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近年来儿童缺乏的甲状腺功能低下症:一个重新出现的问题?
Tejal Patel1, Rachel Longendyke1, Roopa Kanakatti Shankar1,2
1Division of Endocrinology, Children's National Hospital, Washington, District of Columbia, USA.
由于使用非盐,美国儿童的缺乏症正在增加,导致甲状腺功能低下和. 饮食史对于早期诊断和对脆弱人群的干预至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 营养在美国越来越令人担忧,与使用非盐的增加有关.
- 最近关于儿童缺诱导的甲状腺功能低下症的评论缺乏.
- 饮食变化和食品制造实践影响摄入量.
研究的目的:
- 评估美国儿童缺诱导的甲状腺功能低下症的现状.
- 描述儿科患者缺乏症的严重程度,危险因素和临床表现.
- 为了强调饮食史在诊断甲状腺疾病中的重要性.
主要方法:
- 在第三级儿科内分泌诊所进行了回顾性图表审查.
- 纳入标准:根据尿液中较低的含量来诊断缺乏症.
- 收集的数据:疾病严重程度,危险因素,,甲状腺功能测试和自身抗体.
主要成果:
- 在过去两年内,有4例儿科病例符合缺乏症诊断标准.
- 所有确定的病例都呈现出显著的子.
- 危险因素包括:单独使用非盐,发育迟缓,食物过敏和自身免疫性甲状腺疾病.
结论:
- 缺乏症仍然是美国儿童的一个关键问题,通常与非盐消费有关.
- 对于患有和/或甲状腺功能低下症的儿童,饮食史是必不可少的.
- 目前用于预防缺乏症的公共卫生措施可能需要重新评估,特别是在风险群体.
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