摘要
目的了解近年来上海市金山区学龄儿童和孕妇的碘营养状况,为后续健康教育提供理论支持。方法2019—2023年,根据人口比例概率抽样法,每年抽取5~6个街道(镇),每个街道(镇)随机选取1所小学,每所学校抽取40名8~10岁儿童,检测尿碘含量和其家中食用盐碘含量,2020和2023年增加甲状腺容积测量;每个街道(镇)抽取30名孕妇,检测尿碘含量和其家中食用盐碘含量。结果2019—2023年共监测1055名儿童和810名孕妇。儿童家中食用盐碘盐含碘量中位数为23.03 mg/kg,合格碘盐食用率和碘盐覆盖率分别为60.00%和70.52%;孕妇家中食用盐碘盐含碘量中位数为22.90 mg/kg,合格碘盐食用率和碘盐覆盖率分别为61.98%和75.80%。儿童尿碘平均中位数为195.00μg/L,总体呈下降趋势,但仍处于碘营养适宜水平;孕妇的尿碘平均中位数为130.00μg/L,总体呈下降趋势。结论2019—2023年金山区儿童碘营养水平逐年下降并控制在碘营养适宜水平,孕妇处于碘营养不足状态;后续应加强孕妇碘营养的健康宣传,改善孕妇碘营养状况。
Objective To investigate the iodine nutritional status of school-age children and pregnant women in Jinshan District of Shanghai in recent years,so as to provide the theoredical support for follow-up health education.Methods From 2019 to 2023,according to the population ratio probability sampling method,5 to 6 streets(towns)were selected annually,one primary school was randomly selected from each street(town),and 40 children aged 8 to 10 years old were selected from each school to detect the iodine content in urine and the iodine content of edible salt in their homes.Thyroid volume measurement was increased in 2020 and 2023.Thirty pregnant women were sampled from each street(town)to detect the iodine content in urine and the iodine content of edible salt in their homes.Results A total of 1055 children and 810 pregnant women were monitored from 2019 to 2023.The median iodine content of iodized salt for children was 23.03 mg/kg,the qualified iodized salt consumption rate and iodized salt coverage rate were 60.00%and 70.52%,respectively.The median iodine content of iodized salt for pregnant women was 22.90 mg/kg,the consumption rate and coverage rate of qualified iodized salt were 61.98%and 75.80%,respectively.The median of urinary iodine in children was 195.00μg/L,which showed a decreasing trend,but the iodine nutrition level was still suitable.The median of urinary iodine in pregnant women was 130.00μg/L,and the overall trend was decreasing.Conclusion From 2019 to 2023,the iodine nutrition level of children in Jinshan District decreased year by year and was controlled at an appropriate level of iodine nutrition,while pregnant women were in a state of iodine deficiency.Health promotion of iodine nutrition in pregnant women should be strengthened to improve the status of iodine nutrition in pregnant women.
作者
孙重秀
马瑞鸿
吴云
朱建明
田猛
SUN Chongxiu;MA Ruihong;WU Yun;ZHU Jianming;TIAN Meng(Jinshan District Center for Disease Control and Prevention,Shanghai 201101,China)
出处
《中国地方病防治》
CAS
2024年第4期299-302,共4页
Chinese Journal of Control of Endemic Diseases
关键词
学龄儿童
孕妇
盐碘
尿碘
School-age children
Pregnant women
Salt iodine
Urinary iodine
