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两剂量交叉碘平衡研究:中国幼儿的碘需求量

Two-Dose Crossover Iodine Balance Study: Iodine Requirements for Toddlers in China.

作者信息

Song Yan, Zhang Ying, Meng Haohao, Liu Jie, Gu Wenwen, Wang Xiru, Sang Zhongna

机构信息

Department of Nutrition and Food Hygiene, School of Public Health, Tianjin Key Laboratory of Environmental Nutrition and Population Health, Key Laboratory of Prevention and Control of Major Diseases in the Population, Ministry of Education, Tianjin Medical University, No.22 Qixiangtai Road, Heping District, Tianjin, 300070, China.

Hedong District Center for Disease Control and Prevention, Tianjin, 300171, China.

出版信息

Biol Trace Elem Res. 2025 Mar 18. doi: 10.1007/s12011-025-04573-6.

DOI:10.1007/s12011-025-04573-6
PMID:40100573
Abstract

There is a possibility that the iodine requirement for toddlers currently used in China is underestimated. This study aimed to conduct an iodine balance study in Chinese toddlers. We used a two-dose crossover experimental design, relying on the local iodine concentration in drinking water, and adjusting the iodine intake level by adjusting the toddlers' daily consumption of local drinking water. We measured daily iodine intake, excretion, and retention in toddlers and used linear mixed-effects models were used to fit the relationship between total iodine intake and iodine retention. This study involved 26 toddlers aged 2-3 years. Based on the daily total iodine intake and iodine balance values of the toddlers, a mixed effects model was applied to fit the regression curve, and the regression equation was obtained: y = 0.214x - 16.68, from which the EAR and RNI levels of the toddlers were calculated to be approximately 80 µg/day, and 110 µg/day, respectively. In our study, we expected the reference values for daily iodine EAR and RNI levels in toddlers with their current iodine nutrition status to be about 80 µg/day and 110 µg/day, respectively.

摘要

目前中国使用的幼儿碘需求量有可能被低估。本研究旨在对中国幼儿进行碘平衡研究。我们采用两剂量交叉实验设计,依据当地饮用水中的碘浓度,通过调整幼儿每日当地饮用水的摄入量来调节碘摄入量。我们测量了幼儿每日的碘摄入量、排泄量和潴留量,并使用线性混合效应模型来拟合总碘摄入量与碘潴留量之间的关系。本研究纳入了26名2至3岁的幼儿。根据幼儿的每日总碘摄入量和碘平衡值,应用混合效应模型拟合回归曲线,得到回归方程:y = 0.214x - 16.68,据此计算出幼儿的EAR和RNI水平分别约为80微克/天和110微克/天。在我们的研究中,我们预计处于当前碘营养状况的幼儿每日碘EAR和RNI水平的参考值分别约为80微克/天和110微克/天。

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1
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本文引用的文献

1
Iodine Nutrition in Children ≤2 years of Age in Norway.挪威 2 岁以下儿童的碘营养状况。
J Nutr. 2023 Nov;153(11):3237-3246. doi: 10.1016/j.tjnut.2023.09.013. Epub 2023 Sep 22.
2
An Iodine Balance Study in Chinese School-age Children.中国学龄儿童碘平衡研究。
J Clin Endocrinol Metab. 2023 Sep 18;108(10):e949-e955. doi: 10.1210/clinem/dgad244.
3
The Role of Iodine for Thyroid Function in Lactating Women and Infants.哺乳期妇女和婴儿的甲状腺功能的碘作用。
Endocr Rev. 2022 May 12;43(3):469-506. doi: 10.1210/endrev/bnab029.
4
Infant iodine status and associations with maternal iodine nutrition, breast-feeding status and thyroid function.婴儿碘营养状况及其与母体碘营养、母乳喂养状况和甲状腺功能的关系。
Br J Nutr. 2023 Mar 14;129(5):854-863. doi: 10.1017/S0007114522001465. Epub 2022 May 10.
5
Exploration of the appropriate recommended nutrient intake of iodine in healthy Chinese women: an iodine balance experiment.健康中国女性碘适宜推荐摄入量的探索:一项碘平衡实验
Br J Nutr. 2019 Mar 14;121(5):519-528. doi: 10.1017/S0007114518003653. Epub 2018 Dec 11.
6
Maternal iodine status during lactation and infant weight and length in Henan Province, China.哺乳期母体碘营养状况与中国河南省婴幼儿体重及身长的关系。
BMC Pregnancy Childbirth. 2017 Nov 16;17(1):383. doi: 10.1186/s12884-017-1569-0.
7
A dose-response crossover iodine balance study to determine iodine requirements in early infancy.一项剂量反应交叉碘平衡研究,以确定婴儿早期的碘需求量。
Am J Clin Nutr. 2016 Sep;104(3):620-8. doi: 10.3945/ajcn.116.134049. Epub 2016 Jul 27.
8
Relationship Between Iodine Concentration in Maternal Colostrum and Neurobehavioral Development of Infants in Shanghai, China.
J Child Neurol. 2016 Aug;31(9):1108-13. doi: 10.1177/0883073816639378. Epub 2016 Apr 4.
9
Clinical problem-solving. A hidden solution.临床问题解决。一个隐藏的解决方案。
N Engl J Med. 2011 Dec 1;365(22):2123-7. doi: 10.1056/NEJMcps1008908.
10
[Iodine deficiency in infancy - a risk for cognitive development].婴儿期碘缺乏——认知发展的一个风险
Dtsch Med Wochenschr. 2010 Aug;135(31-32):1551-6. doi: 10.1055/s-0030-1262446. Epub 2010 Jul 27.