Bhat Imtiyaz A, Pandit Iqbal M, Mudassar S
Department of Community Medicine, Sher-i-Kashmir of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
Indian J Community Med. 2008 Jan;33(1):11-4. doi: 10.4103/0970-0218.39236.
What is the situation of iodine deficiency disorder (IDD) and salt consumption in Jammu region?
The prevalence of IDD has decreased markedly as a result of medical as well as socio-economic factors.
To assess the magnitude of IDD in Jammu region and also assess the salt consumption patterns in the region.
Cross-sectional study.
Primary schools in both urban and rural areas. STUDY TOOLS: Clinical examination of study population for goiter, laboratory assessment of casual urine sample for urinary iodine estimation of I(2) content of salt samples collected from sub-samples of study population.
School children in the age group of 6-12 years were selected for study using WHO 30-cluster methodology, urine samples were collected from 15% of selected children and salt samples from 5% of sub-sample. ETHICAL CONCERN: No ethical issues were involved.
An overall goiter prevalence of 11.98% was observed in the region. Females had a prevalence of 16.1% and males 10.1%. The median urinary iodine excretion in the region was 96.5 mug/l (range: 29.0-190.0 mug/l). Forty-nine percent of subjects had biochemical iodine deficiency with 6.7% having moderate and 42.53% mild iodine deficiency. In Jammu region, 74.47% of households consume powdered salt with 98.17% powdered salt samples having an I(2) content of greater than 15 ppm.
Iodine deficiency remains a public health problem in the region, though the region seems to be in a state of nutritional transition from iodine deficiency to iodine sufficiency.
查谟地区碘缺乏病（IDD）及食盐消费情况如何？
由于医学及社会经济因素，碘缺乏病患病率显著下降。
评估查谟地区碘缺乏病的严重程度，并评估该地区的食盐消费模式。
横断面研究。
城乡地区的小学。
对研究人群进行甲状腺肿临床检查，对随机尿样进行实验室评估以测定尿碘，对从研究人群子样本中收集的盐样进行碘含量测定。
采用世界卫生组织30群组方法选取6至12岁学龄儿童作为研究对象，从15%的选定儿童中采集尿样，从5%的子样本中采集盐样。
未涉及伦理问题。
该地区甲状腺肿总体患病率为11.98%。女性患病率为16.1%，男性为10.1%。该地区尿碘排泄中位数为96.5微克/升（范围：29.0 - 190.0微克/升）。49%的受试者存在生化性碘缺乏，其中6.7%为中度碘缺乏，42.53%为轻度碘缺乏。在查谟地区，74.47%的家庭食用加碘盐，98.17%的加碘盐样本碘含量大于15 ppm。
该地区碘缺乏仍然是一个公共卫生问题，尽管该地区似乎正处于从碘缺乏向碘充足的营养转型状态。
