Gerasimov G A, Turcan L, Aslanian H, Salaru I, Demiscan D
International NGO "Iodine Global Network", K1P 1E2, Ottawa, Canada.
National Institute of Health, 0051, Yerevan, Republic of Armenia.
Vopr Pitan. 2021;90(1):49-56. doi: 10.33029/0042-8833-2021-90-1-49-56. Epub 2021 Jan 20.
In recent years, significant progress has been made at the global level in eliminating of iodine deficiency. However, until recently, there has been a gap in methods for estimating iodine intake with industrially processed foods (IPF) produced with iodized salt (IS). of this work was to study the iodine consumption with IPF and kitchen salt by the adult population and pregnant women in Armenia and Moldova. . For modeling iodine consumption, a special matrix based on MS Excel spreadsheets was used, into which data on the average per capita daily consumption of the main IPF, salt content in IPF, the share of IPF produced with IS in the total volume of their consumption, percentage of households using IS, and the iodine content in salt according to the national standard were entered. . The estimated average daily salt consumption per capita of the adult population of Armenia was 10.6 g. Due to the use of IS in 93% of households and in the production of 82% of bakery products, 7% of cheese, 83% of meat products, 44% of canned vegetables and 5% of pasta, iodine intake in adults was 149% of the recommended daily allowance (RDA). Bakery products and iodized kitchen salt were the main sources of iodine (66 and 70% of the RDA respectively), and the share of other IPF did not exceed 13%. In Moldova, salt consumption was 11.9 g per day. Due to the use of IS for the production of 50% bakery products, 12% of canned vegetables and 20% of pasta, iodine consumption in adults in Moldova amounted to 74% of RDA almost entirely due to bakery products and kitchen salt (37 and 35% of the RDA respectively). The median urinary iodine concentration indicated adequate iodine intake in both countries and was significantly higher in Armenia (242 μg/L) than in Moldova (136 μg/L). A planned 30% reduction in salt intake may lead to an inadequate reduction in iodine intake in pregnant women. . Adequate iodine intake among the adult population of Armenia and Moldova is ensured mainly through the use of IS in households and in the production of bakery products.
近年来,全球在消除碘缺乏方面取得了重大进展。然而,直到最近,在估算食用加碘盐(IS)生产的工业加工食品(IPF)的碘摄入量的方法上仍存在差距。这项工作的目的是研究亚美尼亚和摩尔多瓦的成年人口及孕妇食用IPF和食用盐的碘摄入量情况。为了模拟碘摄入量,使用了基于MS Excel电子表格的特殊矩阵,将主要IPF的人均每日平均消费量、IPF中的盐含量、IS生产的IPF在其总消费量中的占比、使用IS的家庭百分比以及根据国家标准的盐中的碘含量等数据输入该矩阵。亚美尼亚成年人口的估计人均每日盐消费量为10.6克。由于93%的家庭使用IS,且82%的烘焙产品、7%的奶酪、83%的肉类产品、44%的罐装蔬菜和5%的面食生产中使用IS,成年人的碘摄入量为推荐每日摄入量(RDA)的149%。烘焙产品和加碘食用盐是碘的主要来源(分别占RDA的66%和70%),其他IPF的占比不超过13%。在摩尔多瓦,盐消费量为每天11.9克。由于50%的烘焙产品、12%的罐装蔬菜和20%的面食生产中使用IS,摩尔多瓦成年人的碘消费量几乎完全因烘焙产品和食用盐(分别占RDA的37%和35%)而达到RDA的74%。尿碘浓度中位数表明两国的碘摄入量充足,且亚美尼亚(242微克/升)明显高于摩尔多瓦(136微克/升)。计划将盐摄入量降低30%可能导致孕妇碘摄入量减少不足。亚美尼亚和摩尔多瓦成年人口充足的碘摄入量主要通过家庭使用IS以及烘焙产品生产中使用IS来确保。