【摘要】 目的:探讨北京市丰台区8~10岁儿童尿碘水平的影响因素,为儿童碘营养工作提出相应的建议。方法:采用整群随机抽样的方法,在丰台区按照东、西、南、北、中的方位抽取5所小学,每所学校再随机抽查8~10岁学生80人,做尿碘检测、甲状腺触诊检查和自填式结构问卷调查,对数据进行单因素及多因素分析。结果:家用盐不含碘或含碘量过低、不食用海带等高碘食品、不喝牛奶等因素是碘缺乏的危险因素;过量食用海带等高碘食品是碘过量的危险因素。结论:尿碘水平偏低和尿碘偏高儿童在被调查儿童中都占有相当的比例,应引起重视;注重食物中碘的摄入,儿童食用海带等高碘食品要适量,应采取针对食盐、食品的综合干预措施使儿童碘营养保持在适宜的水平。更多还原

【Abstract】 Objective:To explore the effect factors of urine iodine level of children aged 8~10 years old in Fengtai District,Beijing,propound corresponding suggestions for iodine nutrition work of children.Methods:Cluster random sampling method was used to extract five primary schools from Fengtai district according to the positions of east,west,south,north and centre,80 children aged 8~10 years old were selected from each primary school randomly for urine iodine detection,palpation of thyroid and a self-completing questionnaire;then single-factor analysis and multifactor analysis of the data were performed.Results:The risk factors of iodine deficiency included the household salt containing no iodine or low level of iodine,never eating high-iodine-containing food such as kelp,never drinking milk;the risk factor of excessive intake of iodine was eating high-iodine-containing food such as kelp excessively.Conclusion:The proportions of investigated children with low and high urine iodine level are high,which should be paid more attention to;the measures including attaching more importance to the intake of iodine in food,adequate intake of high-iodine-containing food such as kelp,comprehensive intervention measures targeted to table salt and food may maintain the iodine nutrition of children at a proper level.更多还原