言; 桑仲娜

（天津医科大学公共卫生学院营养与食品卫生学系，天津市环境营养与人群健康重点实验室，天津300070）

Author(s):

LIU Jie;  JIA Xiao-min;  LIU Wen-di;  SANG Mao-cheng;  LIU Xiao-tong;  LIU Shi-yan;  SANG Zhong-na

（Department of Nutrition and Food Hygiene，School of Public Health，Tianjin Medical University，Key Laboratory, School of Public Health, Tianjin Medical University，Tianjin 300070, China）

关键词:

高水碘; 改水; 学龄前儿童; 碘营养; 尿碘

Keywords:

high water iodine; water reform; preschool children; iodine nutrition; urine iodine

分类号:

R151.3⁺R591.1

DOI:

-

文献标志码:

A

摘要:

目的：了解天津市改水后高水碘地区部分学龄前儿童的碘营养现状。方法：采用随机整群抽样方法，抽取天津市静海县高水碘改水后的西翟庄乡两所幼儿园的107名3～6岁的学龄前儿童作为研究对象，测量学龄前儿童身高、体质量，采集学龄前儿童随机尿样本、家庭食用盐、饮用水样本及幼儿园食盐、饮用水样本。根据学龄前儿童身高和体质量进行Z评分评估，测量尿碘、盐碘及水碘浓度。结果：根据Z评分结果，107名学龄前儿童中有101名调查对象生长发育正常，有3名学龄前儿童可判定为消瘦，3名学龄前儿童判定为肥胖。当地水碘浓度范围为51.2～72.4 μg/L，家庭食用盐碘含量范围为20.3～39.9 mg/kg。107名学龄前儿童中有28户食用非加碘食盐，碘盐覆盖率为73.8%。调查的学龄前儿童总体尿碘中位数为192 μg/L，其中UIC＜100 μg/L的学龄前儿童占调查人数的17.8%，UIC＞300 μg/L的学龄前儿童占调查人数的16.8%。经Spearman秩相关分析，盐碘浓度与学龄前儿童的尿碘水平有一定的相关性（r =0.714，P＜0.05）。结论：改水后的高水碘地区学龄前儿童总体碘营养水平适宜，应该对改水后的高水碘地区继续加强健康宣教，指导科学补碘，以保障学龄前儿童适宜的碘营养水平。

Abstract:

Objective: To investigate iodine nutritional status in preschool children after water reform in high water iodine areas of Tianjin. Methods: A total of 107 preschool children aged 3-6 years in two kindergartens in Xizhaizhuang township of Jinghai country of Tianjin province were selected as subjects by random cluster sampling method. We measured the height and weight of each preschool children, collected spot urine samples of each subject, collected salt samples and drinking water samples from each subject’s households and kindergartens, respectively. Z-score assessment was performed according to the height and weight of preschool children, and we also measured the iodine concentration in urine, salt and drinking water. Results: According to the Z-score results, 101 of the 107 preschool children were normal growth and development, 3 preschool children were judged to be thin and 3 preschool children were judged to be obesity. The local water iodine concentration ranged from 51.2 to 72.3 μg/L, and the iodized salt iodine concentration of households ranged from 20.3 to 39.9 mg/kg. Among the 107 preschool children, 28 households consumed non-iodized salt, and the iodized salt coverage rate was 73.8%. The median urinary iodine was 192 μg/L, UIC＜100 μg/L of subjects which accounting for 17.8% and UIC>300 μg/L of subjects which accounting for 16.8%. According to Spearman rank correlation analysis, salt iodine concentration was correlated with urinary iodine levels in preschool children (r =0.714, P＜0.05). Conclusion: Preschool children who live in water reform in high water iodine area are in a state of adequate iodine nutrition. We should continue to strengthen health education in areas of high water iodine after water reform and guide scientific iodine supplementation, which ensure the appropriate iodine nutrition level of preschool children.

参考文献/References:

[1] 滕卫平. 碘营养与甲状腺疾病[J]. 内科理论与实践，2010，5（2）：112
[2] Nazeri P，Zarghani N H，Mirmiran P，et al. Iodine Status in Pregnant Women，Lactating Mothers，and Newborns in an Area with More Than Two Decades of Successful Iodine Nutrition[J]. Biol Trace Elem Res，2016，172（1）：79
[3] Kurtoglu S，Akcakus M，Kocaoglu C，et al. Iodine status remains critical in mother and infant in Central Anatolia （Kayseri） of Turkey[J]. Eur J Nutr，2004，43（5）：297
[4] 张海涛，黄文丽. 孕妇、哺乳期妇女的碘营养研究进展[J]. 国外医学（医学地理分册），2016，37（1）：13
[5] 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
[6] 段虎顺. 普及碘盐以来山西省碘缺乏病流行状况分析[D]. 山西医科大学，2016
[7] Zimmermann M B，Ito Y，Hess S Y，et al. High thyroid volume in children with excess dietary iodine intakes [J]. Am J Clin Nutr，2005， 81（4）：708
[8] Sang Z，Chen W，Shen J，et al. Long-term exposure to excessive iodine from water is associated with thyroid dysfunction in children[J]. J Nutr，2013 ，143：2038
[9] 刘洪亮，曾强，韩树清，等. 天津市水源性高碘对小学生甲状腺功能的影响[J]. 卫生研究，2007，36（3）：350
[10] 曾强，赵亮，侯常春. 天津市饮用水水源性高碘分布特征研究[J].中国预防医学杂志，2012，13（1）:23
[11] WHO Multicentre Growth Reference Study Group. WHO child growth standards based on lenth/height，weight and age[J]. Acta Paediatr Suppl，2006，450：76
[12] 李鸿洁，薛会灵 高碘地区孕妇碘营养状况调查及其对新生儿甲状腺功能的影响[J]. 中国妇幼保健，2015，30（25）：4286
[13] 侯常春，符刚，曾强，等.天津市改水干预对水源性高碘致健康影响的效果研究[J]. 中国地方病学杂志，2010，25（6）：444
[14] 景淼，贾海晗，刘鹏.不同国家儿童尿碘与孕妇尿碘相关性研究[J].中国地方病防治杂志，2018，（33）3：241
[15] 张鲁生.碘缺乏和碘缺乏病防治[J].中华中西医杂志，2005， 12（6）：2
[16] 钱明，王栋，陈祖培.碘缺乏致智力损伤36篇文献的Meta分析[J].中华预防医学杂志，2000，34（2）：75
[17] 刘列钧，王海燕，李秀维，等.我国水源型高碘地区水碘形态的研究[J]. 疾病监测，2012，27（11）：891
[18] 王玉春.衡水市水源性高碘地区儿童碘营养与甲状腺肿现状调查[J].中国热带医学，2013，13（11）：1357
[19] Zois C，Stavrou I，Kalogera C，et al. High prevalence of autoimmune thyroiditis in schoolchildren after elimination of iodine deficiency in northwestern Greece [J]. Thyroid，2003，13（5）：485
[20] 罗君，郑合明，王传钢，等.高碘地区不同碘摄入水平对儿童智力和精神运动功能的影响[J].中国地方病学杂志，2006，25（2）：185
[21] 程峰，沈苏琴，丁文艳，等. 965例0～6岁儿童尿碘检测结果分析[J]. 中国妇幼保健，2017，32（20）：4991
[22] WHO/UNICEF/ICCIDD. Assessment of iodine deficiency disorders and monitoring their elimination. A guide for program managers[M]. 2nd edition. Geneva：WHO/NUT，2001：31-37
[23] 吴绍武，周江东，罗维，等.2017年宜春市生活饮用水水碘含量调查结果分析[J]. 实验与检验医学，2019，37（2）：325

相似文献/References:

[1]张 攀,桑仲娜,沈 钧,等.高水碘摄入对成人空腹血糖影响的探讨[J].天津医科大学学报,2015,21(04):345.
　ZHANG Pan,SANG Zhong-na,SHEN Jun,et al.Impact of high water iodine intake on adult fasting blood-glucose[J].Journal of Tianjin Medical University,2015,21(01):345.

备注/Memo

备注/Memo:

基金项目 达能膳食营养研究与宣教基金资助项目（DIC-201603）
作者简介 刘捷（1993-），女，硕士在读，研究方向：不同人群碘与人体健康;通信作者：桑仲娜，E-mail: sangzhongna@tmu.edu.cn。

常用功能

更新日期/Last Update: 2020-04-16