1.Investigation results of iodine in drinking water in Henan Province from 2017 to 2020
Yanli TENG ; Jiajun MA ; Qiaoyun GUO ; Jingya HENG ; Lin ZHU ; Xiaofeng LI ; Jin YANG ; Heming ZHENG
Chinese Journal of Endemiology 2023;42(4):296-300
Objective:To investigate the iodine content in drinking water of residents in Henan Province, and clarify the distribution characteristics of water iodine in Henan Province.Methods:In 2017, in all counties (cities and districts, hereinafter referred to as counties) of Henan Province, taking township (town, subdistrict office, hereinafter referred to as township) as the unit to carry out an investigation of iodine content in drinking water; and in the township with water iodine content of 10 μg/L or more, taking administrative village (neighborhood committee, hereinafter referred to as the administrative village) as the unit to carry out the drinking water iodine content investigation. Supplementary investigation was conducted from 2018 to 2020 in administrative villages where water iodine levels had never been tested or had not been tested after replacing water sources. At least 25 ml water samples were collected at each sampling site, and the water iodine content was determined by cerous sulfate catalytic spectrophotometry.Results:From 2017 to 2020, the median water iodine in Henan Province was 8.20 μg/L. A total of 50 124 administrative villages in 2 465 townships, 160 counties and 18 provincial-level cities were investigated for iodine content in drinking water, of which 65.5% (32 807/50 124) of the administrative villages had a median water iodine < 40 μg/L, belonging to iodine deficiency area; 16.9% (8 473/50 124) of the administrative villages had a median water iodine of 40-100 μg/L, suitable for iodine; and 17.6% (8 844/50 124) of the administrative villages had a median water iodine > 100 μg/L, belonging to water source high iodine area.Conclusions:Henan Province as a whole is at the state of iodine deficiency in the external environment. Most administrative villages are iodine deficiency areas. There are certain proportion of water source areas with high iodine and areas with suitable iodine.
2.Analysis of iodine nutritional level of residents in iodine adequate areas of Henan Province in 2020
Zhiwei HAN ; Yanli TENG ; Jingya HENG ; Lin ZHU ; Heming ZHENG ; Xiaofeng LI ; Chunsheng YUAN ; Li ZHANG ; Gan CHEN ; Jin YANG
Chinese Journal of Endemiology 2023;42(4):305-309
Objective:To investigate the iodine nutritional level of residents in iodine adequate areas in Henan Province, and provide basis for making policy of targeted guidance and rational iodine supplementation.Methods:In the 156 counties of Henan Province in 2020, one township was selected from each location (east, west, south, north and middle) in each county; one school was selected from each township; 40 children aged 8-10 years in the school and 20 pregnant women in the township were selected to collect their urine and salt samples to test urine and salt iodine levels. One third of the counties were selected to examine the thyroid gland of children. Individuals lived in villages with water iodine between 40 and 100 μg/L were included in the study.Results:In iodine adequate areas, a total of 2 097 salt samples were collected from children and tested, the consumption rate of qualified iodized salt was 93.6% (1 962/2 097). A total of 2 096 urine samples were collected from children and tested, and the median urinary iodine was 288.0 μg/L. The goiter rate of children was 0.7% (5/723). A total of 1 068 salt samples from pregnant women were tested, and the consumption rate of qualified iodized salt was 93.0% (993/1 068). A total of 1 068 urine samples from pregnant women were tested, with a median urinary iodine 232.7 μg/L. Stratified by water iodine (40-59, 60-79, 80-100 μg/L), the median urinary iodine of children was 273.8, 288.6, and 305.9 μg/L, respectively, statistically significantly different between groups ( H = 15.79, P < 0.001); the goiter rate of children was ≤2%, and the difference between groups was statistically significant (χ 2 = 7.31, P = 0.026); but the median urinary iodine of pregnant women was not significantly different ( H = 1.82, P = 0.402). Under different water iodine conditions, there was no significant difference in urinary iodine levels in children and pregnant women between the high salt iodine concentration group (≥21 mg/kg) and the low salt iodine concentration group (< 21 mg/kg, P > 0.05). Conclusions:The iodine nutrition level of children in iodine adequate areas in Henan Province is relatively high, and the iodine nutrition of pregnant women is appropriate. The goiter rate of children is at a relatively low level. Continuous surveillance should be conducted to comprehensively evaluate the iodine nutrition level. Various measures will be taken by regions and populations.
3.Comparison of iodine nutritional status and disease monitoring results among children in water source high iodine areas of Henan Province in 2017 and 2019
Jin YANG ; Yanli TENG ; Jingya HENG ; Lin ZHU ; Xiaofeng LI ; Heming ZHENG ; Li ZHANG ; Ning SUN ; Gan CHEN
Chinese Journal of Endemiology 2023;42(6):477-482
Objective:To compare the coverage rate of non-iodized salts, children's iodine nutrition and the change trend of goiter rate between the original water source high iodine areas in Henan Province in 2017 and the newly designated water source high iodine areas in 2019.Methods:Using a cross-sectional survey method, household edible salt monitoring was conducted in all 20 counties (cities, districts) with high iodine content in Henan Province in 2017. Ten counties (cities, districts) were selected to monitor water iodine, urinary iodine and thyroid volume of children aged 8 to 10 years. A total of 4 430 salt samples and 1 012 urine samples were collected, and thyroid volume of 1 012 children were measured. In 2019, monitoring of household edible salt, water iodine, urinary iodine, and thyroid volume was carried out in all 55 newly designated counties (cities, districts) with high iodine village. A total of 9 835 salt samples and 9 830 urine samples were collected, and the thyroid volume of 8 896 children was measured. The monitoring results of two years were compared, and the relationship between children's urinary iodine and goiter rate was analyzed by univariate logistic regression.Results:In 2019, the water iodine content in newly designated high iodine areas decreased compared to the original high iodine areas in 2017 (119.8 to 191.0 μg/L), and the difference was statistically significant ( Z = - 2.48, P = 0.013). The rate of non-iodized salts in 2019 was only 35.5% (3 494/9 835), significantly lower than that in 2017 (96.2%, 4 263/4 430, χ 2 = 4 536.74, P < 0.001). The median urinary iodine of children in 2017 and 2019 were 338.2 and 317.8 μg/L, respectively, the difference between the two years was statistically significant ( Z = - 2.46, P = 0.014). In 2017 and 2019, the goiter rate of children aged 8 to 10 years was 1.5% (15/1 012) and 2.1% (187/8 896), respectively, and there was no significant difference between the two years (χ 2 = 1.76, P = 0.185). The results of univariate logistic regression analysis showed that, compared with the control group with urinary iodine < 100 μg/L, the risk of goiter rate (but the enlargement rate did not exceed 5%) increased with the increase of urinary iodine level (100 - 199, 200 - 299 and ≥300 μg/L groups), and the differences were statistically significant [odds ratio ( OR) = 8.64, 7.68, 10.69, P < 0.05]. Conclusion:After the implementation of the new demarcation standard for areas with excessive iodine in water sources, the supply of non-iodized salts in Henan Province is relatively lagging behind, and the iodine nutrition level of children is still high, but the goiter rate is relatively stable.
4.Analysis of iodine nutritional status among pregnant women after implementation of a new standard of iodized salt in Henan Province in 2018
Yang LIU ; Lin ZHU ; Xiaofeng LI ; Jin YANG ; Ning SUN ; Yitian YUE ; Heming ZHENG
Chinese Journal of Endemiology 2020;39(8):584-587
Objective:To investigate the iodine nutritional status of pregnant women in Henan Province after implementation of new standard of iodized salt, and to provide evidence for scientific adjustment of control strategy.Methods:In 2018, according to "Henan Surveillance Program on Iodine Deficiency Disorders", 5 townships were randomly picked out based on their sub area positions of east, west, south, north and middle in each county in the non-high iodine areas of 156 non-high iodine and high iodine counties (cities, districts). Then 20 pregnant women were sampled in each chosen township to collect and determine their salt and urinary iodine contents. The iodine level in salt was determined by direction titration; the salt samples from Sichuan and other enhanced salt samples were detected by arbitration; iodine content in urine was tested by arsenic cerium catalytic spectrophometry.Results:In total, 15 430 household salt samples of pregnant women were collected and determined; the coverage rate of iodized salt was 95.4% (14 721/15 430) and the consumption rate of qualified iodized salt was 87.0% (13 426/15 430); the median of salt iodine was 25.8 mg/kg. Totally 15 378 urine samples were collected and the median urinary iodine was 188.0 μg/L. The medians of urinary iodine of early, middle and late pregnant were 190.2, 188.9 and 186.0 μg/L, respectively.Conclusions:After the implementation of new standard of iodized salt, the iodine nutritional status of pregnant women in Henan Provence is totally appropriate. The surveillance of iodine status and the universal salt prevention and control strategies among pregnant women should be continuously presented to ensure the moderate amount of iodine intake.
5. Iodine status of vulnerable populations in Henan Province of China three years after the implementation of new iodized salt standard
Jin YANG ; Jiangzhou YAN ; Xiaofeng LI ; Heming ZHENG ; Lin ZHU ; Yang LIU ; Li ZHANG ; Ning SUN ; Gan CHEN ; Yanli WANG
Chinese Journal of Preventive Medicine 2019;53(11):1173-1175
Iodine nutrition surveillance of vulnerable population was conducted in 18 cities of Henan Province in 2015. The medians and quartiles of urinary iodine concentration in women of reproductive-age (
6.Loss-of-function of sox3 causes follicle development retardation and reduces fecundity in zebrafish.
Qiang HONG ; Cong LI ; Ruhong YING ; Heming LIN ; Jingqiu LI ; Yu ZHAO ; Hanhua CHENG ; Rongjia ZHOU
Protein & Cell 2019;10(5):347-364
Folliculogenesis is essential for production of female gametes in vertebrates. However, the molecular mechanisms underlying follicle development, particularly apoptosis regulation in ovary, remain elusive. Here, we generated sox3 knockout zebrafish lines using CRISPR/Cas9. sox3 knockout led to follicle development retardation and a reduced fecundity in females. Comparative analysis of transcriptome between sox3 and wild-type ovaries revealed that Sox3 was involved in pathways of ovarian steroidogenesis and apoptosis. Knockout of sox3 promoted follicle apoptosis and obvious apoptosis signals were detected in somatic cells of stages III and IV follicles of sox3 ovaries. Moreover, Sox3 can bind to and activate the promoter of cyp19a1a. Up-regulation of Cyp19a1a expression promoted 17β-estradiol synthesis, which inhibited apoptosis in follicle development. Thus, Sox3 functions as a regulator of Cyp19a1a expression, via 17β-E2 linking apoptosis suppression, which is implicated in improving female fecundity.
7.Analysis of children's iodine nutritional status after five years of implementation of a new standard of iodized salt in Henan Province
Yang LIU ; Lin ZHU ; Xiaofeng LI ; Ning SUN ; Yanli WANG ; Jin YANG ; Gan CHEN ; Li ZHANG ; Heming ZHENG
Chinese Journal of Endemiology 2019;38(2):126-129
Objective To investigate the iodine nutritional status among children aged 8-10 years old in Henan Province after five years of implementation of new standard iodized salt,and to provide evidence for scientific adjustment of control strategy.Methods In 2017,according to "Henan Surveillance Program on Iodine Deficiency Disorders",children aged 8-10 years old (half males and half females) were chosen as research targets.In nonhigh iodine areas of 156 non-high iodine counties (cities,districts) and high iodine counties (cities,districts) in Henan Province,household salt samples were collected;in 113 counties (cities,districts),urine samples were collected;in 67 counties (cities,districts),thyroid volume was measured.Salt iodine was tested by direction titration,the salt samples from Sichuan and other enhanced salt samples were tested by the arbitration method;urinary iodine was tested by arsenic cerium catalytic spectrophometry;thyroid volume was measured by ultrasound method.Results In 2017,totally 31 174 household salt samples of 8-10 years old children were collected and tested,the median of salt iodine was 25.8 mg/kg;the coverage rate of iodized salt was 95.0% (29 613/31 174) and the consumption rate of qualified iodized salt was 85.6% (26 673/31 174).Totally 22 442 urine samples were collected and the median of urinary iodine content was 208.0 μg/L.Totally 13 439 school children were examined thyroid volume and the goiter rate.was 1.5% (196/13 439).Conclusions After the promotion of new standard iodized salt,the iodine nutritional status of children aged 8-10 years old in Henan Province is appropriate.However,the consumption rate of qualified iodized salt is lower,so the universal salt iodization prevention and control strategies should be performed for a long time.At the same time,health education of iodine deficiency knowledge should be strengthened.
8. Effect of Wi-Fi microwave irradiation on testosterone synthesis in Leydig cells of male workers
Mengduan LIN ; Yi RONG ; Haiduan LIN ; Geng MAO ; Jing ZHANG ; Ziran CHEN ; Heming CHEN
China Occupational Medicine 2019;46(05):577-585
OBJECTIVE: To explore the effect of occupational wireless fidelity(Wi-Fi) microwave radiation on testosterone synthesis in male workers. METHODS: A total of 51 male workers exposed to microwave radiation in Wi-Fi test station of a mobile phone manufacturer were selected as exposure group by judgment sampling method. They were divided into <2.0 years subgroup and ≥2.0 years subgroup according to the length of work years. At the same time, 30 male workers who were not exposed to occupational hazards in the same factory were selected as the control group. Serum total cholesterol level was detected by colorimetry. Serum testosterone, cyclic adenosine monophosphate(cAMP), cytochrome P450 17 A1(P450 c17), cytochrome P450 cholesterol side chain cleavage enzyme(P450 scc), levels were detected by enzyme-linked immunosorbent assay. The relative expression of P450 scc and P450 c17 mRNA in whole blood was measured by real-time quantitative polymerase chain reaction. RESULTS: The levels of serum testosterone, P450 c17 and the relative expression of P450 c17 mRNA in workers of the exposure group were lower than that in the control group(P≤0.05), and the above indexes in the sub-exposure group with work age ≥2.0 years was lower than that in the control group(P<0.05). There was no significant difference in levels of serum total cholesterol, cAMP, P450 scc and relative expression of P450 scc in whole blood among the exposed group,two subgroups and the control group(P>0.05). CONCLUSION: Long-term exposure to Wi-Fi microwave radiation can inhibit the expression of P450 c17 mRNA and the synthesis of P450 c17 protein, both are key enzymes for testosterone synthesis in male workers, thereby affecting the synthesis and secretion of testosterone.
9.Iodine status of vulnerable populations in Henan Province of China three years after the implementation of new iodized salt standard
Jin YANG ; Jiangzhou YAN ; Xiaofeng LI ; Heming ZHENG ; Lin ZHU ; Yang LIU ; Li ZHANG ; Ning SUN ; Gan CHEN ; Yanli WANG
Chinese Journal of Preventive Medicine 2019;53(11):1173-1175
Iodine nutrition surveillance of vulnerable population was conducted in 18 cities of Henan Province in 2015. The medians and quartiles of urinary iodine concentration in women of reproductive?age (n=3 318), pregnant women (n=36 366), lactating women (n=4 153), infants<2 years of age (n=1 017), and children aged 8-10 years (n=4 806) were 202.1(124.0, 310.0), 192.4(133.6, 262.4), 168.3 (119.1, 248.3), 214.2(156.1, 272.3) and 90.0 (121.8, 285.6) μg/L, respectively. Iodine status of the vulnerable populations was generally regarded as adequate in Henan Province. But the median of urinary iodine concentration of reproductive?age women were slightly above the adequate level. The proportions above iodine adequate level were 26.7% in reproductive?age women, 29.4% in pregnant women and 22.5% in children aged 8-10 years.
10.Iodine status of vulnerable populations in Henan Province of China three years after the implementation of new iodized salt standard
Jin YANG ; Jiangzhou YAN ; Xiaofeng LI ; Heming ZHENG ; Lin ZHU ; Yang LIU ; Li ZHANG ; Ning SUN ; Gan CHEN ; Yanli WANG
Chinese Journal of Preventive Medicine 2019;53(11):1173-1175
Iodine nutrition surveillance of vulnerable population was conducted in 18 cities of Henan Province in 2015. The medians and quartiles of urinary iodine concentration in women of reproductive?age (n=3 318), pregnant women (n=36 366), lactating women (n=4 153), infants<2 years of age (n=1 017), and children aged 8-10 years (n=4 806) were 202.1(124.0, 310.0), 192.4(133.6, 262.4), 168.3 (119.1, 248.3), 214.2(156.1, 272.3) and 90.0 (121.8, 285.6) μg/L, respectively. Iodine status of the vulnerable populations was generally regarded as adequate in Henan Province. But the median of urinary iodine concentration of reproductive?age women were slightly above the adequate level. The proportions above iodine adequate level were 26.7% in reproductive?age women, 29.4% in pregnant women and 22.5% in children aged 8-10 years.

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