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    日沙来提塔依尔, 王琛琛, 张玲, 吴顺华. 2019年新疆维吾尔自治区重点人群碘营养水平调查结果分析[J]. 环境卫生学杂志, 2021, 11(2): 171-176, 182. DOI: 10.13421/j.cnki.hjwsxzz.2021.02.011
    引用本文: 日沙来提塔依尔, 王琛琛, 张玲, 吴顺华. 2019年新疆维吾尔自治区重点人群碘营养水平调查结果分析[J]. 环境卫生学杂志, 2021, 11(2): 171-176, 182. DOI: 10.13421/j.cnki.hjwsxzz.2021.02.011
    shu
    RISHALAITI Tayier, WANG Chenchen, ZHANG Ling, WU Shunhua. Investigation Results of Iodine Nutrition Level in Key Populations of Xinjiang (2019)[J]. Journal of Environmental Hygiene, 2021, 11(2): 171-176, 182. DOI: 10.13421/j.cnki.hjwsxzz.2021.02.011
    Citation: RISHALAITI Tayier, WANG Chenchen, ZHANG Ling, WU Shunhua. Investigation Results of Iodine Nutrition Level in Key Populations of Xinjiang (2019)[J]. Journal of Environmental Hygiene, 2021, 11(2): 171-176, 182. DOI: 10.13421/j.cnki.hjwsxzz.2021.02.011
    shu

    2019年新疆维吾尔自治区重点人群碘营养水平调查结果分析

    Investigation Results of Iodine Nutrition Level in Key Populations of Xinjiang (2019)

      摘要
    • 摘要:
      目的 调查2019年新疆维吾尔自治区（新疆）不同地区重点人群的碘营养状况，为碘缺乏病的科学防控提供参考。
      方法 采用分层整群随机抽样方法对新疆14个地区96个县（市、区）开展碘含量检测。每个调查点分别检测200名（8~10）岁儿童和100名孕妇的尿中碘化物（urinary iodine concetration，UIC）和食盐碘含量，采用B超法检测全部儿童甲状腺容积。
      结果 （8~10）岁儿童和孕妇UIC中位数（四分位数间距）M（P25，P75）分别为219.55（151.3~294.73）μg/L和187.35（126.90~262.35）μg/L。孕妇UIC < 150 μg/L的县（市、区）有12个。儿童UIC和盐碘在南北疆地区比较，差异有统计学意义（χ2=129.31，P < 0.05，χ2=101.48，P < 0.05）。孕妇UIC和盐碘在南北疆地区比较，差异有统计学意义（χ2=88.66，P < 0.05，χ2=19.32，P < 0.05）。（8~10）岁儿童性别、食用盐盐碘含量和甲状腺容积可能是其碘营养水平的影响因素，OR（95%CI）值分别为0.85（0.80~0.91）、1.33（1.12~1.58）、1.21（1.16~1.25）。孕妇服用碘补充剂可能是其碘营养水平的影响因素，OR（95%CI）为1.51（1.36~1.68）。
      结论 新疆（8~10）岁儿童和孕妇总体处于碘适宜水平，但仍有12个县（市、区）孕妇UIC < 150 μg/L。提示仍需要巩固碘缺乏病防治成果，继续保持和加强重点人群科学补碘措施的实施。

       

      Abstract:
      Objective To investigate the iodine nutritional status of key populations in different regions of Xinjiang Uygur Autonomous Region (Xinjiang) in 2019, to provide a reference for prevention and control of iodine deficiency disorders.
      Methods The stratified cluster random sampling method was used to conduct iodide measurement in 96 counties (cities/districts) from 14 regions of Xinjiang. Random urinary iodide and iodide content of table salt were measured for 200 children (aged 8-10) and 100 pregnant women at each investigation site. Ultrasound was performed to measure thyroid volume for all children.
      Results The median (inter-quartile range) of urinary iodide concentration (UIC) was 219.55 (151.3-294.73)μg/L for the children aged 8-10 years and 187.35 (126.90-262.35)μg/L for the pregnant women. UIC < 150 μg/L was observed in the urine of the pregnant women from 12 counties (cities/districts). For children, there were significant differences in UIC and iodide content of table salt between southern and northern Xinjiang (χ2=129.31, 101.48, both P < 0.05); for pregnant women, there were also significant differences in UIC and iodide content of table salt between southern and northern Xinjiang (χ2=88.66, 19.32, both P < 0.05). Gender (odds ratioOR=0.85, 95% confidenc intervalCI: 0.80-0.91), iodide content of table salt (OR=1.33, 95%CI: 1.12-1.58), and thyroid volume (OR=1.21, 95%CI: 1.16-1.25) were influencing factors for iodine nutrition level in children aged (8-10) years. Administration of iodine supplements (OR=1.51, 95%CI: 1.36-1.68) was an influencing factor for iodine nutrition level in pregnancy women.
      Conclusion Children aged (8-10) years and pregnant women in Xinjiang generally have an appropriate level of iodine, but UIC < 150 μg/L is still observed in pregnant women from 12 counties (cities/districts). It is suggested that Xinjiang still needs to consolidate the achievements of the prevention and control of iodine deficiency disorders and continue to maintain and strengthen scientific iodine supplementation measures for key populations.

       

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