Abstract：Objective To understand the iodine nutrition status of pregnant women and children in Yunlong District, Xuzhou City, so as to provide guidance for reasonable iodine supplementation for pregnant women and children. Methods From 2016 to 2020, the morning urine samples of pregnant women and children in Yunlong District, Xuzhou City were collected, and the urinary iodine content was detected by arsenic-cerium catalytic spectrophotometry, and the salt iodine content was detected by redox titration. Results A total of 500 pregnant women and 1 000 children were surveyed, and the salt-iodine levels of M (P25, P75) were 24.60 (22.90, 26.00) mg/kg and 24.4 (21.60, 26.80) mg/kg, respectively. From 2016 to 2020, there were statistically significant differences in the iodine levels and iodized salt coverage rates of pregnant women in different years (H=108, χ2=9.943, P<0.05), among which 2017 was the highest. The urine iodine levels M (P25, P75) in pregnant women and children were 184 (123, 275) μg/L and 276 (168.75, 408.25) μg/L, respectively. There were statistically significant differences in urinary iodine levels and distribution among pregnant women in different years (H=8.491, χ2=62.66, P<0.05), and the urinary iodine levels were higher in 2016 and 2019. There was a statistically significant difference in urinary iodine among children in different years (H=39.24, P<0.05), and the urinary iodine level was the highest in 2017. There were statistically significant differences in urinary iodine levels among children of different age groups (H=6.185, P<0.05), and the average urinary iodine level of children in the 10-year-old age group was higher. Conclusion From 2016 to 2020, the iodine nutrition of pregnant women in Yunlong District of Xuzhou City was generally at an appropriate level, and the iodine nutrition of children was at the iodine excess level.
姚远,马良良. 2016—2020年徐州市云龙区重点人群碘营养水平监测分析[J]. 中国校医, 2024, 38(1): 27-29,33.
YAO Yuan, Ma Liangliang. Monitoring and analysis of iodine nutrition level of key population in Yunlong District of Xuzhou City from 2016 to 2020. Chinese Journal of School Doctor, 2024, 38(1): 27-29,33.
[1] Mikulska AA,Filipowicz D,Glowka FK,et al.HPLC analysis ofthe urinary iodine concentration in pregnant women[J]. Molecules,2021,26(22):6797. [2] 蔡粼波,柳光斌.碘缺乏病的防治措施研究进展[J].中国城乡企业卫生,2022,37(7):43-45. [3] 姬炳章,蔡粼波,张坤明.孕妇促甲状腺激素检测在预防碘缺乏病中的价值[J].中国城乡企业卫生,2022,37(8):76-77. [4] Inoue K,Leung AM,Sugiyama T,et al. Urinary iodine concentr-ation and mortality among US adults[J]. Thyroid,2018,28(7):913-20. [5] Dong JJ,Liu SY,Wang LY,et al. Iodine monitoring models contri-bute to avoid adverse birth outcomes related more than adequateiodine intake[J]. Bmc Pregnancy Childbirth,2021,21(1):454. [6] 李辉军,岳道远,曾浩龙,等.基于电感耦合等离子体质谱的尿碘检测方法的建立及应用[J].华中科技大学学报(医学版),2018,47(5):574-578. [7] Xu C,Guo X,Tang J,et al. Iodine nutritional status in the adultpopulation of Shandong Province (China) prior to salt reductionprogram[J]. Eur J Nutr. 2016,55(5):1933-1941. [8] 惠广全,孙晓丹,梁雅静,等. 2016 —2018年登封市盐碘含量监测分析[J].河南预防医学杂志,2019,30(12):923-924. [9] 中华人民共和国国家卫生和计划生育委员会.WS/T 107.1—2016.尿中碘的测定第1部分:砷铈催化分光光度法[S].北京:人民卫生出版社,2016. [10] 中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.GB/T 13025.7—2012 制盐工业通用试验方法碘的测定[S].北京:中国标准出版社,2012. [11] 中华人民共和国卫生部. GB 26878—2011 食用盐碘含量[S].北京:中国标准出版社,2011. [12] 姚怡.2011—2020年无锡市锡山区重点人群碘营养状况调查分析[J].中国校医,2022,36(8):584-587. [13] 廖敏,刘军,宁锐军,等. 2020年广西实现消除碘缺乏病目标评估结果分析[J].中国地方病防治,2022,37(3):224-227. [14] 李涛鹏,魏爱平,杜燕飞,等. 2012—2018年驻马店市碘盐监测结果分析[J].河南预防医学杂志,2020,31(7):510-511. [15] 赵瑞兰,李子昂,肖惠迪,等.北京学龄儿童青少年体格发育指标增长速度性别差异[J].中国学校卫生,2021,42(4):510-514. [16] Alexander EK,Pearce EN,Brent GA,et al. 2017 Guidelines of theamerican thyroid association for the diagnosis and managementof thyroid disease during pregnancy and the postpartum[J].Thyroid,2017,27(3):315. [17] Stevens L. “A practical approach to gender-based violence:Aprogramme guide for health care providers and managers” deve-loped by the UN population fund[J]. Int J Gynecol Obstet,2002(78):S111-S117.
2024, Vol. 38 
