Bureau of Nutrition, Department of Health, Ministry of Public Health, Nonthaburi, Thailand.
Iodine Global Network, Seattle, Washington, United States of America.
PLoS One. 2021 Jul 6;16(7):e0253590. doi: 10.1371/journal.pone.0253590. eCollection 2021.
Iodization of food grade salt has been mandated in Thailand since 1994. Currently, processed food consumption is increasing, triggered by higher income, urbanization, and lifestyle changes, which affects the source of salt and potentially iodized salt among the population. However, adequate information about the use of iodized salt in processed foods in Thailand is still lacking. Therefore, this study aimed to assess iodine intake through salt-containing processed foods and condiments which were identified using national survey data. Potential iodine intake from iodized salt in food products was modelled using consumption data and product salt content from food labelling and laboratory analysis. Fish sauce, soy sauce and seasoning sauces (salty condiments) have alternative regulation allowing for direct iodization of the final product, therefore modelling was conducted including and excluding these products. Daily salt intake from household salt and food industry salt (including salty condiments) was estimated to be 2.4 g for children 0-5 years of age, 4.6 g for children 6-12 years of age, and 11.5 g for adults. The use of iodized salt in processed foods (excluding salty condiments) met approximately 100% of the estimated average requirement (EAR) for iodine for non-pregnant adults and for children 6 to 12 years of age, and 50% of the EAR for iodine for children aged 0 to 5 years of age. In all cases, iodine intake from processed food consumption was greater than from estimated household iodized salt consumption. Findings suggest that iodized salt from processed foods is an important source of iodine intake, especially in adults. The use of iodized salt by the food industry should be enforced along with population monitoring to ensure sustainability of optimal iodine intake. Currently, the addition of iodine into fish sauce, soy sauce and seasoning sauces has an important role in achieving and sustaining optimal iodine intake.
自 1994 年以来,泰国强制在食品级盐中加碘。目前,随着收入的增加、城市化和生活方式的改变,加工食品的消费不断增加,这影响了人群中盐和加碘盐的来源。然而,泰国关于加工食品中使用碘盐的充足信息仍然缺乏。因此,本研究旨在评估通过含碘盐的加工食品和调味品摄入的碘,这些食品和调味品是根据国家调查数据确定的。利用消费数据和产品盐含量(来自食品标签和实验室分析)对食品产品中加碘盐的潜在碘摄入量进行建模。鱼露、酱油和调味酱(咸调味料)有替代监管规定,允许直接对最终产品进行碘化,因此进行了包括和不包括这些产品的建模。从家庭用盐和食品工业盐(包括咸调味料)中摄入的每日盐量估计为 0-5 岁儿童 2.4 克,6-12 岁儿童 4.6 克,成年人 11.5 克。除咸调味料外,加工食品(不包括咸调味料)中使用的加碘盐满足非妊娠成年人和 6-12 岁儿童碘的估计平均需要量(EAR)的 100%左右,满足 0-5 岁儿童碘的 EAR 的 50%。在所有情况下,从加工食品消费中摄入的碘都大于从估计的家用加碘盐消费中摄入的碘。研究结果表明,加工食品中的加碘盐是碘摄入的重要来源,尤其是在成年人中。应加强食品工业使用碘盐,并进行人群监测,以确保最佳碘摄入的可持续性。目前,在鱼露、酱油和调味酱中添加碘对于实现和维持最佳碘摄入具有重要作用。