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Lancet Diabetes Endocrinol:怀孕期间补充碘对后代对社会乃至全世界都有巨大的好处

2015-08-11 sunshine 译 MedSci原创

The Lancet Diabetes & Endocrinology journal:怀孕期间补充碘对后代对社会乃至全世界都有巨大的好处据发表于《柳叶刀糖尿病与内分泌学杂志》的一项新的研究表明,为所有孕妇补充碘,即使是轻度缺碘的国家如英国,可为全世界卫生保健系统及社会节约大量的医疗成本。据最新估计,孕妇怀孕期间补充碘制剂每人可为国家医疗保健服务(NHS)节约200英镑,因其后代


据发表于《柳叶刀糖尿病与内分泌学杂志》的一项新的研究表明,为所有孕妇补充碘,即使是轻度缺碘的国家如英国,也可为全世界卫生保健系统及社会节约大量的医疗成本。

据最新估计,因孕妇怀孕期间补充碘制剂,每人可为国家医疗保健服务(NHS)节约200英镑;因其后代寿命延长,每人可为社会多贡献约4500英镑,并降低了公共部门的成本。约有19亿成年人及2.41亿学龄前儿童(6-12岁)生活在碘缺乏的32个国家,因此作者认为孕妇怀孕期间补充碘其益处是巨大的。

“孕妇怀孕期间碘缺乏仍是导致全球可预防性疾病发生的主要原因。即使是孕期轻度的碘缺乏也与其后代低智商有关,”Kate Jolly解释道,“是时候该为生活在碘缺乏地区的孕妇,哺乳期妇女或计划怀孕的女性每日提供碘补充剂了。”

碘并不是自然存在于人体中的,必须通过摄入含碘的食物,如乳制品,海鲜或碘补充剂。孕妇妊娠期间严重碘缺乏可引起后代实质性的精神障碍和发育迟缓,最终导致其后代的低智,从而降低了后代后教育的程度和日后的收入水平。国际卫生组织(如WTO及欧盟食品安全管理局)建议孕妇及哺乳期妇女应每日摄入碘补充剂。然而,即使已广泛报道存在轻度的碘缺乏,英国还未有关于孕妇补充碘的建议发布。

来自伯明翰大学的研究人员建立了一个模型以检验与不补充碘的孕妇相比,补充碘的成本效益。使用来源于一篇已经发表的综述及专家意见数据,研究人员模拟了孩子智商点升高所带来的直接健康服务储蓄与对社会的金钱贡献(终身收入)。

通过将孕期摄入碘补充剂对开发大脑的影响转换智商点,研究人员估计,每个孕妇对NHS的金钱贡献约为199英镑,对社会贡献约为4476英镑,其利益相当于每个孩子1.22个智商点。

“由于仅加强食物供给并不能为孕妇提供充足的碘,所以轻中度缺碘国家的女性怀孕前,怀孕期间以及哺乳期间更应加强碘补充。”

原始出处:

Mark Monahan, MSc, Kristien Boelaert, PhD, Prof Kate Jolly, PhD, Shiao Chan, PhD, Pelham Barton, PhD, Prof Tracy E Roberts, PhD,Costs and benefits of iodine supplementation for pregnant women in a mildly to moderately iodine-deficient population: a modelling analysis.The Lancet Diabetes & Endocrinology.10 August 2015.

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    2016-04-16 howi
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    2015-08-15 xiaotaiyang1

    投资

    0

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  8. [GetPortalCommentsPageByObjectIdResponse(id=2005997, encodeId=f618200599e02, content=<a href='/topic/show?id=68d629292b6' target=_blank style='color:#2F92EE;'>#全世界#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29292, encryptionId=68d629292b6, topicName=全世界)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKnILSXam1GxPwj04ylEzibYLFA2eGl5Ev02klt80JA0xejMPqrn0mYHNNnLEgyqYTPbicXpY3tn6SA/132, createdBy=38fd2500059, createdName=新生儿张玉军, createdTime=Sat Feb 27 11:35:00 CST 2016, time=2016-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637140, encodeId=eac2163e14089, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sun May 01 20:35:00 CST 2016, time=2016-05-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1828195, encodeId=59e918281959e, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sat Apr 16 21:35:00 CST 2016, time=2016-04-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1901305, encodeId=5d4c1901305de, content=<a href='/topic/show?id=c097591ed5' target=_blank style='color:#2F92EE;'>#Diabetes#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5917, encryptionId=c097591ed5, topicName=Diabetes)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0045169, createdName=木头人513, createdTime=Sat Jul 02 06:35:00 CST 2016, time=2016-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1759577, encodeId=463e1e59577e6, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Mar 31 21:35:00 CST 2016, time=2016-03-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35630, encodeId=868b35630f2, content=投资, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Sat Aug 15 13:43:00 CST 2015, time=2015-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1616618, encodeId=9982161661807, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Thu Aug 13 05:35:00 CST 2015, time=2015-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35451, encodeId=8dea35451ba, content=中国的问题是所有盐都加碘,补碘存在过量的风险, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Wed Aug 12 07:08:00 CST 2015, time=2015-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35431, encodeId=e39f3543116, content=孕期需要补碘, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9e0b1615361, createdName=lijunliang4612, createdTime=Tue Aug 11 15:35:00 CST 2015, time=2015-08-11, status=1, ipAttribution=)]
    2015-08-12 stupidox

    中国的问题是所有盐都加碘,补碘存在过量的风险

    0

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    2015-08-11 lijunliang4612

    孕期需要补碘

    0

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