preventivní opatření v Čr k zajištění zásobení obyvatel jódem

Preventivn opaten v R

k zajitn zsoben obyvatel jdem L. RyavSttn zdravotn stav PrahaBrno. MU, 26.11.2013

Rizika nedostatku jdu

eny:poruchy menstruanho cyklu, oplodnn

Bhem thotenstv:zven riziko potrat a narozen mrtvho ploduvrozench vad

Novorozenci, kojenci, dt:porodn komplikacesy nedostatenho zsoben kyslkemnovorozeneck strumaporuchy vvoje CNS (sy hyalinnch membrn, sluchu), duevnho vvojezpodn vvoj skeletu

Dospvajc:pubertln strumaporuchy uen, chpn, soustedn, ni IQzven riziko arteriosklerzy

Dospl:endemick strumafunkn poruchy ttn lzy snen produkce tyroxinu, trijodtyroninu

Pemna jdu - schma

Celospoleensk resp. kol veejnho zdravotnictv R

1995 pi SZ - Meziresortn komise pro een jd. deficitu

Obohacen kuchy. soli jdem a preference pouit v domcnostech a potrav.prm. solit co nejmn, ale vdy sol s jdem - zven a uzkonn obsah jdu v soli (20-34 mg/kg) - jodid nahrazen stabilnjm jodinanem, vrstven obalov materil - kontrola koncentrace J v soli u vrobc a v distribun sti (vetn dovozu)Intervence a zvy. % vrobc potravin pouvajcch sl s jdem dobrovoln,t.. nen teba intervenovat vzhledem k obsahu J v mlceEdukace odborn i laick veejnosti vznamu optimlnho psunu JVznam spolenho stravovn (koln, zvodn)Vrobky obohacen jdem clen pro nhradn mlnou kojeneckou stravu, thotn a kojc Plon, individuln suplementace thotnch a kojcch -KJ hrazen zdrav. poji.Sjednocen laboratornch a epid. metodSpotebn koMonitorovn efektu jodurie, TSH novorozenc (screening v R), volum t. l.Vyeit jd. deficit do r. 2000 vzva ICCIDD WHO 1990

Intervenn preventivn program

Clov skupiny: dti a dospvajc mlde, thotn a kojc eny spoluprce sgynekology, pediatry, endokrinology, odborn veejnost s vrobci potravin a pokrm ve veejnm stravovn sdlovacmi prostedkyVytvoeny a distribuovny tiskov informan materilyOsvdila se tradice Dne jdu duben, kvten- Celosvtov den ttn lzy)Konference, sdl. prostedky Vlastn epidemiologick metody:

Dotaznk - zen interview - informovan souhlas stravovac zvyklosti, tkajcch se psunu jdu, pouvn soli s jdem pi vrob potravin- o elu, zpsobu vyeten a vsledcch vichni respondenti psemn informovni.

Monitorovn pjmu jduna zklad urinrn exkrece jdu (ICP-MS - hmotnostn spektrometri sinduktivn vzanou plasmou)

Vyetovn obsahu jdu v soli a potravinch

Sledovn pouvn soli s jdem - v prmyslu, v domcnostech (spotebn ko)

Publikace ve sdlovacch prostedcch, Dny zdrav, poradny v odbornm tisku a v rmci resortu, mezinrodn - SVS,SZPI, HS, MZ R, MZe R Metodika

Grant IGA (1997-99) Intervenn program komunitn Monitoring - obsah soli jdu v potravinch (sl, pekask, masn vrobky)

PPZ (1999-2000)Intervenn programPouvn soli s jdem pi vrob potravin v R spoluprce se SZPI a SVSJodurie 147 thotnch v regionu Frdek-Mstek a Olomouc

Projekt Danone ( 2001)Jodurie 578 dt ve vku 10-12 let v 11 regionech R

PPZ (2002 2004)Plon realizace preventivnho programuPouvn soli s jdem pi vrob potravin v R se SZPI a SVS srovnvac etenobsah jdu v soli a v mlce v distribun stiJodurie 416 thotnch v 8 regionech R Sjednocovn kvality laboratornch stanovenSoubor 400 rodiek z 8 porodnic 7 region RSpoubor 100 senior Ostravsko jen-prosinec 2007

Spec. monitoring zdrav. stavu obyv. vostravsko-karvinsk oblasti ve vztahu kivot. prosted (2002)Jodurie 207 osob ve vku 18let v Ostrav a Karvin

Monitorovn efektu - jodurie, znalosti o problematice, stravovac zvyklosti ovlivujc zsoben jdem Metodik1995 - Meziresortn komise pro een jdovho deficitu SZ Praha

Hodnocen zsoben jdem podle jodurie

List1

Tab. 1Hodnocen zsoben jdem podle jodurie

JodurieKlinick zvanostJodurieStupe deficitu

(g/l)(ICCIDD)g/g kreatininu(SZO)

150 - 299optimlndostatenzsoben> 150dn nedostatek

100 a vceuspokojiv100 - 1500

50 - 99hraninsnenlehkjodopenie50 - 100I

20 - 49zcelariziko klinickyzvanch poruch25 - 50II

do 19nedostatenriziko kretenismu< 25III

List2

List3

Jodurie v R 1995 2012 (v ug/l)

Saturace jdem souboru 10-12 letch dt vR r. 2001Jodurie 329 g/lMedin 306 g/l

Graf3

09.09090909099.090909090931.818181818250

006.779661016940.677966101752.5423728814

03.50877192983.508771929835.087719298257.8947368421

07.692307692321.153846153838.461538461532.6923076923

0223858

01.75438596493.508771929829.824561403564.9122807018

1.78571428577.14285714295.35714285715035.7142857143

01.78571428575.357142857130.357142857162.5

03.44827586211.72413793132.758620689762.0689655172

07.547169811311.32075471743.396226415137.7358490566

01.7241379313.448275862141.379310344853.4482758621

0.17301038063.80622837376.40138408337.716262975851.9031141869

%

Dle klasifikace ICCIDD podle lokalit

20 - 49 g/l

50 - 99 g/l

100 - 149 g/l

150 - 299 g/l

> 299 g/l

List1

Jodurie (g/l moe)

pohlavnxSDmedin

Souborhoi275353173331

dvky303308140290

celkem578329158306

Obsah jdu v g/l moe - saturace v %

pohlavndo 1920 - 4950 - 99100 - 149150 - 299> 299

Souborhoi27500.43.35.833.157.5

dvky303004.36.941.946.9

celkem57800.23.86.437.751.9

klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln

dostaten

List1

09.09090909099.090909090931.818181818250

006.779661016940.677966101752.5423728814

03.50877192983.508771929835.087719298257.8947368421

07.692307692321.153846153838.461538461532.6923076923

0223858

01.75438596493.508771929829.824561403564.9122807018

1.78571428577.14285714295.35714285715035.7142857143

01.78571428575.357142857130.357142857162.5

03.44827586211.72413793132.758620689762.0689655172

07.547169811311.32075471743.396226415137.7358490566

01.7241379313.448275862141.379310344853.4482758621

0.17301038063.80622837376.40138408337.716262975851.9031141869

%

20 - 49 g/l

50 - 99 g/l

100 - 149 g/l

150 - 299 g/l

> 299 g/l

Saturace dle klasifikace ICCIDD podle lokalit r. 2001

List2

09.09090909099.090909090931.818181818250

006.779661016940.677966101752.5423728814

03.50877192983.508771929835.087719298257.8947368421

07.692307692321.153846153838.461538461532.6923076923

0223858

01.75438596493.508771929829.824561403564.9122807018

1.78571428577.14285714295.35714285715035.7142857143

01.78571428575.357142857130.357142857162.5

03.44827586211.72413793132.758620689762.0689655172

07.547169811311.32075471743.396226415137.7358490566

01.7241379313.448275862141.379310344853.4482758621

0.17301038063.80622837376.40138408337.716262975851.9031141869

%

Dle klasifikace ICCIDD podle lokalit

20 - 49 g/l

50 - 99 g/l

100 - 149 g/l

150 - 299 g/l

> 299 g/l

List3

1131141721 %3 %58 %38 %0 %ug/l 0Min. 37 ug/l D LibMax. 1032 ug /l H OvaJodurie a saturace jdem 11-12letch dt z 6 mst v R (ug/l) r. 2012

Graf1

0

3

11

172

114

etnost

etnost

Histogram

Po oblastech

OstravaBrnoJihlavaLiberecPrahaPlze

oznaen vzorkuoznaen vzorkuoznaen vzorkuoznaen vzorkuoznaen vzorkuoznaen vzorkuTdy

OVA 101305BR 201587JI 301266LB 401121PH 501153PL 60120319.9

OVA 10286BR 202400JI 302220LB 402105PH 502136PL 60237249.9

OVA 103133BR 203247JI 303135LB 403193PH 503191PL 60324499.9

OVA 104116BR 204400JI 304208LB 404159PH 504228PL 604273299.9

OVA 105261BR 205386JI 305267LB 405244PH 505318PL 605232

OVA 106249BR 206358JI 306183LB 406314PH 506232PL 606133

OVA 107487BR 207879JI 307209LB 407193PH 507341PL 607340

OVA 10884BR 208827JI 308393LB 408172PH 508181PL 608192

OVA 109208BR 20978JI 309222LB 409507PH 509141PL 609258

OVA 110101BR 210244JI 310229LB 410236PH 510453PL 610155

OVA 111135BR 211331JI 31152LB 411509PH 511348PL 611362

OVA 11273BR 212156JI 312256LB 412239PH 512106PL 612333

OVA 113306BR 213111JI 313302LB 413158PH 513262PL 613554

OVA 114268BR 214201JI 314240LB 414502PH 514154PL 614120

OVA 115147BR 215305JI 31562LB 415291PH 515245PL 615267

OVA 11694BR 216147JI 316224LB 416265PH 516198PL 616443

OVA 117386BR 217489JI 317111LB 417566PH 517297PL 617129

OVA 118471BR 218189JI 318206LB 418284PH 518348PL 618233

OVA 119330BR 219476JI 319200LB 41937PH 519182PL 619424

OVA 120242BR 220657JI 320351LB 420345PH 520207PL 620156

OVA 121630BR 221276JI 321209LB 421124PH 521423PL 621164

OVA 122261BR 22247JI 322360LB 422211PH 52292PL 622174

OVA 123187BR 223248JI 323193LB 423290PH 523273PL 626272

OVA 124724BR 224348JI 324419LB 424224PH 524200PL 627247

OVA 125329BR 225198JI 325513LB 425288PH 525377PL 628308

OVA 151471BR 226266JI 326310LB 426194PH 526303PL 629221

OVA 152450BR 227438JI 327574LB 427159PH 527425PL 630261

OVA 153320BR 228279JI 328304LB 428208PH 528211PL 631351

OVA 154317BR 229219JI 329151LB 429441PH 529233PL 632148

OVA 155240BR 230240JI 330318LB 430166PH 530177PL 633151

OVA 126477BR 231269JI 331119LB 431404PH 53181PL 634618

OVA 1271032BR 232134JI 332229LB 432476PH 532384PL 635146

OVA 128288BR 233155JI 333478LB 433101PH 533176PL 636393

OVA 129209BR 234114JI 334352LB 434580PH 534285PL 637133

OVA 130431BR 235529JI 33581LB 435185PH 535177PL 638296

OVA 131166BR 236417JI 336284LB 436174PH 536351PL 639128

OVA 132383BR 237297JI 337251LB 437195PH 537251PL 640269

OVA 133347BR 238196JI 338475LB 438128PH 538230PL 641400

OVA 134184BR 239385JI 339316LB 439210PH 53986PL 642150

OVA 135253BR 240132JI 340332LB 440209PH 540178PL 643329

OVA 136338BR 241377JI 341245LB 441309PH 541187PL 644363

OVA 137224BR 242490JI 342130LB 442397PH 542210PL 645359

OVA 138256BR 243459JI 343263LB 443410PH 543186PL 646430

OVA 139438BR 244349JI 344687LB 444343PH 544233PL 647396

OVA 140340BR 245189JI 345264LB 445494PH 545149PL 648205

OVA 141416BR 246550JI 346576LB 446356PH 546360PL 649120

OVA 142188BR 247233JI 347277LB 447359PH 547316PL 650241

OVA 143411JI 348235LB 448172PH 548327PL 651243

OVA 144295JI 349279LB 449381PH 549473

OVA 145409JI 350158LB 450148PH 550151

OVA 146450PH 55143

OVA 147168PH 552191

OVA 148146

Chlapci + dvkyChlapci + dvkyChlapci + dvkyChlapci + dvkyChlapci + dvkyChlapci + dvky

MINIMUM73MINIMUM47MINIMUM52MINIMUM37MINIMUM43MINIMUM120

MAXIMUM724MAXIMUM879MAXIMUM687MAXIMUM580MAXIMUM473MAXIMUM618

PRMR307PRMR325PRMR274PRMR275PRMR240PRMR270

MEDIN288MEDIN279MEDIN254MEDIN237MEDIN219MEDIN252

OstravaBrnoJihlavaLiberecPrahaPlze

celkem

TdyetnostTdyetnostTdyetnostTdyetnostTdyetnostTdyetnost

000000

20-49,9020-49,9120-49,9020-49,9120-49,9120-49,90

50-99,9450-99,9150-99,9350-99,9050-99,9350-99,90

100-299,924100-299,923100-299,930100-299,931100-299,933100-299,931

252217181517

dvky


000000

20-49,9020-49,9120-49,9020-49,9120-49,9020-49,90

50-99,9450-99,9150-99,9250-99,9050-99,9150-99,90

100-299,913100-299,910100-299,914100-299,919100-299,917100-299,915

13132677

chlapci


000000

20-49,9020-49,9020-49,9020-49,9020-49,9120-49,90

50-99,9050-99,9050-99,9150-99,9050-99,9250-99,90

100-299,911100-299,913100-299,916100-299,912100-299,916100-299,916

1291512810

Celkem

vzorky

oznaen vzorkuTdyTdyetnost

OVA 10130519.90

OVA 1028649.920-49,93

OVA 10313399.950-99,911

OVA 104116299.9100-299,9172

OVA 105261114

OVA 106249

OVA 107487

OVA 10884

OVA 109208

OVA 110101

OVA 111135

OVA 11273

OVA 113306

OVA 114268

OVA 115147

OVA 11694

OVA 117386

OVA 118471

OVA 119330

OVA 120242

OVA 121630

OVA 122261

OVA 123187

OVA 124724

OVA 125329

OVA 151471

OVA 152450

OVA 153320

OVA 154317

OVA 155240

OVA 126477

OVA 1271032

OVA 128288

OVA 129209

OVA 130431

OVA 131166

OVA 132383

OVA 133347

OVA 134184

OVA 135253

OVA 136338

OVA 137224

OVA 138256

OVA 139438

OVA 140340

OVA 141416

OVA 142188

OVA 143411

OVA 144295

OVA 145409

OVA 146450

OVA 147168

OVA 148146

BR 201587

BR 202400

BR 203247

BR 204400

BR 205386

BR 206358

BR 207879

BR 208827

BR 20978

BR 210244

BR 211331

BR 212156

BR 213111

BR 214201

BR 215305

BR 216147

BR 217489

BR 218189

BR 219476

BR 220657

BR 221276

BR 22247

BR 223248

BR 224348

BR 225198

BR 226266

BR 227438

BR 228279

BR 229219

BR 230240

BR 231269

BR 232134

BR 233155

BR 234114

BR 235529

BR 236417

BR 237297

BR 238196

BR 239385

BR 240132

BR 241377

BR 242490

BR 243459

BR 244349

BR 245189

BR 246550

BR 247233

JI 301266

JI 302220

JI 303135

JI 304208

JI 305267

JI 306183

JI 307209

JI 308393

JI 309222

JI 310229

JI 31152

JI 312256

JI 313302

JI 314240

JI 31562

JI 316224

JI 317111

JI 318206

JI 319200

JI 320351

JI 321209

JI 322360

JI 323193

JI 324419

JI 325513

JI 326310

JI 327574

JI 328304

JI 329151

JI 330318

JI 331119

JI 332229

JI 333478

JI 334352

JI 33581

JI 336284

JI 337251

JI 338475

JI 339316

JI 340332

JI 341245

JI 342130

JI 343263

JI 344687

JI 345264

JI 346576

JI 347277

JI 348235

JI 349279

JI 350158

LB 401121

LB 402105

LB 403193

LB 404159

LB 405244

LB 406314

LB 407193

LB 408172

LB 409507

LB 410236

LB 411509

LB 412239

LB 413158

LB 414502

LB 415291

LB 416265

LB 417566

LB 418284

LB 41937

LB 420345

LB 421124

LB 422211

LB 423290

LB 424224

LB 425288

LB 426194

LB 427159

LB 428208

LB 429441

LB 430166

LB 431404

LB 432476

LB 433101

LB 434580

LB 435185

LB 436174

LB 437195

LB 438128

LB 439210

LB 440209

LB 441309

LB 442397

LB 443410

LB 444343

LB 445494

LB 446356

LB 447359

LB 448172

LB 449381

LB 450148

PH 501153

PH 502136

PH 503191

PH 504228

PH 505318

PH 506232

PH 507341

PH 508181

PH 509141

PH 510453

PH 511348

PH 512106

PH 513262

PH 514154

PH 515245

PH 516198

PH 517297

PH 518348

PH 519182

PH 520207

PH 521423

PH 52292

PH 523273

PH 524200

PH 525377

PH 526303

PH 527425

PH 528211

PH 529233

PH 530177

PH 53181

PH 532384

PH 533176

PH 534285

PH 535177

PH 536351

PH 537251

PH 538230

PH 53986

PH 540178

PH 541187

PH 542210

PH 543186

PH 544233

PH 545149

PH 546360

PH 547316

PH 548327

PH 549473

PH 550151

PH 55143

PH 552191

PL 601203

PL 602372

PL 603244

PL 604273

PL 605232

PL 606133

PL 607340

PL 608192

PL 609258

PL 610155

PL 611362

PL 612333

PL 613554

PL 614120

PL 615267

PL 616443

PL 617129

PL 618233

PL 619424

PL 620156

PL 621164

PL 622174

PL 626272

PL 627247

PL 628308

PL 629221

PL 630261

PL 631351

PL 632148

PL 633151

PL 634618

PL 635146

PL 636393

PL 637133

PL 638296

PL 639128

PL 640269

PL 641400

PL 642150

PL 643329

PL 644363

PL 645359

PL 646430

PL 647396

PL 648205

PL 649120

PL 650241

PL 651243

MINIMUM37

MAXIMUM1032

PRMR281

MEDIN252

Celkem

etnost

etnost

Histogram

1032 ug/l hoch Ostrava37 ug/l dvka Liberec

Graf ve

305.3

85.9

132.6

115.5

260.5

249.2

486.7

83.9

207.5

100.6

134.6

73.4

306.3

267.9

147.3

93.8

386.2

471.2

330.1

241.8

629.9

260.8

187.1

724.2

328.6

470.8

449.8

319.8

316.9

239.7

477.2

1032.3

288.3

208.7

431.4

166.3

382.7

346.9

184.3

253.4

338

223.8

256

438.1

339.7

416.2

188.2

410.5

294.6

409.4

449.8

168.1

146.1

587

399.7

247.1

400.1

386.2

357.8

878.5

826.7

77.8

244.4

330.9

155.9

110.5

201

305.2

147.3

489

189.2

476

656.8

275.5

47

247.7

347.7

198.3

265.8

437.7

279.1

219.2

239.7

269

134.2

154.5

114.3

529

416.5

297.3

196

384.6

132.4

376.7

489.5

458.5

348.7

189.1

549.8

232.9

266.1

220.1

134.8

208.3

266.7

182.7

208.6

392.5

221.5

229

51.8

256

302.3

240

62

223.8

111

206.4

199.6

351.2

208.7

360.3

192.8

419.1

513.3

310.1

573.6

304.2

151.4

317.6

118.9

228.5

477.5

351.6

80.7

284.2

251.2

475.4

316.1

332.4

245.4

129.8

262.5

687.2

264.2

576

277

235.3

279.3

157.7

121.3

104.7

193.3

159

244.3

313.5

192.8

171.8

507

235.8

509

238.7

157.8

501.9

290.5

265.4

566.4

283.8

37

344.8

123.7

210.7

290.1

224.2

288.1

194.3

158.7

207.9

441.1

165.9

404.2

476.1

101

580.2

184.5

174.4

195.2

127.7

210.1

208.8

308.9

396.8

409.6

342.5

494.4

356.2

359

171.8

380.9

148.2

153.4

135.8

191

227.6

317.7

232

341.1

180.8

141.3

452.8

348.2

106.3

262.4

154.4

245.1

198.2

297.2

347.5

182

206.9

422.7

91.6

272.9

199.9

377

302.8

425.4

211.2

232.6

176.7

81

384.1

176.1

284.6

177.4

350.5

250.6

229.9

85.5

178.1

186.6

210

185.5

232.9

148.6

359.7

315.8

327

473.3

151.3

42.6

191.4

203.4

371.7

243.9

273.4

232.2

133.3

340.2

192.1

258.2

154.7

362.4

333

554.3

120.1

266.7

442.6

128.6

232.7

423.6

156.2

164.1

173.6

271.8

246.7

308.3

221

261.4

351.3

148.1

151.2

618.3

145.9

393.3

132.7

296.3

128

269.1

399.6

150.1

329.1

362.8

358.8

429.6

395.5

204.6

119.7

241.1

242.8

dvky chlapci

Ostrava , Brno, Jihlava, Liberec, Praha, Plze

c (g/L)

Saturace jdem a jodurie 11-12 letch dt z 6 oblast v R v r.2012-2013

Data ve

dvky

oznaen vzorkukoncentrace (mg/l)

OVA 101305

OVA 10286

OVA 103133

OVA 104116

OVA 105261

OVA 106249

OVA 107487

OVA 10884

OVA 109208

OVA 110101

OVA 111135

OVA 11273

OVA 113306

OVA 114268

OVA 115147

OVA 11694

OVA 117386

OVA 118471

OVA 119330

OVA 120242

OVA 121630

OVA 122261

OVA 123187

OVA 124724

OVA 125329

OVA 151471

OVA 152450

OVA 153320

OVA 154317

OVA 155240

OVA 126477

OVA 1271032

OVA 128288

OVA 129209

OVA 130431

OVA 131166

OVA 132383

OVA 133347

OVA 134184

OVA 135253

OVA 136338

OVA 137224

OVA 138256

OVA 139438

OVA 140340

OVA 141416

OVA 142188

OVA 143411

OVA 144295

OVA 145409

OVA 146450

OVA 147168

OVA 148146

BR 201587

BR 202400

BR 203247

BR 204400

BR 205386

BR 206358

BR 207879

BR 208827

BR 20978

BR 210244

BR 211331

BR 212156

BR 213111

BR 214201

BR 215305

BR 216147

BR 217489

BR 218189

BR 219476

BR 220657

BR 221276

BR 22247

BR 223248

BR 224348

BR 225198

BR 226266

BR 227438

BR 228279

BR 229219

BR 230240

BR 231269

BR 232134

BR 233155

BR 234114

BR 235529

BR 236417

BR 237297

BR 238196

BR 239385

BR 240132

BR 241377

BR 242490

BR 243459

BR 244349

BR 245189

BR 246550

BR 247233

JI 301266

JI 302220

JI 303135

JI 304208

JI 305267

JI 306183

JI 307209

JI 308393

JI 309222

JI 310229

JI 31152

JI 312256

JI 313302

JI 314240

JI 31562

JI 316224

JI 317111

JI 318206

JI 319200

JI 320351

JI 321209

JI 322360

JI 323193

JI 324419

JI 325513

JI 326310

JI 327574

JI 328304

JI 329151

JI 330318

JI 331119

JI 332229

JI 333478

JI 334352

JI 33581

JI 336284

JI 337251

JI 338475

JI 339316

JI 340332

JI 341245

JI 342130

JI 343263

JI 344687

JI 345264

JI 346576

JI 347277

JI 348235

JI 349279

JI 350158

LB 401121

LB 402105

LB 403193

LB 404159

LB 405244

LB 406314

LB 407193

LB 408172

LB 409507

LB 410236

LB 411509

LB 412239

LB 413158

LB 414502

LB 415291

LB 416265

LB 417566

LB 418284

LB 41937

LB 420345

LB 421124

LB 422211

LB 423290

LB 424224

LB 425288

LB 426194

LB 427159

LB 428208

LB 429441

LB 430166

LB 431404

LB 432476

LB 433101

LB 434580

LB 435185

LB 436174

LB 437195

LB 438128

LB 439210

LB 440209

LB 441309

LB 442397

LB 443410

LB 444343

LB 445494

LB 446356

LB 447359

LB 448172

LB 449381

LB 450148

PH 501153

PH 502136

PH 503191

PH 504228

PH 505318

PH 506232

PH 507341

PH 508181

PH 509141

PH 510453

PH 511348

PH 512106

PH 513262

PH 514154

PH 515245

PH 516198

PH 517297

PH 518348

PH 519182

PH 520207

PH 521423

PH 52292

PH 523273

PH 524200

PH 525377

PH 526303

PH 527425

PH 528211

PH 529233

PH 530177

PH 53181

PH 532384

PH 533176

PH 534285

PH 535177

PH 536351

PH 537251

PH 538230

PH 53986

PH 540178

PH 541187

PH 542210

PH 543186

PH 544233

PH 545149

PH 546360

PH 547316

PH 548327

PH 549473

PH 550151

PH 55143

PH 552191

PL 601203

PL 602372

PL 603244

PL 604273

PL 605232

PL 606133

PL 607340

PL 608192

PL 609258

PL 610155

PL 611362

PL 612333

PL 613554

PL 614120

PL 615267

PL 616443

PL 617129

PL 618233

PL 619424

PL 620156

PL 621164

PL 622174

PL 626272

PL 627247

PL 628308

PL 629221

PL 630261

PL 631351

PL 632148

PL 633151

PL 634618

PL 635146

PL 636393

PL 637133

PL 638296

PL 639128

PL 640269

PL 641400

PL 642150

PL 643329

PL 644363

PL 645359

PL 646430

PL 647396

PL 648205

PL 649120

PL 650241

PL 651243

MINIMUM37

MAXIMUM1032

PRMR281

MEDIN252

Saturace jdem (v %) dle ICCIDD 18ti letch z OV a KAr. 2002Jodurie 342 g/lMedin 323 g/l

tabulky

KarvinOstrava

hoi331416

dvky240358

celkem289389

50 - 991.9%

100 - 1494.8%

150 - 29938.2%

> 299 g/l55.1%

celkem souborn

dvky29997

hoi374110

celkem342207

jodurie

jodurie (g/l moe)

pohlavnxSDmedin

souborKarvinhoi52331160315

dvky45240108221

celkem97289145251

Ostravahoi58416140397

dvky52358158341

celkem110389151379

celkem207342156323

jodurie

299374342

(g/l moe)

dvky

hoi

celkem

List1

List1

289331240

389416358

(g/l moe)

celkem

hoi

dvky

saturace

299374342

dvky

hoi

celkem

jodurie (g/l moe)

saturace+n

ndo 49 g/l moe50 - 99100 - 149150 - 299> 299

Karvinhoi520.03.85.838.551.9

dvky450.04.48.966.720.0

celkem970.04.17.251.637.1

Ostravahoi580.00.00.022.477.6

dvky520.00.05.830.763.5

celkem1100.00.02.726.470.9

celkem2070.01.94.838.255.1


dostaten 98,1 %

saturace+n

0.019

0.048

0.382

0.551

ul

karvin

obsah jodu v g/l moe - saturace v %

n celkemdo 4950 - 99100 - 149150 - 299> 299

n%n%n%n%n%

Karvinhoi5200.023.835.82038.52751.9

dvky4500.024.448.93066.7920.0

celkem9700.044.177.25051.63637.1

Ostravahoi5800.000.000.01322.44577.6

dvky5200.000.035.81630.73363.5

celkem11000.000.032.72926.47870.9

celkem20700.041.9104.87938.211455.1


dostaten

ostrava

KARVIN


n celkemdo 4950 - 99100 - 149150 - 299> 299

n%n%n%n%n%

hoi5200.023.835.82038.52751.9

dvky4500.024.448.93066.7920.0

celkem9700.044.177.25051.63637.1


dostaten

OSTRAVA


n celkemdo 4950 - 99100 - 149150 - 299> 299

n%n%n%n%n%

hoi5800.000.000.01322.44577.6

dvky5200.000.035.81630.73363.5

celkem11000.000.032.72926.47870.9


dostaten

Graf5

0.019

0.048

0.382

0.551

tabulky

KarvinOstrava

hoi331416

dvky240358

celkem289389

50 - 991.9%

100 - 1494.8%

150 - 29938.2%

> 299 g/l55.1%

celkem souborn

dvky29997

hoi374110

celkem342207

jodurie

jodurie (g/l moe)

pohlavnxSDmedin

souborKarvinhoi52331160315

dvky45240108221

celkem97289145251

Ostravahoi58416140397

dvky52358158341

celkem110389151379

celkem207342156323

jodurie

299374342

(g/l moe)

dvky

hoi

celkem

List1

List1

289331240

389416358

(g/l moe)

celkem

hoi

dvky

saturace

299374342

dvky

hoi

celkem

jodurie (g/l moe)

saturace+n

ndo 4950 - 99100 - 149150 - 299> 299

Karvinhoi520.03.85.838.551.9

dvky450.04.48.966.720.0

celkem970.04.17.251.637.1

Ostravahoi580.00.00.022.477.6

dvky520.00.05.830.763.5

celkem1100.00.02.726.470.9

celkem2070.01.94.838.255.1


dostaten

saturace+n

0.019

0.048

0.382

0.551

ul

karvin


n celkemdo 4950 - 99100 - 149150 - 299> 299

n%n%n%n%n%

Karvinhoi5200.023.835.82038.52751.9

dvky4500.024.448.93066.7920.0

celkem9700.044.177.25051.63637.1

Ostravahoi5800.000.000.01322.44577.6

dvky5200.000.035.81630.73363.5

celkem11000.000.032.72926.47870.9

celkem20700.041.9104.87938.211455.1


dostaten

ostrava

KARVIN


n celkemdo 4950 - 99100 - 149150 - 299> 299

n%n%n%n%n%

hoi5200.023.835.82038.52751.9

dvky4500.024.448.93066.7920.0

celkem9700.044.177.25051.63637.1


dostaten

OSTRAVA


n celkemdo 4950 - 99100 - 149150 - 299> 299

n%n%n%n%n%

hoi5800.000.000.01322.44577.6

dvky5200.000.035.81630.73363.5

celkem11000.000.032.72926.47870.9


dostaten

jen-prosinecICP- MS (hmotnostn spektrometrie sinduktivn vzanou plasmou)Akreditovan laborato

R - asnj odbr krve pro screening 48-72 hod. po porodu vyaduje zmnu hodnocen normln jdov dodvky z pvodnch 3 % novorozenc s vym neoTSH (5,0 -15,0mU/L) na 5%

Hnkov O.1, Vinohradsk H.2, Kramar P.1, Al Taji E.1, Dejmek P.1

Zsady udritelnho stavu trvale eliminace IDD - indiktory

Hnkov O.1, Vinohradsk H.2, Kramar P.1, Al Taji E.1, Dejmek P.1

Zsady udritelnho stavu trvale eliminace IDD - indiktory

Sl sjodem > 90 % domcnost povajcch sl sjodem 96 % (485 z 505 dotazovanch) (Ryav a kol., 2013)

Obsah jdu v solch s jdem r. 1995 - 15 mg/kg

od r. 2002 2013 - 25 mg/kg

odpovd leg. poadavkm velmi dobe dostupn v kad prodejn (295 z 295 v 74 mstech) (Ryav a kol., 2013) cena nzk dosaiteln pro kadho (5-10 K/kg)

Obsah jdu v mlce v distribun sti r.2002 - 2013Metoda: ICP MS 305 g/l !!!!!r.1997 140 g/l !!!

mlko

OBSAH JDU V MLCE (g/l)

prosinec 2002

pasterovanMlko erstv Krkonosk mlkrny205

Mlko polotun mlkrna Cejetisk294

mlkarna Cejetisk

Mlko polotun Eligo mlkarna Olma408

mlko polotun Eligo

erstv mlko mlkrna Kunn283

UHTMlko polot. Krajanka mlkrna Lounsk330

Trvanliv mlko mlkrna Madeta323

Mlko Tatra Jemn mlkrna Hlinsko319

Mlko Tatra Jemn mlkrna Hlinsko291

Mlko odstedn 0,5% mlkrna Kunn290

Prmr305

Metoda:ICP MS

List2

List3

Pouit soli s jdem pi vrob pekaskch vrobk

r. 2002 - 81 % vrobc (n = 277)

r. 1999 - 55 % (n= 461)Obsah jdu ve 100 g pekaskch vrobk: 30 ug 20 % DDD

Graf1

0.809

1

1

1

0.966

0.889

0.84

0.833

0.81

0.774

0.75

0.727

0.7

0.667

0.5

List1

StadtnxSDmedian

Freudenthal51175100153

Ostrau76236103225

Hodonin4819394192

Zwittau47221125207

Kniggrtz50219100199

Gablonz48228139189

Teplitz45208112184

Karlsbad5119289169

alle416210109193

List2

Standn20 - 4950 - 99100 - 149150 - 299>299

Freudenthal515.917.625.543.17.8

Ostrau760.02.615.859.222.4

Hodonin482.18.329.252.18.3

Zwittau472.110.623.444.719.1

Kniggrtz500.08.024.042.026.0

Gablonz480.08.327.143.820.8

Teplitz452.26.722.253.315.6

Karlsbad510.011.819.658.89.8

alle4161.48.922.850.316.6

Beurteilung nach ICCIDDDeficiter mit Risiko der HypothyreoseGrenzwertausreichendoptimal

List5

List5

1

1

1

0.966

0.889

0.84

0.81

0.81

0.774

0.75

0.727

0.7

0.667

0.5

List6

List6

0.809

1

1

1

0.966

0.889

0.84

0.833

0.81

0.774

0.75

0.727

0.7

0.667

0.5

List4

vechny kraje80.9%277

Vysoina100%8

Jihlavsk100%8Zlnsk100%9

Zlnsk100%9Libereck100%10

Libereck100%10Moravskoslezsk96.6%29

Ostravsk96.6%29Olomouck88.9%9

Olomouck88.9%9Stedoesk84.0%50

Stedoesk84.0%50Jihomoravsk83.3%12

Hr. Krlov81%21Karlovarsk81%21

Karlovarsk81%21Plzesk77.4%31

Plzesk77.4%31Praha75%40

Praha75%40Pardubick72.7%11

Pardubick72.7%11Jihoesk70%10

Budjovick70%10steck66.7%27

steck66.7%27Krlovehradeck50%10

Krlovehradeck50%10

n =10

n =27

n =10

n =11

n =40

n =31

n =21

n =12

n =50

n =9

n =29

n =10

n =9

n =8

n =277

List4

N = 50

N = 9

N = 10

N =11

N = 31

N = 50

N = 27

N =29

N = 21

N = 9

N = 10

N = 40

N = 12

N = 8

List7

List3

ndo 4950 - 99100 - 149150 - 299> 299

Karwinknaben520.03.85.838.551.9

mdchen450.04.48.966.720.0

celkem970.04.17.251.637.1

Ostrauknaben580.00.00.022.477.6

mdchen520.00.05.830.763.5

alle1100.00.02.726.470.9

alle2070.01.94.838.255.1

Beurteilung nach ICCIDDGrenzwertausreichendoptimal

List3

0.5

0.727

0.833

1

0.774

0.81

1

0.667

0.75

0.84

0.889

0.966

0.7

1

MBD00033727.xls

tabulky pro grafy

prmr jodri

xx

Bruntl175Bruntl175

Ostrava236Karlovy Vary192

Hodonn193Hodonn193

Svitavy221Teplice208

Hradec Krlov219Hradec Krlov219

Jablonec n. N.228Svitavy221

Teplice208Jablonec n. N.228

Karlovy Vary192Ostrava236

saturace celkam

19 - 491.4%

50 - 998.9%

100 - 14922.8%

150 - 29950.2%

>29916.6%

jodurie

Jodurie bei 416 Schwangeren in 8 Regionen in Tschechien

StadtnxSDMedian


Ostrau76236103225

Hodonin4819394192

Zwittau47221125207

Kniggrtz50219100199

Gablonz48228139189

Teplitz45208112184

Karlsbad5119289169

alle416210109193

jodurie

175

192

193

208

219

221

228

236

x

JODURIE bei 416 Schwangeren in 8 Regionen (in g/l)

saturace celkem

mstondo 1919 - 4950 - 99100 - 149150 - 299>299

souborBruntl510.05.917.625.543.17.8

Ostrava760.00.02.615.859.222.4

Hodonn480.02.18.329.252.18.3

Svitavy470.02.110.623.444.719.1

Hradec Krlov500.00.08.024.042.026.0

Jablonec n. N.480.00.08.327.143.820.8

Teplice450.02.26.722.253.315.6

Karlovy Vary510.00.011.819.658.89.8

celkem4160.01.48.922.850.216.6


dostaten

saturace celkem

0.014

0.089

0.228

0.502

0.166

Beurteilung der Jodausscheidung bei 416 Schwangeren in 8 Regionen

saturace celkem+n

obsah jdu v g/l moe - saturace v %

mston celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

souborBruntl5100.035.9917.61325.52243.147.8

Ostrava7600.000.022.61215.84559.21722.4

Hodonn4800.012.148.31429.22552.148.3

Svitavy4700.012.1510.61123.42144.7919.1

H. Krlov5000.000.048.01224.02142.01326.0

Jablonec n. N.4800.000.048.31327.12143.81020.8

Teplice4500.012.236.71022.22453.3715.6

Karlovy Vary5100.000.0611.81019.63058.859.8

celkem41600.061.4378.99522.820950.26916.6

saturace bruntl

BRUNTL


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.035.9917.61325.52243.147.8


dostaten

saturace ostrava

OSTRAVA


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

7600.000.022.61215.84559.21722.4


dostaten

saturace hodonn

HODONN


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.012.148.31429.22552.148.3


dostaten

saturace svitavy

SVITAVY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4700.012.1510.61123.42144.7919.1


dostaten

saturace hradec

HRADEC KRLOV


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5000.000.048.01224.02142.01326.0


dostaten

saturace jablonec

JABLONEC n. N.


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.000.048.31327.12143.81020.8


dostaten

saturace teplice

TEPLICE


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4500.012.236.71022.22453.3715.6


dostaten

saturace vary

KARLOVY VARY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.000.0611.81019.63058.859.8


dostaten

,

MBD0011824C.xls

List1

List2

List3

KrajPoet vyplnnch dotaznk% kladnch odpovd zcelkovho potu dotzanch

Krlovehradeck1050

Pardubick1172.7

Jihomoravsk1283.3

Zlnsk9100

Plzesk3177.4

Karlovarsk2181

Libereck10100

steck2766.7

Hlavn msto Praha4075

Stedoesk5084

Olomouck988.9

Moravskoslezsk2996.6

Jihoesk1070

Vysoina8100

vechny kraje27780.9

MBD0017E369.xls

Graf5

1

1

1

0.966

0.889

0.84

0.833

0.81

0.774

0.75

0.727

0.7

0.667

0.5

n = 10

n = 10

n = 27

n =11

n = 40

n = 31

n = 21

n =12

n = 50

n = 9

n= 29

n = 9

n = 8

n = 10

List1

StadtnxSDmedian


Ostrau76236103225

Hodonin4819394192

Zwittau47221125207

Kniggrtz50219100199

Gablonz48228139189

Teplitz45208112184

Karlsbad5119289169

alle416210109193

List2

Standn20 - 4950 - 99100 - 149150 - 299>299

Freudenthal515.917.625.543.17.8

Ostrau760.02.615.859.222.4

Hodonin482.18.329.252.18.3

Zwittau472.110.623.444.719.1

Kniggrtz500.08.024.042.026.0

Gablonz480.08.327.143.820.8

Teplitz452.26.722.253.315.6

Karlsbad510.011.819.658.89.8

alle4161.48.922.850.316.6


List4

Iglau100%8

Zlin100%9

Reichenberg100%10

Ostrau96.6%29

Olmtz88.9%9

Mittelbhmen84%50

Brnn83.3%12

Karlsbad81%21

Pilsen77.4%31

Prag75%40

Pardubitz72.7%11

Budweis70%10

Aussig66.7%27

Kniggrtz50%10

List4

0

0

0

0

0

0

0

0

0

0

0

0

0

0

N = 50

N = 9

N = 10

N =11

N = 31

N = 50

N = 27

N =29

N = 21

N = 9

N = 10

N = 40

N = 12

N = 8

List5

List5

1

1

1

0.966

0.889

0.84

0.833

0.81

0.774

0.75

0.727

0.7

0.667

0.5

List3

ndo 4950 - 99100 - 149150 - 299> 299

Karwinknaben520.03.85.838.551.9

mdchen450.04.48.966.720.0

celkem970.04.17.251.637.1

Ostrauknaben580.00.00.022.477.6

mdchen520.00.05.830.763.5

alle1100.00.02.726.470.9

alle2070.01.94.838.255.1


List3

0.5

0.727

0.833

1

0.774

0.81

1

0.667

0.75

0.84

0.889

0.966

0.7

1

MBD0004C51C.xls

tabulky pro grafy

prmr jodri

xx

Bruntl175Bruntl175


Hodonn193Hodonn193






saturace celkam

19 - 491.4%

50 - 998.9%

100 - 14922.8%

150 - 29950.2%

>29916.6%

jodurie


StadtnxSDMedian


Ostrau76236103225

Hodonin4819394192

Zwittau47221125207

Kniggrtz50219100199

Gablonz48228139189

Teplitz45208112184

Karlsbad5119289169

alle416210109193

jodurie

175

192

193

208

219

221

228

236

x

saturace celkem

Stadtn20 - 4950 - 99100 - 149150 - 299>299

Bruntl515.917.625.543.27.8

Ostrava760.02.615.859.222.4

Hodonn482.18.329.252.18.3

Svitavy472.110.623.444.819.1

Hradec Krlov500.08.024.042.026.0

Jablonec n. N.480.08.327.143.820.8

Teplice452.26.722.253.315.6

Karlovy Vary510.011.819.658.89.8

alle4161.48.922.850.316.6


dostaten

saturace celkem

0.014

0.089

0.228

0.502

0.166

saturace celkem+n


mston celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

souborBruntl5100.035.9917.61325.52243.147.8

Ostrava7600.000.022.61215.84559.21722.4

Hodonn4800.012.148.31429.22552.148.3

Svitavy4700.012.1510.61123.42144.7919.1

H. Krlov5000.000.048.01224.02142.01326.0

Jablonec n. N.4800.000.048.31327.12143.81020.8

Teplice4500.012.236.71022.22453.3715.6

Karlovy Vary5100.000.0611.81019.63058.859.8

celkem41600.061.4378.99522.820950.26916.6

saturace bruntl

BRUNTL


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.035.9917.61325.52243.147.8


dostaten

saturace ostrava

OSTRAVA


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

7600.000.022.61215.84559.21722.4


dostaten

saturace hodonn

HODONN


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.012.148.31429.22552.148.3


dostaten

saturace svitavy

SVITAVY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4700.012.1510.61123.42144.7919.1


dostaten

saturace hradec

HRADEC KRLOV


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5000.000.048.01224.02142.01326.0


dostaten

saturace jablonec

JABLONEC n. N.


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.000.048.31327.12143.81020.8


dostaten

saturace teplice

TEPLICE


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4500.012.236.71022.22453.3715.6


dostaten

saturace vary

KARLOVY VARY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.000.0611.81019.63058.859.8


dostaten

,

MBD0011824C.xls

List1

List2

List3

KrajPoet vyplnnch dotaznk% kladnch odpovd zcelkovho potu dotzanch

Krlovehradeck1050

Pardubick1172.7

Jihomoravsk1283.3

Zlnsk9100

Plzesk3177.4

Karlovarsk2181

Libereck10100

steck2766.7


Stedoesk5084

Olomouck988.9


Jihoesk1070

Vysoina8100

vechny kraje27780.9

MBD00033727.xls

tabulky pro grafy

prmr jodri

xx

Bruntl175Bruntl175


Hodonn193Hodonn193






saturace celkam

19 - 491.4%

50 - 998.9%

100 - 14922.8%

150 - 29950.2%

>29916.6%

jodurie


StadtnxSDMedian


Ostrau76236103225

Hodonin4819394192

Zwittau47221125207

Kniggrtz50219100199

Gablonz48228139189

Teplitz45208112184

Karlsbad5119289169

alle416210109193

jodurie

175

192

193

208

219

221

228

236

x

JODURIE bei 416 Schwangeren in 8 Regionen (in g/l)

saturace celkem

mstondo 1919 - 4950 - 99100 - 149150 - 299>299

souborBruntl510.05.917.625.543.17.8

Ostrava760.00.02.615.859.222.4

Hodonn480.02.18.329.252.18.3

Svitavy470.02.110.623.444.719.1

Hradec Krlov500.00.08.024.042.026.0

Jablonec n. N.480.00.08.327.143.820.8

Teplice450.02.26.722.253.315.6

Karlovy Vary510.00.011.819.658.89.8

celkem4160.01.48.922.850.216.6


dostaten

saturace celkem

0.014

0.089

0.228

0.502

0.166

Beurteilung der Jodausscheidung bei 416 Schwangeren in 8 Regionen

saturace celkem+n


mston celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

souborBruntl5100.035.9917.61325.52243.147.8

Ostrava7600.000.022.61215.84559.21722.4

Hodonn4800.012.148.31429.22552.148.3

Svitavy4700.012.1510.61123.42144.7919.1

H. Krlov5000.000.048.01224.02142.01326.0

Jablonec n. N.4800.000.048.31327.12143.81020.8

Teplice4500.012.236.71022.22453.3715.6

Karlovy Vary5100.000.0611.81019.63058.859.8

celkem41600.061.4378.99522.820950.26916.6

saturace bruntl

BRUNTL


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.035.9917.61325.52243.147.8


dostaten

saturace ostrava

OSTRAVA


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

7600.000.022.61215.84559.21722.4


dostaten

saturace hodonn

HODONN


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.012.148.31429.22552.148.3


dostaten

saturace svitavy

SVITAVY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4700.012.1510.61123.42144.7919.1


dostaten

saturace hradec

HRADEC KRLOV


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5000.000.048.01224.02142.01326.0


dostaten

saturace jablonec

JABLONEC n. N.


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.000.048.31327.12143.81020.8


dostaten

saturace teplice

TEPLICE


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4500.012.236.71022.22453.3715.6


dostaten

saturace vary

KARLOVY VARY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.000.0611.81019.63058.859.8


dostaten

,

MBD0004C51C.xls

tabulky pro grafy

prmr jodri

xx

Bruntl175Bruntl175


Hodonn193Hodonn193






saturace celkam

19 - 491.4%

50 - 998.9%

100 - 14922.8%

150 - 29950.2%

>29916.6%

jodurie


StadtnxSDMedian


Ostrau76236103225

Hodonin4819394192

Zwittau47221125207

Kniggrtz50219100199

Gablonz48228139189

Teplitz45208112184

Karlsbad5119289169

alle416210109193

jodurie

175

192

193

208

219

221

228

236

x

saturace celkem

Stadtn20 - 4950 - 99100 - 149150 - 299>299

Bruntl515.917.625.543.27.8

Ostrava760.02.615.859.222.4

Hodonn482.18.329.252.18.3

Svitavy472.110.623.444.819.1

Hradec Krlov500.08.024.042.026.0

Jablonec n. N.480.08.327.143.820.8

Teplice452.26.722.253.315.6

Karlovy Vary510.011.819.658.89.8

alle4161.48.922.850.316.6


dostaten

saturace celkem

0.014

0.089

0.228

0.502

0.166

saturace celkem+n


mston celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

souborBruntl5100.035.9917.61325.52243.147.8

Ostrava7600.000.022.61215.84559.21722.4

Hodonn4800.012.148.31429.22552.148.3

Svitavy4700.012.1510.61123.42144.7919.1

H. Krlov5000.000.048.01224.02142.01326.0

Jablonec n. N.4800.000.048.31327.12143.81020.8

Teplice4500.012.236.71022.22453.3715.6

Karlovy Vary5100.000.0611.81019.63058.859.8

celkem41600.061.4378.99522.820950.26916.6

saturace bruntl

BRUNTL


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.035.9917.61325.52243.147.8


dostaten

saturace ostrava

OSTRAVA


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

7600.000.022.61215.84559.21722.4


dostaten

saturace hodonn

HODONN


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.012.148.31429.22552.148.3


dostaten

saturace svitavy

SVITAVY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4700.012.1510.61123.42144.7919.1


dostaten

saturace hradec

HRADEC KRLOV


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5000.000.048.01224.02142.01326.0


dostaten

saturace jablonec

JABLONEC n. N.


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4800.000.048.31327.12143.81020.8


dostaten

saturace teplice

TEPLICE


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

4500.012.236.71022.22453.3715.6


dostaten

saturace vary

KARLOVY VARY


n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299

n%n%n%n%n%n%

5100.000.0611.81019.63058.859.8


dostaten

,

n = 781 sl s J n = 645 dusit.sms s JPouit soli a dusitanov smsi s jdem v masnch vrobcchr. 2002 - 84 % vrobcr. 1999 - 75 % (n=682)Obsah jdu ve 100 g masnch vrobk: 42 ug 29 % DDD

Graf2

0.5

0.71

0.76

0.77

0.78

0.79

0.82

0.85

0.86

0.89

0.91

0.93

0.95

0.96

masn - kraj

Pouivn soli s jdem ve vrobnch masnch vrobk v R v r. 2002

Krajpoet vrobensl s jdempoet vrobendusitanov smsideklarace

pouv%pouv %ano %

Karlovarsk262596.2222195.568

Zlnsk686494.1605591.717

Libereck474391.5393897.454

Pardubick413790.2353291.427

Plzesk605286.6615590.265

Stedoesk14312083.912310887.742

Krlovehradeck544583.3503774.022

steck1048581.7776787.054

Moravskoslezsk776280.5584882.856

Olomouck685276.5493877.612

Vysoina171376.5161275.027

Jihoesk141071.411981.830

Hlavn msto Praha493571.4312271.049

Jihomoravsk13861.513538.563

CELKEM78165183.464554784.842

graf

graf

0.5

0.71

0.76

0.77

0.78

0.79

0.82

0.85

0.86

0.89

0.91

0.93

0.95

0.96

Pouit soli a dusitanov smsi s jdem v masnch vrobcch v R v r. 2002

podklady

Pouvn soli a dusitanov smsi s jdem v R v r. 2002

Krajsl s jdemdusit. sms s jdemsl a dusit.sms celkem

%%%

Jihomoravsk623850%

Hlavn msto Praha717171%

Vysoina777576%

Jihoesk718277%

Olomouck777878%

Krlovehradeck837479%

Moravskoslezsk818382%

steck828785%

Stedoesk848886%

Plzesk879089%

Pardubick909191%

Zlnsk949293%

Libereck929795%

Karlovarsk969696%

Ryav 2002

tabulky 2

Pouvn soli a dusitanov smsi s jdem v R v r. 2002

Krajsl s jdemdusit. sms s jdemsl a dusit.sms celkem

%%%

Karlovarsk969696

Zlnsk949293

Libereck929795

Pardubick909191

Plzesk879089

Stedoesk848886

Krlovehradeck837479

steck828785

Moravskoslezsk818382

Olomouck777878

Vysoina777576

Jihoesk718277


Jihomoravsk623850

Ryav 2002

dusit. smsi

dusit. smsi

0.38

0.71

0.74

0.75

0.78

0.82

0.83

0.87

0.88

0.9

0.91

0.92

0.96

0.97

Pouit dusit. smsi s Jdem v masnch vrobcch v R v r. 2002

sl s jdem

sl s jdem

0.62

0.71

0.71

0.77

0.77

0.81

0.82

0.83

0.84

0.87

0.9

0.92

0.94

0.96

Pouit soli s jdem v masnch vrobcch v R v r. 2002

souvislost soli, jodurie, satur

6228792.5

7137898.2

71Hlavn msto PrahaHlavn msto Praha

7734290.9

7738296.6

8132796.5

82stecksteck

83326100

8432998

8732492.9

90PardubickPardubick

9227192.3

94ZlnskZlnsk

9635298.2

sl s jdem (%)

jodurie g/l moe)

saturace (%)

Souvislost pouit soli s jdem v masnch vrobcch, jodurie a saturace

souvislost soli a jodurie

62287

71378

71Hlavn msto Praha

77342

77382

81327

82steck

83326

84329

87324

90Pardubick

92271

94Zlnsk

96352

sl s jdem (%)

jodurie g/l moe)

Souvislost pouvn soli s jdem v masnch vrobcch a jodurii

podklady pro zhotoven grafu

masn prumysl

sl s jdemdusitanov sms

Jihomoravsk62%Jihomoravsk38%

Jihoesk71%Hlavn msto Praha71%

Hlavn msto Praha71%Krlovehradeck74%

Olomouck77%Vysoina75%

Vysoina77%Olomouck78%

Moravskoslezsk81%Jihoesk82%

steck82%Moravskoslezsk83%

Krlovehradeck83%steck87%

Stedoesk84%Stedoesk88%

Plzesk87%Plzesk90%

Pardubick90%Pardubick91%

Libereck92%Zlnsk92%

Zlnsk94%Karlovarsk96%

Karlovarsk96%Libereck97%

sovislost soli a jodurie

sl s jdem (%)jodurie g/l moe)saturace (%)

Jihomoravsk6228792.5

Jihoesk7137898.2

Hlavn msto Praha71

Olomouck7734290.9

Vysoina7738296.6


steck82

Krlovehradeck83326100

Stedoesk8432998

Plzesk8732492.9

Pardubick90

Libereck9227192.3

Zlnsk94

Karlovarsk9635298.2

Srovnn innosti intervence -R, SRN, vcarsko

List1

Tab. 6Srovnn innosti intervence - Severn Morava, SRN, vcarsko

UkazatelRSRNvcarsko

rybykg/os/rok5118

slspotebamg/os/den10-8

jodovan slmg J/kg20 -342020 - 30

domcnosti %7994

stravovnotev.807094

uzav.959394

pekrny, masn v.848096

ostatn prmysl-5096

jddenn pjemSZO 150 g165 (110 %)119290

jodurieSZO 150-299gJ/lgJ/g kreatininu

11-13 let306-117

thotn194-193

dospl-65.5101

deficit jdudn1 stupnnedostaten zsobendn

Ryav, 1999

List2

List3

Zvr Jdov deficit je v R vyeen - potvrzeno ICCIDD WHO Dal postup: UDRET DOSAEN STAV

Reprezentativn monitorovn saturace obyvatelstva een rozdl v populanch skupinch a jednotlivch oblastech (sentinelov studie) Upozorovat a zamezit rizikm nadbytenho pjmu jdu Kvalita laboratornho stanoven jodurie a jdu v potravinch Korekce metod a aktivit podle vsledk Informovat laickou i odbornou veejnost o aktulnch vsledcch Aplikovat Zsady trvale udritelnho stavu dle ICCIDD WHO, 2001

Souasn stav

bn potravn zdroje pokrvaj na potebu jdu dostaten od pvodn mrnho a stednho jodovho deficitu lze od r. 2006 dostaten jodova dodvku i u novorozenczvilo procento vyetench, kte maj zejm vy ne optimln psun jdu nebo maj zven a vysok obsah jdu vmoi (nad 300, nad 500 mikrogram vlitru)zvil se obsahu jdu vkravskm mlceje vy konzum prmyslov vyrobench potravin, kjejich pprav se pouv sl obohacen jodem a obsah soli nen zanedbatelnvzrostlo uvn multivitaminovch, minerlnch ppravk u dosplch i dt (obsahuj J)

dostaten pjem J (na horn hranici doporuen dvky) by mly mt thotn a kojc eny - omezit solen, ale zvit pjem mlka a mlnch vrobk, optimln i ryb, tak pro dostaten zajitn vpnku a rybho tuku. - potravn doplky uren thotnm a kojcm enm - KJ v tabletch je hrazen, na pedpis ada studi v rznch zemch - i pi dostatenm zsoben jodem v cel populaci asto existuje jeho nedostatek u thotnch a kojcch enNedostatek: lid, kte znejrznjch pin nekonzumuj vobvyklm, respektive doporuovanm mnostv mlko nebo mln vrobky, vyhbajc se pouit jdovan soli, vyluujc zjdelnku mosk ryby.

eho je moc, toho je pli

zdrav ttn lza se se zvenm pvodem jodu bez problm vyrovnv

existuje vak nejmn 5 % osob v populaci, kte ttnou lzu nemaj v podku (hyperimunn) - nadbyten pvod J by mohl nepzniv ovlivnit funkci ttn lzy, psobit problmy, zejmna vkombinaci sonemocnnm srdce

velk zven pvodu J vede nakonec tak krstu ttn lzy a vznik strumy

Tolerovateln horn limit pvodu J (UL, tolerable upper intake level)(maximln hladina celkovho chronickho pvodu nutrietu za den ze vech zdroj, o kter se soud, e je nepravdpodobn, aby pedstavovala riziko kodlivho zdravotnho efektu pro lovka (EFSA, 2006). Me bt stanoven pro rzn skup.pop.)vUSA a Kanad pro dospl osoby 1100 ug J/denWHO - 1 000 ug/den

Tolerovateln pvodje vdecky posouzen, fyziologicky tolerovateln pvod, stanoven vprocesu hodnocen zdravotnch rizik, kter zahrnuje nap. pravdpodobnost vzniku kodlivho efektu pi uritch hladinch expozice (EFSA, 2006).

Program prevence nedostatku jdu - dynamick procespotravinov zdroje, mnostv jejich konzumu a obsah jdu vnich se mohou mnitu ns velmi dobe zaveden systm - monitorovn vech skup. obyv. v. novorozencNutnost udret, sledovat stle

Meziresortn komise pro een jodovho deficitu Sttnho zdravotnho stavu vPrazeKoordinuje, usmruje vrobce potravin k optimalizaci, snen obsahu jodu vmlce a soli vpotravinchspotebitele ke kvantitativn i kvalitativn sprvnmu vbru potravnch zdroj jdu.

Co dl - cle:Nutno usmrnit dvkovn jdu vkrmivech a tm obsah jdu vmlce

Snit spotebu soli v domcnostech

Snit obsah soli vpotravinch (hypertenze, kvalita a prchodnost cv smnostvm konzumovanho sodku, tedy kuchysk soli souvis)

Snit konzumaci multivitaminovch a minerlnch potravnch doplk obsahujcch J konzultovat uvn s oetujcm lkaem - zbyten, nadbyten, ne-li nedouc

Thotn a kojc eny informovat o vhodnosti doplk stravy s obsahem J gynekologov - KJ hrazen pojiovnou - na lk. pedpis

rysava.szu zavin centrum.cz

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