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2017年新疆维吾尔自治区不同水碘含量地区成年人碘营养状况及摄入量水平

[Iodine nutritional status and intake levels in adult from different water iodine content areas of Xinjiang Uygur Autonomous Region in 2017].

作者信息

Zhu Yuming, Wang Chenchen, Duan Yimin, Huang Jia, Lin Qin, Zhang Ling

机构信息

Institute for Endemic Disease Control and Prevention, Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention, Urumqi 830002, China.

出版信息

Wei Sheng Yan Jiu. 2020 Jan;49(1):36-50. doi: 10.19813/j.cnki.weishengyanjiu.2020.01.006.

Abstract

OBJECTIVE

To understand the iodine nutrition status of adults in Xinjiang Uygur Autonomous Region under the effective control of iodine deficiency disease.

METHODS

Using stratified cluster random sampling method, in the district to determine water iodine median<10 μg/L and ≥10 μg/L of urban and rural areas, a total of 10 survey points, deals from the collecting water deals of extracting water iodine content detection. Adults over 18 years old were randomly selected from 30 households at each survey site to carry out a survey on dietary iodine intake, and the contents of dietary salt iodine and adult urine iodine were tested.

RESULTS

The median iodine content in water in Xinjiang Uygur Autonomous Region was 4. 4(2. 3, 13. 6)μg/L. The median iodine content of household salt was 27(24, 30) mg/kg. The median urinary iodine content in adults was 168(103, 259)μg/L. The average dietary iodine intake of adults in the region was 312 μg/d.

CONCLUSION

The water iodine content in the environment outside Xinjiang Uygur Autonomous Region is relatively low, and the iodine nutritional status and dietary iodine intake of adults are generally at the appropriate level. However, urban adults with relatively low water iodine content and good economic status have a higher risk of iodine deficiency. Iodized salt is the main source of dietary iodine for adults in Xinjiang Uygur Autonomous Region. Adults in poorer rural and urban areas rely more heavily on iodized salt.

摘要

目的

了解在碘缺乏病有效控制下新疆维吾尔自治区成年人的碘营养状况。

方法

采用分层整群随机抽样方法,在水碘中位数<10μg/L和≥10μg/L的城乡地区确定共10个调查点,从采集的水样中提取水碘含量进行检测。在每个调查点随机抽取30户家庭中18岁以上成年人开展膳食碘摄入量调查,并检测膳食盐碘和成年人尿碘含量。

结果

新疆维吾尔自治区水碘含量中位数为4.4(2.3,13.6)μg/L。家庭盐碘含量中位数为27(24,30)mg/kg。成年人尿碘含量中位数为168(103,259)μg/L。该地区成年人平均膳食碘摄入量为312μg/d。

结论

新疆维吾尔自治区外环境水碘含量较低,成年人碘营养状况及膳食碘摄入量总体处于适宜水平。但水碘含量较低且经济状况较好的城市成年人碘缺乏风险较高。碘盐是新疆维吾尔自治区成年人膳食碘的主要来源。农村和城市较贫困地区成年人对碘盐依赖程度更高。

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