首页|芦溪县学龄期儿童尿碘含量检测及其相关影响因素分析

芦溪县学龄期儿童尿碘含量检测及其相关影响因素分析

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目的 探讨芦溪县学龄期儿童尿碘含量检测及其相关影响因素.方法 选择行尿碘水平监测的学龄期儿童 200例为研究对象,采集 5mL日间尿液,检测含碘量,分析、记录尿碘含量检测结果及碘营养状态,并收集入组对象资料,分析影响芦溪县学龄期儿童碘营养状态的相关影响因素.结果 芦溪县学龄期儿童尿碘含量为 31.4~1168.90 μg/L,尿碘中位数为 292.35 μg/L,其中 8 岁儿童尿碘中位数为 249.93 μg/L,9 岁儿童尿碘中位数为 312.43 μg/L,10 岁儿童尿碘中位数为 255.10 μg/L.200 名学龄期儿童中碘缺乏 15 例(7.50%),碘适宜 45 例(22.50%),碘超适宜 80 例(40.00%),碘过量 60 例(30.00%);不同年龄、性别、体重指数(BMI)、食盐摄入量、近 1 周海产品食用频率、近 1 周鸡蛋食用频率学龄期儿童碘营养状态相比,差异有统计学意义(P<0.05);不同食盐类型、近 1 周肉类食用频率、近 1 周乳制品摄入量学龄期儿童碘营养状态比较,无显著差异(P>0.05);Logistic回归分析显示:女(β=1.394,OR=4.030,95%CI=1.881~8.635)、BMI≥24 kg/m2(β=2.418,OR=11.227,95%CI=2.316~54.431)、食盐摄入量≥6 g/d(β=1.386,OR=4.000,95%CI=1.205~13.283)、近 1 周海产品食用频率≤2 次(β=0.933,OR=2.541,95%CI=1.148~5.625)、近 1 周鸡蛋食用频率>2 次(β=1.078,OR=2.940,95%CI=1.279~6.758)是芦溪县学龄期儿童碘营养状态的高危因素(P<0.05).结论 芦溪县部分学龄期儿童存在碘营养异常,其受性别、BMI、食盐摄入量、海产品及鸡蛋食用频率影响.
Detection of Urine Iodine Content in School-age Children in Luxi County and Analysis of Its Related Influencing Factors
Objectives To explore the detection of urinary iodine content in school-age children in Luxi County and its related influencing factors.Methods A total of 200 school-age children who underwent urine iodine level moni-toringwere selected as the research subjects.We collect5mL of daytime urine to detect the iodine content,and the results of urine iodine content testing and iodine nutritional status were analyzed and recorded,so as to analyze the relevant factors affecting the iodine nutritional status of school-age children in Luxi County.Results The urinary iodine content of school-age children in Luxi County was 31.4~1168.90 μg/L,and the median urinary iodine was 292.35 μg/L.The median urinary iodine of 8-year-old children was 249.93 μg/L,the median urinary iodine of 9-year-old children was 312.43 μg/L,and the median urinary iodine of 10-year-old children was 255.10 μg/L.Among the 200 school-age children,there were 15 cases of iodine deficiency(7.50%),45 cases of iodine suitability(22.50%),80 cases of iodine superappropriateness(40.00%),and 60 cases of iodine excessiveness(30.00%).There were statistically significant differences in iodine nutritional status among school-age children of different ages,gen-ders,body mass index(BMI),salt intake,frequency of seafood consumption in the past week,and frequency of egg consumption in the past week(P<0.05).There was no statistically significant difference in iodine nutritional status a-mong school-age children with different types of salt,frequency of meat consumption in the past week,anddairy in-take in the past week(P>0.05).Logistic regression analysis showed that female(β=1.394,OR=4.030,95%CI=1.881~8.635),BMI≥24 kg/m2(β=2.418,OR=11.227,95%CI=2.316~54.431),salt intake≥6g/d(β=1.386,OR=4.000,95%CI=1.205~13.283),frequency of seafood consumption≤2 timesin the past week(β=0.933,OR=2.541,95%CI=1.148~5.625),frequency of egg consumption>2 times in the past week(β=1.078,OR=2.940,95%CI=1.279~6.758)were high-risk factors for iodine nutritional status of school-age children in Luxi County(P<0.05).Conclusions Some school-age children in Luxi County have iodine nutritional abnormalities,which are influenced by gender,BMI,salt intake,frequency of seafood and egg consumption.

School-age childrenUrine iodineIodine nutritional status

彭建勇

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芦溪县疾控中心,江西 芦溪 337200

学龄期儿童 尿碘 碘营养状态

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(10)