碘营养监测指标的研究进展

    Research advances in monitoring indicators for iodine nutritional status

    • 摘要: 随着社会发展和人民生活水平的提高, 群体碘营养水平监测指标的适用性发生了变化, 而个体碘营养水平评价方法目前也存在一定的不足。本文对现有的碘营养监测指标的优缺点及适用性进行综述。结果显示, 对于碘营养状况的群体评估, 尿碘浓度结合平均需要量切点法是一种很有前景的方法; 促甲状腺激素适用于新生儿群体。对于个体评估, 甲状腺球蛋白更适用于学龄儿童。唾液碘浓度显示出了作为碘营养状态生物标志物的使用前景, 但需要更多的研究来确定其参考范围及最佳的采样时间和采样方法。

       

      Abstract: With the development of society and the improvement of people's living standards, the applicability of monitoring indicators for iodine nutritional status (INS) among populations has changed. Meanwhile, there are also limitations in the method for evaluating the INS among individuals. This paper reviews the advantages, disadvantages, and applicability of the existing monitoring indicators for INS. The results showed that urinary iodine concentration combined with the estimated average requirement cut-point approach was a promising method for INS monitoring among populations; thyroid stimulating hormone was applicable to the neonatal population; and thyroglobulin, as a monitoring indicator among individuals, was the best method for school-aged children. Salivary iodide concentration has shown prospects as a biomarker of INS, but more research is needed to determine reference ranges and the optimal time and method for sampling.

       

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