精准补碘与碘营养评价体系建立

Establishment of precise iodine supplementation and iodine nutrition evaluation system

我国当前的碘缺乏病防治策略是"因地制宜、分类指导、科学补碘",此防治策略的落实,最终目的是开展"精准补碘"。但是,目前"精准补碘"的实施面临一些困难,主要是如何精准衡量个体碘营养。本文从机体碘的摄入、机体碘水平、机体碘的排出三个方面探讨了目前衡量碘营养指标的架构以及各类指标的优缺点、衡量指标的金标准、各指标的应用范围和联合应用。

The current prevention and control strategy of iodine deficiency disorders in China is"adjust measures to local conditions,guide by classification and supplement iodine scientifically".The ultimate goal of the implementation of this prevention and control strategy is to carry out"precise iodine supplementation".However,at present,the implementation of"precise iodine supplementation"faces some difficulties,mainly how to accurately measure individual iodine nutrition.This paper discusses the current framework of iodine nutrition indicators,the advantages and disadvantages of various indicators,the gold standard for measuring the indicators,and the application scope and joint application of each indicator from three aspects:the intake of iodine,the level of iodine and the excretion of iodine.