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本文引用的文献

1
Endemic goitre in the Sudan despite long-standing programmes for the control of iodine deficiency disorders.苏丹存在地方性甲状腺肿,尽管长期以来一直有针对碘缺乏疾病的控制计划。
Bull World Health Organ. 2011 Feb 1;89(2):121-6. doi: 10.2471/BLT.09.075002. Epub 2010 Oct 22.
2
The estimation of micro quantities of cyanide and thiocyanate.微量氰化物和硫氰酸盐的测定
Analyst. 1945 Dec;70:474.
3
Iodine deficiency.碘缺乏
Endocr Rev. 2009 Jun;30(4):376-408. doi: 10.1210/er.2009-0011. Epub 2009 May 21.
4
Population living in the Red Sea State of Sudan may need urgent intervention to correct the excess dietary iodine intake.生活在苏丹红海州的居民可能需要紧急干预,以纠正碘摄入过量的问题。
Nutr Health. 2007;18(4):333-41. doi: 10.1177/026010600701800403.
5
An increased incidence of overt hypothyroidism after iodine fortification of salt in Denmark: a prospective population study.丹麦食盐加碘后显性甲状腺功能减退症发病率增加:一项前瞻性人群研究。
J Clin Endocrinol Metab. 2007 Aug;92(8):3122-7. doi: 10.1210/jc.2007-0732. Epub 2007 May 15.
6
Environmental chemicals and thyroid function.环境化学物质与甲状腺功能。
Eur J Endocrinol. 2006 May;154(5):599-611. doi: 10.1530/eje.1.02128.
7
Excess dietary iodine intake in long-term African refugees.长期非洲难民膳食碘摄入过量。
Public Health Nutr. 2006 Feb;9(1):35-9. doi: 10.1079/phn2005830.
8
High thyroid volume in children with excess dietary iodine intakes.碘摄入过量儿童的甲状腺体积增大。
Am J Clin Nutr. 2005 Apr;81(4):840-4. doi: 10.1093/ajcn/81.4.840.
9
[Studies on relations between thiocyanate formation and goitrogenic properties of foods. I. Preformed thiocyanate content of some foods].[食物中硫氰酸盐形成与致甲状腺肿特性之间关系的研究。I. 某些食物中预先形成的硫氰酸盐含量]
Hoppe Seylers Z Physiol Chem. 1958;312(1-3):26-30.
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Calcium as a goitrogen.钙作为一种致甲状腺肿物质。
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苏丹沿海地区碘摄入过量、水化学物质和地方性甲状腺肿。

Excessive iodine intake, water chemicals and endemic goitre in a Sudanese coastal area.

机构信息

Sudan Atomic Energy Commission, Khartoum, Sudan.

出版信息

Public Health Nutr. 2013 Sep;16(9):1586-92. doi: 10.1017/S1368980012004685. Epub 2012 Nov 16.

DOI:10.1017/S1368980012004685
PMID:23206325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10271254/
Abstract

OBJECTIVE

To study the associations between intakes of iodine and water chemicals and the thyroid gland status of schoolchildren living in the coastal city of Port Sudan.

DESIGN

In our previous nationwide study on goitre, it was observed that the prevalence of goitre was high in Port Sudan city despite high urinary iodine excretion. A cross-sectional study including schoolchildren aged 6–12 years was designed. Measurements determined the prevalence of goitre, urinary iodine concentration and thiocyanate secretion in casual urine samples, serum levels of thyroxine, triiodothyronine, thyroid-stimulating hormone and thyroglobulin, as well as the levels of Cl⁻, F⁻, Ca²⁺, Mg²⁺ and total hardness of drinking water.

SUBJECTS

Schoolchildren (n 654) aged 6–12 years.

SETTING

Port Sudan city is located at the western bank of the Red Sea. The city is surrounded by a mountainous area known as the Red Sea Hills. It is the main sea port in the Sudan, inhabited by ethnically and socio-economically heterogeneous populations.

RESULTS

The prevalence of goitre in Port Sudan was 34.86% while the median urinary iodine concentration was 46,4μg/dl. Out of thirty-one pupils from Port Sudan, twenty-four (77.42 %) were found to have urinary iodine concentration greater than 30μg/dl and twelve (38.71 %) had different degrees of biochemical hypothyroidism. Excessive concentrations of Cl⁻, Ca²⁺, Mg²⁺ and water hardness (369.2, 116.48, 60.21 and 539.0mg/l, respectively) were detected in drinking water samples collected from Port Sudan that exceeded levels permitted by the WHO.

CONCLUSIONS

The coastal city of Port Sudan is a goitre-endemic area. In contrast to other Sudanese cities in which endemic goitre is related to iodine deficiency, goitre in Port Sudan is associated with iodine excess. Water chemicals seemed to have no effects on thyroid status.

摘要

目的

研究居住在苏丹沿海城市苏丹港的儿童碘和水化学物质摄入量与甲状腺状况之间的关系。

设计

在我们之前关于甲状腺肿的全国性研究中,观察到尽管尿碘排泄量高,但苏丹港城市的甲状腺肿患病率很高。设计了一项包括 6-12 岁学龄儿童的横断面研究。测量确定了甲状腺肿的患病率、随意尿样中的尿碘浓度和硫氰酸盐分泌、血清甲状腺素、三碘甲状腺原氨酸、促甲状腺激素和甲状腺球蛋白水平以及饮用水中 Cl⁻、F⁻、Ca²⁺、Mg²⁺ 和总硬度水平。

受试者

6-12 岁学龄儿童(n=654)。

地点

苏丹港城市位于红海西岸。该市被称为红海山的山区所环绕。它是苏丹的主要海港,居住着种族和社会经济背景各异的人群。

结果

苏丹港的甲状腺肿患病率为 34.86%,而中位数尿碘浓度为 46.4μg/dl。在来自苏丹港的三十一名学生中,有二十四名(77.42%)尿碘浓度大于 30μg/dl,有十二名(38.71%)有不同程度的生化甲状腺功能减退症。从苏丹港采集的饮用水样本中检测到 Cl⁻、Ca²⁺、Mg²⁺ 和水硬度(分别为 369.2、116.48、60.21 和 539.0mg/l)的浓度过高,超过了世界卫生组织允许的水平。

结论

苏丹沿海城市苏丹港是甲状腺肿流行地区。与其他苏丹城市的碘缺乏相关的地方性甲状腺肿不同,苏丹港的甲状腺肿与碘过量有关。水化学物质似乎对甲状腺状态没有影响。