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
TdyetnostTdyetnostTdyetnostTdyetnostTdyetnostTdyetnost
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
TdyetnostTdyetnostTdyetnostTdyetnostTdyetnostTdyetnost
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
ostrava
KARVIN
obsah jodu v g/l moe - saturace v %
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
OSTRAVA
obsah jodu v g/l moe - saturace v %
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
ostrava
KARVIN
obsah jodu v g/l moe - saturace v %
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
OSTRAVA
obsah jodu v g/l moe - saturace v %
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
Freudenthal51175100153
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.035.9917.61325.52243.147.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace ostrava
OSTRAVA
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
7600.000.022.61215.84559.21722.4
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hodonn
HODONN
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.012.148.31429.22552.148.3
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace svitavy
SVITAVY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4700.012.1510.61123.42144.7919.1
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hradec
HRADEC KRLOV
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5000.000.048.01224.02142.01326.0
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace jablonec
JABLONEC n. N.
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.000.048.31327.12143.81020.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace teplice
TEPLICE
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4500.012.236.71022.22453.3715.6
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace vary
KARLOVY VARY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.000.0611.81019.63058.859.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
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
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
Beurteilung nach ICCIDDDeficiter mit Risiko der HypothyreoseGrenzwertausreichendoptimal
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
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
Freudenthal51175100153
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace celkem
0.014
0.089
0.228
0.502
0.166
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
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.035.9917.61325.52243.147.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace ostrava
OSTRAVA
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
7600.000.022.61215.84559.21722.4
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hodonn
HODONN
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.012.148.31429.22552.148.3
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace svitavy
SVITAVY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4700.012.1510.61123.42144.7919.1
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hradec
HRADEC KRLOV
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5000.000.048.01224.02142.01326.0
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace jablonec
JABLONEC n. N.
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.000.048.31327.12143.81020.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace teplice
TEPLICE
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4500.012.236.71022.22453.3715.6
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace vary
KARLOVY VARY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.000.0611.81019.63058.859.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
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
Freudenthal51175100153
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.035.9917.61325.52243.147.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace ostrava
OSTRAVA
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
7600.000.022.61215.84559.21722.4
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hodonn
HODONN
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.012.148.31429.22552.148.3
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace svitavy
SVITAVY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4700.012.1510.61123.42144.7919.1
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hradec
HRADEC KRLOV
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5000.000.048.01224.02142.01326.0
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace jablonec
JABLONEC n. N.
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.000.048.31327.12143.81020.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace teplice
TEPLICE
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4500.012.236.71022.22453.3715.6
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace vary
KARLOVY VARY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.000.0611.81019.63058.859.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
,
MBD0004C51C.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
Freudenthal51175100153
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
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace celkem
0.014
0.089
0.228
0.502
0.166
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
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.035.9917.61325.52243.147.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace ostrava
OSTRAVA
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
7600.000.022.61215.84559.21722.4
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hodonn
HODONN
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.012.148.31429.22552.148.3
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace svitavy
SVITAVY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4700.012.1510.61123.42144.7919.1
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace hradec
HRADEC KRLOV
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5000.000.048.01224.02142.01326.0
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace jablonec
JABLONEC n. N.
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4800.000.048.31327.12143.81020.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace teplice
TEPLICE
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
4500.012.236.71022.22453.3715.6
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
dostaten
saturace vary
KARLOVY VARY
obsah jdu v g/l moe - saturace v %
n celkemdo 1919 - 4950 - 99100 - 149150 - 299>299
n%n%n%n%n%n%
5100.000.0611.81019.63058.859.8
klasifikace ICCIDDnedostaten s rizikem zvanch poruchlehce snenuspokojivoptimln
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
Hlavn msto Praha717171
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
Moravskoslezsk8132796.5
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
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