2011年甘肃省甘南藏族自治州农区和牧区人群碘营养现况调查
2011년감숙성감남장족자치주농구화목구인군전영양현황조사
Iodine nutritional status of population in pasturing and agricultural areas in Gannan Tibetan autonomous prefecture of Gansu province in 2011
  • 万方数据
    中国地方病学杂志 중국지방병학잡지
    CHINESE JOURNAL OF ENDEMIOLOGY
    2012年 6期 671-674 ,共4页

    阮烨%曹永琴%唐吉元%刘荣芳%程建华

    원엽%조영금%당길원%류영방%정건화

    藏族%碘%数据收集 藏族%碘%數據收集
    장족%전%수거수집
    Zang nationality%Iodine%Data collection
    目的 了解甘肃省甘南藏族自治州农区和牧区人群的碘营养水平,为碘缺乏病防治提供依据.方法 2011年5月,在甘肃省甘南藏族自治州合作市卡加曼乡(农区)和佐盖多玛乡(牧区),采集当地不同类型饮用水检测水碘,并抽取育龄妇女、孕妇、哺乳期妇女各30人,同时选取这些妇女所在家庭中20～50岁的成年男性90人(每家1人)和当地学校8～10岁儿童90人(每个年龄组30人),检测随意1次性尿碘.从上述三类妇女中各抽取10人,回顾家庭24 h内所摄入的食物(不包括调味品)种类,采集家庭食用盐和主要食物,检测盐碘和食物含碘量.采用砷铈氧化还原法(GB/T 5750.1-2006)检测水碘；过硫酸铵消化-砷铈催化分光光度方法(WS/T 107-2006)检测尿碘；直接测定法(GB/T 13025.7-1999)检测盐碘；碱灰化砷铈接触比色法检测食物碘.结果 农区和牧区各抽取饮用水样10份,水碘分别为(1.63±0.14)、(2.08 ±1.90) μg/L.农区和牧区育龄妇女、孕妇、哺乳期妇女、成年男性和8～10岁儿童的尿碘中位数分别为141.99、126.65、253.33、258.07、193.01和137.26、97.36、126.16、159.48、285.07 μg/L;农区和牧区哺乳期妇女、成年男性和8～10岁儿童尿碘水平比较,差异有统计学意义(Z值分别为-2.421、-6.915、-3.848,P均＜0.05).除牧区哺乳期妇女和孕妇外,其他各类人群尿碘＜ 50 μg/L的比例均＜20％,尿碘＜100μg/L的比例均＜50％.农区和牧区的碘盐覆盖率分别为100％(30/30)和90％(27/30),盐碘分别为(32.1±7.8)、(32.3±6,0)mg/kg.农区主要食物为自产的洋芋、青稞面和白菜等,膳食含碘量平均为285.7 μg/kg;牧区主要食物为炒面、白面、酥油、酸奶和青稞等,膳食含碘量平均为51.1 μg/kg.结论 在目前盐碘浓度下,低水碘的藏族地区人群碘的摄人量基本达到了推荐摄入量,人群总体不存在碘缺乏.但孕妇碘营养还不能得到保证,因此,建议采取分类指导的碘缺乏病防治措施,保证藏族少数民族地区碘缺乏病的可持续消除.
    목적 료해감숙성감남장족자치주농구화목구인군적전영양수평,위전결핍병방치제공의거.방법 2011년5월,재감숙성감남장족자치주합작시잡가만향(농구)화좌개다마향(목구),채집당지불동류형음용수검측수전,병추취육령부녀、잉부、포유기부녀각30인,동시선취저사부녀소재가정중20～50세적성년남성90인(매가1인)화당지학교8～10세인동90인(매개년령조30인),검측수의1차성뇨전.종상술삼류부녀중각추취10인,회고가정24 h내소섭입적식물(불포괄조미품)충류,채집가정식용염화주요식물,검측염전화식물함전량.채용신시양화환원법(GB/T 5750.1-2006)검측수전；과류산안소화-신시최화분광광도방법(WS/T 107-2006)검측뇨전；직접측정법(GB/T 13025.7-1999)검측염전；감회화신시접촉비색법검측식물전.결과 농구화목구각추취음용수양10빈,수전분별위(1.63±0.14)、(2.08 ±1.90) μg/L.농구화목구육령부녀、잉부、포유기부녀、성년남성화8～10세인동적뇨전중위수분별위141.99、126.65、253.33、258.07、193.01화137.26、97.36、126.16、159.48、285.07 μg/L;농구화목구포유기부녀、성년남성화8～10세인동뇨전수평비교,차이유통계학의의(Z치분별위-2.421、-6.915、-3.848,P균＜0.05).제목구포유기부녀화잉부외,기타각류인군뇨전＜ 50 μg/L적비례균＜20％,뇨전＜100μg/L적비례균＜50％.농구화목구적전염복개솔분별위100％(30/30)화90％(27/30),염전분별위(32.1±7.8)、(32.3±6,0)mg/kg.농구주요식물위자산적양우、청과면화백채등,선식함전량평균위285.7 μg/kg;목구주요식물위초면、백면、소유、산내화청과등,선식함전량평균위51.1 μg/kg.결론 재목전염전농도하,저수전적장족지구인군전적섭인량기본체도료추천섭입량,인군총체불존재전결핍.단잉부전영양환불능득도보증,인차,건의채취분류지도적전결핍병방치조시,보증장족소수민족지구전결핍병적가지속소제.
    Objective To study the iodine nutritional status of population living in Tibetan pastoral areas,in order to provide a scientific basis for prevention and control of iodine deficiency disorders.Methods Drinking water samples were collected to test iodine content in agricultural town(Kajiaman) and pastoral area(Zuogaiduoma town) of Hezuo in Gannan Tibetan autonomous prefecture.Thirty of child-bearing age,pregnant and breastfeeding women were selected,respectively,and 90 male adults aged 20-50 from these families(1 from each family) and 90 children aged 8-10 (30 people in each age group) from local schools were randomly sampled at the same time,and urinary iodine (UI) was measured randomly.Edible salt and main food samples were collected to test iodine content from the 10 families of the three types of women,respectively,and they were asked to recall its family intake of food species in the past 24 h excluding spices.The water iodine was determined using arseniccerium redox method (GB/T 5750.1-2006) ; UI with ammonium persulfate digestion-arsenic cerium catalytic spectrophotometric method (WS/T 107-2006) ; salt iodine used direct determination method(GB/T 13025.7-1999); and food iodine with alkali the gray arsenic cerium contact colorimetry.All these work were done in May,2011.Results The average of water iodine was (1.63 ± 0.14)μg/L in agricultural areas and (2.08 ±1.90)μg/Lin pastoral areas of the 10 water samples tested,respectively.The median urinary iodine(MUI) among women of pregnant,lactating and child-bearing age,male adults and children was 141.99,126.65,253.33,258.07,191.0μg/L,respectively,in agricultural areas and 137.26,97.36,126.16,159.48,285.07 μg/L,respectively,in pastoral areas.The difference of MUI in lactating,male adults and children between pastoral and agricultural areas was statistically significant.The proportion of UI ＜ 50 μg/L was less than 20％,and ＜ 100 μg/L was less than 50％ among all population except lactating woman and pregnant women in pastoral areas.The iodized salt coverage rate was 100％(30/30) in agricultural areas and 90％(27/30) in pastoral areas,and the salt iodine was (32.1 ± 7.8)mg/kg in agricultural areas and (32.3 ± 6.0)mg/kg in pastoral areas,respectively.The food structure in agricultural areas was mainly potato,naked oat fruit,cabbage and so on,the average dietary iodine content was 285.7 μg/kg,and in pastoral areas was mainly chow mein,wheat flour,ghee,yogurt,barley and so on,the average dietary iodine content was 51.1 μg/kg.Conclusions There is no iodine deficiency in general in the population in Tibetan areas with low water iodine.However,iodine nutrition of pregnant women can not be guaranteed.It is recommended that classified guidance measures be taken to ensure the sustainable elimination of iodine deficiency disorders in the Tibetan minority areas.
    원문보기 원문다운로드 사이트로이동
저자의 최근 논문