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爱尔兰成年人的碘摄入量与碘状况:是否值得担忧?

Iodine intakes and status in Irish adults: is there cause for concern?

作者信息

McNulty Breige A, Nugent Anne P, Walton Janette, Flynn Albert, Tlustos Christina, Gibney Michael J

机构信息

1UCD Institute of Food and Health,University College Dublin,Belfield,Dublin 4,Republic of Ireland.

2School of Food and Nutritional Sciences,University College Cork,Cork,Republic of Ireland.

出版信息

Br J Nutr. 2017 Feb;117(3):422-431. doi: 10.1017/S0007114516004347. Epub 2017 Feb 20.

Abstract

I is an important mineral for health, required for the production of key thyroid hormones, which are essential for cellular metabolism, growth and physical development. Hence, adequate I is crucial at all stages of life, but imperative during pregnancy for fetal brain development and during a child's early life for neurodevelopment. Within Ireland, limited information exists on population I intakes and status. Therefore, the purposes of the present analysis were to estimate dietary I intakes and to analyse urinary iodine (UI) status using the cross-sectional National Adult Nutrition Survey 2008-2010 and the most recent Irish Total Diet Study. Median I intakes in the total population (n 1106) were adequate with only 26 % of the population being classified as below the estimated average requirement (EAR). Milk consumption was the major source of I in the diet, contributing 45 % to total intake. Likewise, median UI concentrations (107 µg/l) indicated 'optimal' I nutrition according to the WHO cut-off points. In our cohort, 77 % of women of childbearing age (18-50 years) did not meet the EAR recommendation set for pregnant women. Although I is deemed to be sufficient in the majority of adult populations resident in Ireland, any changes to the current dairy practices could significantly impact intake and status. Continued monitoring should be of priority to ensure that all subgroups of the population are I sufficient.

摘要

碘是一种对健康很重要的矿物质,是合成关键甲状腺激素所必需的,而甲状腺激素对细胞代谢、生长和身体发育至关重要。因此,充足的碘在生命的各个阶段都至关重要,但在孕期对胎儿大脑发育以及在儿童早期对神经发育尤为关键。在爱尔兰,关于人群碘摄入量和状况的信息有限。因此,本分析的目的是利用2008 - 2010年全国成人营养横断面调查和最新的爱尔兰总膳食研究来估计膳食碘摄入量并分析尿碘(UI)状况。总人口(n = 1106)的碘摄入量中位数充足,只有26%的人口被归类为低于估计平均需求量(EAR)。牛奶消费是饮食中碘的主要来源,占总摄入量的45%。同样,根据世界卫生组织的临界值,尿碘浓度中位数(107微克/升)表明碘营养“最佳”。在我们的队列中,77%的育龄妇女(18 - 50岁)未达到为孕妇设定的EAR建议值。尽管爱尔兰大多数成年居民的碘摄入量被认为是充足,但当前乳制品消费习惯的任何改变都可能显著影响摄入量和状况。应优先持续监测,以确保人群的所有亚组碘充足。

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