首页|2018-2022年泸州市8~10岁儿童碘营养状况监测结果

2018-2022年泸州市8~10岁儿童碘营养状况监测结果

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目的 了解2018-2022年泸州市8~10岁儿童碘营养状况,为评价碘缺乏病防治效果及调整补碘策略提供依据.方法 于2018-2022年采用分层整群随机抽样,在泸州市7个县(区)中随机抽取7 000名8~10岁儿童,采集其尿样及经常食用的食盐样品,并按照相标准进行检测.采用Excel 2019软件与SPSS 25.0软件进行描述性分析,计算尿碘中位数、盐碘中位数、碘盐覆盖率、碘盐合格率、合格碘盐食用率等指标,通过Kruskal-Wallis H检验、x2检验等方法,对泸州市居民碘营养状况进行评价.结果 儿童尿碘中位数为184.1(124.7,255.0)μg/L;不同年份与县(区)的儿童尿碘浓度差异均有统计学意义(均P<0.001).8、9、10岁儿童之间尿碘浓度差异也具有统计学意义(x2=12.251,P=0.002).男童尿碘浓度高于女童(Z=-4.433,P<0.001).7 000份食盐样本中盐碘中位数为26.6(24.5,28.8)mg/kg,碘盐覆盖率为99.27%,碘盐合格率为94.88%,合格碘盐食用率为94.19%.不同年份与县(区)的盐碘含量、碘盐覆盖率以及合格碘盐食用率相比,差异均有统计学意义(均P<0.05).结论 2018-2022年泸州市8~10岁儿童整体碘适宜,碘盐食用情况良好,达到碘缺乏病消除标准,但仍有一定比例儿童碘营养不良.未来应继续做好碘营养状况监测与宣传教育工作.
Analysis of iodine nutritional status monitoring results for children aged 8-10 in Luzhou from 2018 to 2022
Objective To explore the iodine nutritional status of children aged 8-10 in Luzhou from 2018 to 2022,and to provide a basis for evaluating the effectiveness of iodine deficiency disorders prevention and adjusting iodine supplementation strategies.Methods A stratified cluster random sam-pling was adopted from 2018 to 2022,randomly selecting 7 000 children aged 8 to 10 from seven counties(districts)in Luzhou City.Urine samples and frequently consumed salt samples were collected and tested according to relevant standards.Excel 2019 and SPSS 25.0 were used for descriptive analysis to calculate indicators such as the median urinary iodine,median salt iodine,iodized salt coverage rate,iodized salt qualification rate,and the consumption rate of qualified iodized salt.The iodine nutrition status of Luzhou residents was evaluated through methods such as the Kruskal-Wallis H test and chi-square test.Results The median of urinary iodine was 184.1(124.7,255.0)μg/L.There was a statistically significant differ-ence in urinary iodine concentration among children in different years and counties(districts)(P<0.001).The difference in it among children aged 8,9 and 10 years old was also statistically significant(x2=12.251,P=0.002).The urinary iodine concentration of boys was higher than that of girls(Z=-4.433,P<0.001).The median salt iodine of 7 000 salt samples was 26.6(24.5,28.8)mg/kg,the coverage rate of iodized salt was 99.27%,the qualified rate of iodized salt was 94.88%,and the edible rate of qualified iodized salt was 94.19%.The differences in salt iodine content,coverage rate of iodized salt,and edible rate of qualified iodized salt were statistically significant in different years and counties(districts)(all P<0.05).Conclusions From 2018 to 2022,the overall iodine nutrition of children aged 8-10 is suitable in Luzhou,and the consumption of iodized salt is good,meeting the elimination standards for iodine deficiency disorders.However,there is still a certain proportion of children with io-dine malnutrition.In the future,efforts should continue to be made to monitor iodine nutritional status and promote the publicity and education of reasonable iodine nutrition.

ChildrenIodineUrinary iodineSalt iodine

苟钊、杨培基、李劲松、吴斗琼、马玲

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泸州市疾病预防控制中心地方病寄生虫病与病媒生物控制科,泸州 646300

西南医科大学公共卫生学院预防医学系,泸州 646000

西南医科大学公共卫生学院食品卫生与营养学教研室,泸州 646000

儿童 尿碘 盐碘

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(5)