2016—2020年无锡市儿童及孕妇碘营养水平监测结果分析  

Analysis of monitoring results of iodine nutrition level of children and pregnant women in Wuxi City from 2016-2020

作　　者：许祝平[1] 邵洁[1] 王宜庆[1] XU Zhu-ping;SHAO Jie;WANG Yi-qing(Department of Disease Control,Wuxi Center for Disease Control and Prevention,Wuxi Jiangsu,214023,China)

机构地区：[1]无锡市疾病预防控制中心疾病控制部,江苏无锡214023

出　　处：《职业与健康》2022年第7期893-897,共5页Occupation and Health

基　　金：江苏省卫生计生委科研课题(X201821);无锡市医学发展学科(FZXK2021010)。

摘　　要：目的 了解无锡市8~<11周岁儿童及孕妇碘营养状况,为调整碘缺乏病防控策略提供依据。方法 2016—2020年采用描述方法对无锡市8~<11周岁儿童及孕妇碘营养状况监测结果进行分析。结果 2016—2020年无锡市8~<11周岁儿童和孕妇家中食用盐的碘盐覆盖率均>95%、合格碘盐食用率均>90%。孕妇家中平均盐碘含量及食用盐合格碘盐覆盖率均高于儿童家中,差异有统计学意义(P<0.05)。2016—2020年儿童尿碘M分别为204.05、217.00、218.03、204.75和193.95μg/L,差异有统计学意义(P<0.05)。8~<11周岁组儿童尿碘M分别为200.20、209.10和210.00μg/L,不同年龄儿童尿碘水平比较,差异有统计学意义(P<0.05)。孕早期、孕中期和孕晚期孕妇的尿碘M分别为156.00、159.00和150.00μg/L,不同孕期孕妇尿碘水平比较,差异有统计学意义(P<0.05)。结论 无锡市属于环境碘缺乏地区,食盐加碘策略落实到位,保持碘缺乏病消除状态。重点人群处于碘适宜状态,但仍需加强对儿童及家长、尤其是孕妇等重点人群的碘营养知识科普。卫生部门应持续做好重点人群碘营养水平监测,并定期开展普通人群碘营养水平调查,为持续维持消除碘缺乏病目标和指导人群科学补碘提供技术支持。Objective To understand the iodine nutritional status of children aged 8-<11 years old and pregnant women in Wuxi City from 2016 to 2020,provide the basis for adjusting the prevention and control strategy of iodine deficiency disorders.Methods The results of iodine nutrition surveillance among children aged 8-<11 years old and pregnant women in Wuxi City from 2016 to 2020 were analyzed by descriptive methods.Results The coverage rates of iodized salt in the households of children aged 8-<11 years old and pregnant women in Wuxi City from 2016 to 2020 were >95%,and the rated of qualified iodized salt consumption were>90%.The average salt iodine content and qualified iodized salt coverage rate in households of pregnant women were higher than those in households of children,and the difference was statistically significant(P<0.05).From 2016-2020,the median(M) of urinary iodine in each year was 204.05,217.00,218.03,204.75 and 193.95 μg/L,respectively,and the difference was statistically significant(P<0.05).For the children aged 8-<11 years old,M of urinary iodine was 200.20,209.10 and 210.00 μg/L,respectively,and the difference in urinary iodine was statistically significant among different age groups(P<0.05).M of urinary iodine in the first,second and third trimester was 156.00,159.00 and 150.00 μg/L respectively,and the difference in urinary iodine was statistically significant among different gestational periods(P<0.05).Conclusions Wuxi City is an environmentally iodine-deficient area,the strategy of salt iodization can be implemented,and the elimination status of iodine deficiency disorders can still be maintained.The key population is in iodine appropriate state,but it is still necessary to strengthen the iodine nutrition knowledge popularization among children and their parents,especially pregnant women and other key groups.Health departments should continue to monitor the iodine nutrition level of key population groups,and conduct regular surveys on iodine nutrition level of general population,so as to provid

关 键 词：碘营养 盐碘 尿碘 儿童 孕妇 

分 类 号：R153[医药卫生—营养与食品卫生学]