ketendoКлиническая и экспериментальная тиреоидологияClinical and experimental thyroidology1995-54722310-3787Endocrinology Research Centre10.14341/ket2015112-21ketendo-7164Research ArticleОбзоры литературыReview of literatureЙодный дефицит: современное состояние проблемыIodine deficiency: current statusПлатоноваНадежда МихайловнаPlatonovaNadezhda Mikhailovna

д.м.н., главный научный сотрудник отделения терапии с группой патологии метаболизма и ожирения Института клинической эндокринологии ФГБУ ЭНЦ

MD, PhD, Professor

doc-platonova@inbox.ruФГБУ "Эндокринологический научный центр"Минздрава России, МоскваРоссияEndocrinology Research Centre, MoscowRussian Federation2015080520151111221Copyright © Платонова Н.М., 20152015Платонова Н.М.Platonova N.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.cet-endojournals.ru/jour/article/view/7164

Одним из приоритетных направлений здравоохранения большинства стран мира является профилактика йододефицит-ных заболеваний. В условиях природного дефицита йода проживает около 2 млрд человек. Известно, что наибольшую опасность представляет недостаточное поступление йода в организм на этапе внутриутробного развития и в раннем детском возрасте. Изменения, вызванные йододефицитом в эти периоды жизни, проявляются необратимыми дефектами в интеллектуальном и физическом развитии детей. Однако весь спектр йододефицитной патологии широк и простирается от репродуктивных нарушений до специфических заболеваний щитовидной железы.

По данным ВОЗ, МСКЙДЗ и ООН (ЮНИСЕФ), в 96 странах проблема дефицита йода в питании уже разрешена благодаря действию законодательных и нормативных актов по обязательному йодированию соли. Только 13 стран, не имеющих подобных законов, в том числе и Россия, продолжают проживать в условиях некомпенсированного дефицита йода. В связи с этим проблема йодного дефицита для многих стран представляется чрезвычайно актуальной. Необходимо проведение массовой и индивидуальной йодной профилактики с применением препаратов, содержащих физиологическую дозу йода (как, например, Йодомарин), в группах высокого риска на законодательной основе.

One of the priorities of health care in most countries is the prevention of iodine deficiency disorders (IDD). About two billion people live in areas of natural iodine deficiency. It is known that insufficient intake of iodine in utero and in early childhood is the greatest danger. Changes caused by iodine deficiency in these periods of life manifest in irreversible defects of intellectual and physical development. However, the entire spectrum of IDD is wide and extends from reproductive disorders to specific thyroid diseases.

According to the World Health Organization (UNICEF), in 96 countries with iodine deficiency are already laws and regulations on mandatory salt iodization, only 13 countries do not have the law, including Russia. It is proved that the Russian population continues to live in conditions of uncompensated iodine deficiency.

In this connection it is extremely relevant conduct mass iodine prophylaxis and individual using preparations containing a physiological dose of iodine (such as Jodomarin) in high-risk groups on a statutory basis.

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The authors declare that there are no conflicts of interest present.