缺碘区居民膳食结构及其对碘缺乏病的影响  

The dietary pattern of residents in iodine deficiency area and its influence on iodine deficiency disorders

作　　者：焦永卓[1] 牟李红[1] 李革[1] 李继斌[2] 李心术 

机构地区：[1]重庆医科大学流行病学教研室,重庆400016 [2]重庆医科大学营养与食品卫生教研室 [3]重庆市疾控中心地方病防治所

出　　处：《现代预防医学》2012年第13期3207-3209,共3页Modern Preventive Medicine

基　　金：重庆市"十一五"科技发展规划重大专项(CSTC;2007AB5034)

摘　　要：目的了解重庆市缺碘区居民膳食结构和对碘缺乏病知识的掌握情况,以及膳食因素对碘缺乏病的影响,为制定该病综合防治措施及进行膳食指导、健康教育提供依据。方法采用整群随机抽样方法,对当地居民进行24h膳食回顾法调查其膳食摄入情况,并采用问卷表了解居民对碘缺乏病相关知识的知晓情况。结果云阳壁山两县居民能量摄入量分别为2066.47kcal,2256.89kcal;蛋白质65.47g,70.30g;核黄素0.74mg,1.32mg;硫胺素0.89mg,1.21mg;碘56.07μg,70.30μg,以上营养素摄入量两县的差异有统计学意义,三大营养素供能比适当,对人体缺碘主要危害的回答正确率云阳璧山分别为22.7%,26.1%(χ2=23.76,P﹤0.001)。结论两县都存在不同程度蛋白质能量营养不良以及一些与其代谢有关的维生素缺乏,且对碘缺乏病相关知识知晓情况较差,不利于碘缺乏病防治,应对两地居民的科学膳食指导和营养健康教育并尽快出台相关的营养改善政策。OBJECTIVE To investigate the dietary pattern and cognition degree toward iodine deficiency,in order to provide the reference for control the influence of iodine deficiency.METHODS Carried out 24-hours dietary recall to research residents＇ dietary intake in two areas,and used questionnaire to know residents＇ awareness about iodine deficiency disease.RESULTS The average daily energy intake of residents in Yunyang and Bishan respectively was 2 066.47,2 256.89 kcal,the daily intake of protein,vitaminB1,vitaminB2 and iodine respectively was 65.47g,70.3g;0.89mg,1.21mg;0.74mg,1.32mg;56.07μg,70.30μg.The nutrition intake of residents in two counties had significant differences.The ratio of energy of the three nutriments were reasonable;only 22.7% and 26.1%（χ2 = 23.76,P﹤0.001）knew the correct answer of iodine deficiency harm in Yunyang and Bishang county.CONCLUSION Energy-protein malnutrition and some vitamin deficiency can affect energy and protein metabolism,and be against to prevention of IDD.For better IDD＇s prevention and treatment,it should strength the scientific meal guidance and nutrition health education to residents in two areas,meanwhile make related policy and measures of nutrition improvement.

关 键 词：碘缺乏病 膳食结构 营养素 

分 类 号：R599[医药卫生—内科学]