上海市合格碘盐食用率及孕妇和哺乳期妇女尿碘水平  

Qualified Iodized Salt Consuming Rate and Urinary Iodine Level in Pregnant and Lactating Women in Shanghai

作　　者：宋峻[1] 吴春峰[2] 汪正园[3] 邹淑蓉[3] 吴凡[1] 

机构地区：[1]上海市疾病预防控制中心化学品毒性鉴定所,上海200336 [2]上海市疾病预防控制中心业务管理处,上海200336 [3]上海市疾病预防控制中心健康危害因素监测与控制所,上海200336

出　　处：《环境与职业医学》2016年第4期375-379,共5页Journal of Environmental and Occupational Medicine

基　　金：卫生部科技司卫生行业科研专项(编号:201202012);上海市科委基础研究重大项目(编号:11DJ1400202);上海市卫计委科研课题(编号:20134332;20134053;20124375)

摘　　要：[目的]探讨上海市合格碘盐食用率及不同碘盐食用率地区孕妇和哺乳期妇女的碘营养状况。[方法]以全国碘盐监测信息管理系统中的上海市合格碘盐食用率和居民户碘盐含碘量数据以及中国疾病预防控制中心的上海地区人群碘营养状况研究资料为数据源,以我国消除碘缺乏病防治目标的2个考核技术指标之一,即省级居民合格碘盐食用率应达到90%以上的要求,将上海市划分为合格碘盐食用率≥90%地区和90%,2011、2014年0.05）。2006、2009、2011和2014年上海市哺乳期妇女处于碘营养适宜状态,各年哺乳期妇女尿碘中位数均≥100μg/L,合格碘盐食用率≥90%和0.05）。[结论]在我国全民食盐加碘政策背景下,上海合格碘盐食用率不能代表本地孕妇和哺乳期妇女的实际食用碘盐情况,建议将孕妇和哺乳期妇女人群尿碘中位数作为评价上海该人群消除碘缺乏病目标的主要标准,合格碘盐食用率作为参考标准。[Objective] To assess the qualified iodized salt consuming rate and iodine nutrition status of pregnant and lactating women in areas with different iodized salt consuming rates. [Methods] In this study the consuming rate of qualified iodized salt and the content of iodine in iodized salt were retrieved from the national iodized salt monitoring information management system. The iodine nutrition data for Shanghai population were retrieved from the Chinese Center for Disease Control and Prevention.Dichotomous groups of pregnant and lactating women were generated by checking whether the selected residential areas meeting the 90% qualified iodized salt consuming rate in provincial residents, one of the two national criteria for evaluating the performance of the eliminating iodine deficiency disorders program in China, to review their urinary iodine levels in 2006, 2009, 2011, and 2014 in Shanghai. The evaluation criteria for iodine nutrition recommended by World Health Organization/United Nations Children＇s Emergency Fund/International Council for the Control of Iodine Deficiency Disorders were used to evaluate iodine nutritional level of the two groups. [Results] In 2006, 2009, 2011 and 2014, the consuming rates of qualified iodized salt were 85.1%-99.7%, 87.5%-99.3%, 68.8%-94.1%, and 35.0%-92.7% in each district or county of Shanghai, respectively. Moreover, there were 42.1%, 10.5%, 50.0%, and 82.4% residents not meeting the 90% qualified iodized salt consuming rate. In the selected years, insufficient iodine nutrition status was identified in the pregnant women in Shanghai. Except in 2006 when the median urinary iodine concentration was lower in the areas with a ≥90% qualified iodized salt consuming rate（149.7 μg/L） than in the areas with a 90% rate（154.3 μg/L）（P〈0.05）, there was no statistical difference in 2009, 2011, and 2014（P〉0.05）. In 2006, 2009, 2011, and 2014, adequate iodine nutrition status was found in the lactating women with median concentrations all ≥100 μg/L, and there w

关 键 词：合格碘盐食用率 碘营养 孕妇 哺乳期妇女 

分 类 号：R153.1[医药卫生—营养与食品卫生学]