摘要
目的探讨芦溪县学龄期儿童尿碘含量检测及其相关影响因素。方法选择行尿碘水平监测的学龄期儿童200例为研究对象,采集5 mL日间尿液,检测含碘量,分析、记录尿碘含量检测结果及碘营养状态,并收集入组对象资料,分析影响芦溪县学龄期儿童碘营养状态的相关影响因素。结果芦溪县学龄期儿童尿碘含量为31.4~1168.90μg/L,尿碘中位数为292.35μg/L,其中8岁儿童尿碘中位数为249.93μg/L,9岁儿童尿碘中位数为312.43μg/L,10岁儿童尿碘中位数为255.10μg/L。200名学龄期儿童中碘缺乏15例(7.50%),碘适宜45例(22.50%),碘超适宜80例(40.00%),碘过量60例(30.00%);不同年龄、性别、体重指数(BMI)、食盐摄入量、近1周海产品食用频率、近1周鸡蛋食用频率学龄期儿童碘营养状态相比,差异有统计学意义(P<0.05);不同食盐类型、近1周肉类食用频率、近1周乳制品摄入量学龄期儿童碘营养状态比较,无显著差异(P>0.05);Logistic回归分析显示:女(β=1.394,OR=4.030,95%CI=1.881~8.635)、BMI≥24 kg/m2(β=2.418,OR=11.227,95%CI=2.316~54.431)、食盐摄入量≥6 g/d(β=1.386,OR=4.000,95%CI=1.205~13.283)、近1周海产品食用频率≤2次(β=0.933,OR=2.541,95%CI=1.148~5.625)、近1周鸡蛋食用频率>2次(β=1.078,OR=2.940,95%CI=1.279~6.758)是芦溪县学龄期儿童碘营养状态的高危因素(P<0.05)。结论芦溪县部分学龄期儿童存在碘营养异常,其受性别、BMI、食盐摄入量、海产品及鸡蛋食用频率影响。
Objectives To explore the detection of urinary iodine content in school-age children in Luxi County and its related influencing factors.Methods A total of 200 school-age children who underwent urine iodine level monitoringwere selected as the research subjects.We collect5mL of daytime urine to detect the iodine content,and the results of urine iodine content testing and iodine nutritional status were analyzed and recorded,so as to analyze the relevant factors affecting the iodine nutritional status of school-age children in Luxi County.Results The urinary iodine content of school-age children in Luxi County was 31.4~1168.90μg/L,and the median urinary iodine was 292.35μg/L.The median urinary iodine of 8-year-old children was 249.93μg/L,the median urinary iodine of 9-year-old children was 312.43μg/L,and the median urinary iodine of 10-year-old children was 255.10μg/L.Among the 200 school-age children,there were 15 cases of iodine deficiency(7.50%),45 cases of iodine suitability(22.50%),80 cases of iodine superappropriateness(40.00%),and 60 cases of iodine excessiveness(30.00%).There were statistically significant differences in iodine nutritional status among school-age children of different ages,genders,body mass index(BMI),salt intake,frequency of seafood consumption in the past week,and frequency of egg consumption in the past week(P<0.05).There was no statistically significant difference in iodine nutritional status among school-age children with different types of salt,frequency of meat consumption in the past week,anddairy intake in the past week(P>0.05).Logistic regression analysis showed that female(β=1.394,OR=4.030,95%CI=1.881~8.635),BMI≥24 kg/m2(β=2.418,OR=11.227,95%CI=2.316~54.431),salt intake≥6g/d(β=1.386,OR=4.000,95%CI=1.205~13.283),frequency of seafood consumption≤2 timesin the past week(β=0.933,OR=2.541,95%CI=1.148~5.625),frequency of egg consumption>2 times in the past week(β=1.078,OR=2.940,95%CI=1.279~6.758)were high-risk factors for iodine nutritional status of school-age children in Luxi County(P<0.05).Conclusions Some school-age children in Luxi County have iodine nutritional abnormalities,which are influenced by gender,BMI,salt intake,frequency of seafood and egg consumption.
作者
彭建勇
PENG Jianyong(Luxi County Center for Disease Control and Prevention,Luxi 337200,Jiangxi,China)
出处
《现代诊断与治疗》
CAS
2024年第10期1427-1430,共4页
Modern Diagnosis and Treatment
关键词
学龄期儿童
尿碘
碘营养状态
School-age children
Urine iodine
Iodine nutritional status
