Serrano Corredor S, Tebar Massó J, Hernández Martínez A, Valdés Chavarri M, Alvarez Cantalapiedra I
Departamento de Medicina Interna, Facultad de Medicina, Universidad de Murcia.
Rev Clin Esp. 1993 Jun;193(2):55-9.
Hypothesis. To know goiter prevalence, iodine excretion and disorders associated to iodine deficiency in the region of Murcia, with the aim to define the need for establishing iodine prophylaxis programs. Method. Transversal study on 1956 pupils of the region of Murcia, with an age between four and seventeen years old, stratified by sex, age and area of origin, evaluating thyroid size, grade, weight, height, school performance and problems, menarche age, fish and iodine salt intake and iodine excretion. Results. Global prevalence of goiter was 29%, we found a mean ioduria of 93.92 +/- 56.83 micrograms/l. Anthropometric mean values for each age group did not differ between pupils affected by the lack of iodine and the others. A lower school performance was found in pupils with iodine deficit. Fish intake did not play a role in goiter prevalence. Conclusions. Murcia is an area affected by disorders derived from mild iodine deficiency, which implies the need to establish a continuous plan of effective prophylaxis with iodine salt.
假设。了解穆尔西亚地区甲状腺肿患病率、碘排泄情况以及与碘缺乏相关的疾病，旨在确定是否需要制定碘预防计划。方法。对穆尔西亚地区1956名4至17岁的学生进行横断面研究，按性别、年龄和原籍地区分层，评估甲状腺大小、分级、体重、身高、学业成绩和问题、初潮年龄、鱼类和碘盐摄入量以及碘排泄情况。结果。甲状腺肿总体患病率为29%，我们发现尿碘均值为93.92 +/- 56.83微克/升。受碘缺乏影响的学生与其他学生相比，各年龄组的人体测量均值无差异。碘缺乏的学生学业成绩较低。鱼类摄入量对甲状腺肿患病率没有影响。结论。穆尔西亚是一个受轻度碘缺乏所致疾病影响的地区，这意味着需要制定一项持续有效的碘盐预防计划。
