Tylek D, Rybakowa M, Sołtysik-Wilk E, Ratajczak R, Dłuzniewska K, Zygmunt A, Szczepaniak B
Klinika Endokrynologii Dzieci i Młodziezy Polsko-Amerykańskiego Instytutu Pediatrii AM-Kraków.
Endokrynol Pol. 1992;43 Suppl 1:90-100.
The study on the effects of Czarnobyl accident on thyroid gland function in children (MZ XVII program) revealed a high incidence of goiter in the population of children in district Kraków and Nowy Sacz. Other study on Tarnobrzeg population showed that the frequency of goiter in school children was 67%. The goiter prevalence, urine iodine excretion and iodine food consumption in the same populations were compared. The detailed investigation of iodine intake in children by feeding questionnaire shows a low consumption of iodine. The urine iodine excretion in the population of Kraków-district was low, but higher than in Nowy Sacz-district and nearly normal in Tarnobrzeg. High frequency of goiter in children and of IDD in newborns screened for CH, as well as low urine iodine excretion, together with low iodine intake with food are the markers of iodine deficiency in Kraków and Nowy Sacz districts. The improvement of feeding as well as iodine salt supplementation is necessary. The situation in Tarnobrzeg district looks differently and needs additional study.
关于切尔诺贝利事故对儿童甲状腺功能影响的研究（MZ XVII项目）显示，克拉科夫和新松奇地区儿童群体中甲状腺肿发病率很高。另一项针对塔尔诺布热格人群的研究表明，学童中甲状腺肿的发生率为67%。对相同人群的甲状腺肿患病率、尿碘排泄量和碘食物摄入量进行了比较。通过饮食问卷对儿童碘摄入量的详细调查显示碘摄入量较低。克拉科夫地区人群的尿碘排泄量较低，但高于新松奇地区，在塔尔诺布热格地区接近正常水平。儿童甲状腺肿高发以及筛查先天性甲状腺功能减退症的新生儿中碘缺乏病高发，再加上尿碘排泄量低以及食物碘摄入量低，是克拉科夫和新松奇地区碘缺乏的标志。改善饮食以及补充碘盐是必要的。塔尔诺布热格地区的情况有所不同，需要进一步研究。
