摘要
【目的】了解浙江省丽水市孕产妇的碘营养情况及孕产妇碘缺乏与婴幼儿生长发育的相关性。【方法】采用分层抽样法抽取2017年1月—2018年12月丽水市莲都区孕妇209例,检测孕妇的尿碘水平以及家中食盐碘含量,分析孕妇碘缺乏的影响因素。对孕妇生产的婴儿进行1年随访,进行代谢性疾病筛查和体格检查,评估生长发育情况。【结果】2017、2018年孕妇的尿碘中位数分别为165、192μg·L^(-1),均达到碘充足标准。209份孕妇家中的食盐检测结果:无碘盐占3.35%,碘盐占96.65%,合格碘盐使用率为89.00%。单因素分析显示,孕期、文化程度、碘盐摄入情况、食盐烹饪方式、富碘食物摄入频率、碘营养知识与孕妇碘营养状况相关(P<0.05)。logistic回归分析显示,孕早期(OR=1.626)、食盐烹饪方式为油热放盐(OR=1.874)是孕妇碘缺乏的危险因素,摄入合格碘盐(OR=0.593)是孕妇碘缺乏的保护因素。随访结果显示,新生儿筛查未见异常,2例(2.41%)缺碘孕妇的婴幼儿在1、6、12月龄时身高偏矮。【结论】应重视孕妇尿碘水平的监测,指导科学补碘,以免影响婴幼儿生长发育。
[Objective]To investigate the status of maternal iodine deficiency in Lishui City of Zhejiang Province,and explore the effect of maternal iodine deficiency on the growth and development of infants.[Methods]A total of 209 pregnant women living in Liandu District of Lishui City from January 2017 to December 2018 were selected by stratified sampling method.Urine iodine level in pregnant women and iodine content in edible salt at home were determined to assess the status of iodine deficiency and to analyze the influencing factors.Their babies were followed up for 1 year,and metabolic disease screening and physical examination were carried out to evaluate the growth and development.[Results]The median of urinary iodine levels in 2017 and 2018 were 165μg·L^(-1)and 192μg·L^(-1),respectively.Both of the values met the standard of iodine sufficiency.The results of salt iodine content in pregnant women’s homes showed that 7 cases(3.35%)were without iodized salt and 202 cases(96.65%)with iodized salt,including 186 cases(89.00%)with qualified iodized salt.Univariate analysis showed that pregnancy,education level,intake of iodized salt,cooking methods of salt,intake frequency of iodine-rich food and knowledge of iodine nutrition had significant impact on iodine deficiency in pregnant women(P<0.05).Logistic regression analysis showed that early pregnancy(OR=1.626)and adding salt into heat oil(OR=1.874)were risk factors for iodine deficiency in pregnant women,while intake of qualified iodized salt(OR=0.593)was a protective factor.Follow-up results showed that there were no abnormalities in newborn screening,and babies of 2 women(2.41%)with iodine deficiency were short in height at 1,6 and 12 months of age.[Conclusion]Attention should be paid to the monitoring of pregnant women’s urinary iodine levels to guide the scientific supplementation of iodine,so as not to affect the growth and development of infants.
作者
罗霞
毛筱俊
叶夏良
雷永良
张向东
LUO Xia;MAO Xiaojun;YE Xialiang;LEI Yongliang;ZHANG Xiangdong(Lishui Maternal and Child Health Hospital,Lishui,Zhejiang 323000,China;Lishui Center for Disease Control and Prevention,Lishui,Zhejiang 323000,China)
出处
《上海预防医学》
CAS
2022年第1期56-59,共4页
Shanghai Journal of Preventive Medicine
基金
浙江省医药卫生计划项目(2019KY810)
丽水市科技计划项目(2018zdhz08)。
关键词
孕产妇
碘营养
婴幼儿
生长发育
maternal
iodine nutrition
infant
growth and development
