摘要
目的了解厦门市实施碘盐新标准3年后城乡18-45岁人群碘营养状况与甲状腺功能水平,为科学补碘提供依据。方法选择厦门市湖里区和翔安区为城乡调查点。调查居民合格碘盐食用率、人均每日食盐摄入量、18-45岁育龄妇女和成年男性的碘营养和甲状腺功能水平。结果城乡的碘盐覆盖率分别为99.33%和94.00%,合格碘盐食用率分别为93.00%和90.67%,人均每日食盐摄入量分别为6.13 g和6.93g;18～45岁育龄妇女尿碘中位数分别为127.45μg/L和146.20μg/L,18～45岁成年男性尿碘中位数分别为131.72μg/L和154.50μg/L;城乡18-45岁育龄妇女和成年男性的甲状腺功能指标TSH、TG、FT_3、FT_4、TPOAb、TGAb间的差异均没有统计学意义(均P>0.05)。城乡18-45岁人群甲状腺功能指标异常率分别为11.02%和14.17%,二地间差异无统计学意义(P>0.05);厦门市成年男性和育龄妇女的甲状腺功能指标异常率分别为9.02%和16.00%,二者间差异无统计学意义(P>0.05);城乡18-45岁成年男性甲状腺功能亢进检出率分别为1.61%和3.33%,二地间差异无统计学意义(P>0.05);育龄妇女甲状腺功能亢进检出率分别为3.08%和0%、亚临床甲状腺功能亢进症检出率分别为1.54%和5.00%,二地间差异也均无统计学意义(均P>0.05)。城乡18-45岁育龄妇女和成年男性中均有易患自身免疫性甲状腺疾病的个体。结论厦门市实施碘盐新标准3年后,城乡18-45岁育龄期妇女和成年男性碘营养状况处于适宜状态,但仍需持续加强碘缺乏病防治监测和科学补碘。
Objective To investigate the iodine nutritional status and thyroid function of population aged 18 to 45 after 3 years implementation of new standard iodized salt in urban and rural areas in Xiamen City,and provide the evidence for control of iodine deficiency disorders(IDD).Method Huli District and Xiang’an District were selected as the urban and rural investigation site,respectively.The coverage rate of iodized salt,proportion of households using adequately iodized salt and average salt daily intake were investigated from residents.The urine-iodine and blood thyroid hormone levels of women and men aged 18 to 45 were investigated.Results The coverage rate of iodized salt in urban and rural areas was 99.33%and 94.00%,respectively.The consumption rate of qualified iodized salt was 93.00%and 90.67%,respectively.The median of average salt intake in rural and urban areas was 6.13 g and 6.93 g,respectively.Among women aged 18 to 45 years old,the median of urinary iodine were 127.45μg/L and 146.20μg/L,respectively.Among men aged 18 to 45 years old,the median of urinary iodine were 131.72μg/L and 154.5μg/L respectively;All the level of thyroid hormones including TSH,TG,FT3,FT4,TPOAb and TGAb of population aged 18 to 45 in rural and urban areas were no significant difference(all P>0.05);Abnormal thyroid function rate of population aged 18 to 45 in rural and urban areas was 11.02%and 14.17%,There was no significant difference(P>0.05);Abnormal thyroid function rate of men aged 18 to 45 and women of reproductive age in Xiamen City was 9.02%and 16.00%,There was nosignificant difference(P>0.05).The rate of hyperthyroidism of men aged 18 to 45 in rural and urban areas was 1.61%and 3.33%,there was no significant difference(P>0.05).The rate of hypothyroidism of women of reproductive age in rural and urban areas was 3.08%and 0.00%,the rate of subclinical hypothyroidism of women of reproductive age in rural and urban areas was 1.54%and 5.00%,There were no significant difference(all P>0.05).In adults aged 18 to 45 years old,there was a certain proportion of susceptible population who was identified with autoimmune thyroid diseases.Conclusion The iodine nutrition adults aged 18 to 45 years old in rural and urban areas is appropriate as a whole.However,the supplementary iodine strategy should be continuously strengthened in the future.
作者
伍啸青
陈志辉
张亚平
陈敏
陈国伟
柯金炼
张卓平
王木华
池家煌
吴佳妮
WU Xiao-qing;CHEN Zhi-hui;ZHANG Ya-ping;CHEN Min;CHEN Guo-wei;KE Jin-lian;ZHANG Zhuo-ping;WANG Mu-hua;CHI Jia-huang;WU Jia-ni(Department of Chronic Non-infectious Diseases and Endemic Diseases Control,Xiamen Center for Disease Control and Prevention,Xiamen 361021,China)
出处
《中国地方病防治》
CAS
2019年第1期23-26,30,共5页
Chinese Journal of Control of Endemic Diseases
基金
福建省卫生计生委医药卫生科技创新项目(2015-CXB-52)
关键词
碘
营养
18~45岁男性
育龄期妇女
甲状腺功能
Iodine
Nutrition
Men aged 18 to 45
Women of reproductive age
Thyroid function
