缺乏障碍 缺乏障碍
Michael B Zimmermann1, Pieter L Jooste, Chandrakant S Pandav
1Laboratory for Human Nutrition, Swiss Federal Institute of Technology Zürich, Zürich, Switzerland.
Lancet (London, England)
|August 5, 2008
概括
缺乏影响全球20亿人,导致可预防的精神障碍. 盐化是一种经济有效的解决方案,但国际努力正在放缓,对全球健康构成挑战.
科学领域:
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
- 全球健康 全球健康
背景情况:
- 缺乏影响全球20亿人,特别是在南亚和撒哈拉以南非洲.
- 缺乏症 (IDD) 是由于甲状腺激素的生产不足造成的,导致对生长和发育的不良影响.
- 在全球范围内,IDD是可预防的精神障碍的主要原因.
研究的目的:
- 为了总结缺乏的全球影响.
- 对缺乏症的评估方法进行审查.
- 讨论控制缺乏症和相关挑战的战略.
主要方法:
- 全球摄入量数据的审查.
- 已建立的评估方法的摘要:尿液中的度,喉,新生儿甲状腺刺激激素和血液中的甲状腺球蛋白.
- 分析盐化作为一次性干预策略.
主要成果:
- 在大多数国家,盐化是控制缺乏的最具成本效益的策略.
- 补充剂是敏感群体的替代品,当盐化不切实际时,补充剂是可行的.
- 虽然引入盐可能会暂时增加甲状腺疾病,但与缺少的实质性风险相比,过量的风险是最小的.
结论:
- 盐化仍然是全球努力打击缺障碍的基石.
- 控制IDD的国际倡议正在放缓,阻碍了接触缺陷人口的进展.
- 解决剩余的缺乏挑战需要新的全球承诺和战略干预.
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