摘要
目的调查浙江省舟山海岛地区居民的碘营养和甲状腺健康状况,对全民食盐加碘措施进行评价。方法采用整群随机抽样方法选取舟山海岛不食用加碘盐的盐民和食用加碘盐的农民为研究对象,按性别、年龄匹配后进行流行病学问卷调查、甲状腺B超检查、尿碘测定、甲状腺功能检测,并进行对比分析。结果舟山海岛盐民和农民的尿碘中位数分别为116.3和188.9μg/L,每天饮食碘摄入分别为161.6和137.2μg,尿碘水平差异有统计学意义(P<0.05);盐民与农民甲状腺B超占位率、甲亢、亚临床甲亢、亚临床甲减患病例数分别为182、2、2、5例和188、1、4、2例,患病率分别为37.4%、0.4%、0.4%、1.0%和38.6%、0.2%、0.8%、0.4%;年龄和性别是甲状腺疾病发生的影响因素,与年收入、饮食碘摄入、吸烟史、饮酒史、饮茶史、尿碘值等无关。结论食盐加碘是影响居民尿碘水平的关键因素,舟山地区全民食盐加碘措施值得商榷。
Objective To investigate iodine nutrition and thyroid health of the residends in Zhoushan archipelago and to evaluate the effect of universal salt iodization（USI）. Methods Salt-wokers（consuming non-iodized salt） and farmers（consuming iodized salt） were surveyed with a questionnaire and their thyroid conditions were assayed by B-mode ultrasound.Meanwhile,the urinary iodine concentration and the function of thyroid were measured. Results Excluding the iodine intake from iodized salt,the amounts of daily iodine intake were 161.6μg and 137.2μg for the salt-woker and the farmers,and there was no significant difference between the two groups.The median concentration of urinary iodine of the salt-wokers was 116.3μg/L,signicantly lower than that of the farmers（188.9μg/L）.The prevalence of thyroid disease had no significant relation to iodine intake,smoking,alcohol drinking,and tea consumption（P0.05）. Conclusion The residents in Zhoushan archipelago have adequate iodine intake.The key influential factor of the urinary iodine concentration is the intake of iodized salt.The effect of USI in Zhoushan archipelago should be studied.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2011年第4期426-428,共3页
Chinese Journal of Public Health
基金
国家星火计划项目(2008GA700174)
浙江省科技厅面上项目(2008C33043)
关键词
碘
甲状腺
对比研究
iodine
thyroid disease
comparative study
