ssmuБюллетень сибирской медициныBulletin of Siberian Medicine1682-03631819-3684Siberian State Medical University, the Ministry of Healthcare of the Russian Federation10.20538/1682-0363-2019-1-96-108ssmu-2174Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEW AND LECTURESОценка индикаторов медико-биологического мониторинга йододефицитных заболеванийAssessment of indicators of medical and biological monitoring of iodine deficiency diseaseshttps://orcid.org/0000-0001-9253-8075СуплотоваЛ. А.SuplotovaL. A.

Суплотова Людмила Александровна, доктор медицинских наук, профессор, заведующая курсом ýндокринологии кафедры терапии, Тюменский ГМУ, главный ýндокринолог Тюменской области

625023, г. Тюмень, ул. Одесская, 54

Suplotova Ludmila А., DM, Рrofessor, Нead of the Тhеrapy Department, Tyumen State Medical University, Head endocrinologist of the Tyumen region

54, Odesskaya Str., Tyumen, 625023

suplotovala@mail.ruhttps://orcid.org/0000-0003-4663-0289МакароваО. Б.MakarovaO. B.

Макарова Ольга Борисовна, кандидат медицинских наук, доцент, кафедра терапии

625023, г. Тюмень, ул. Одесская, 54

Makarova Olga В., PhD, Аssistant Рrofessor, Тhеrapy Department

54, Odesskaya Str., Tyumen, 625023

https://orcid.org/0000-0002-1650-1243КовальжинаЛ. С.KovalzhinaL. S.

Ковальжина Лариса Сергеевна, кандидат сельско-хозяйственных наук, доцент, кафедра менеджмента в отраслях

625000, г. Тюмень, ул. Володарского, 38

Kovalzhina Larisa S., PhD, Аssistant Рrofessor, Management in the Sectors of Energy

38, Volodarskogo Str., Tyumen, 625000

https://orcid.org/0000-0003-0772-8224ШарухоГ. В.SharuhoG. V.

Шарухо Галина Васильевна, доктор медицинских наук, руководитель Управления федеральной службы по надзору в сфере защиты прав потребителей и благополучия человека по Тюменской области

625023, г. Тюмень, ул. Одесская, 54, 

625026, г. Тюмень, ул. Рижская, 45А

Sharuho Galina V., DM, Head of the Federal Service for Supervision of Consumer Rights and Human Welfare in the Tyumen region

54, Odesskaya Str., Tyumen, 625023, 

45А, Righskaya Str., Tyumen 625026

Тюменский государственный медицинский университет (ГМУ)РоссияTyumen State Medical UniversityRussian FederationТюменский индустриальный университет (ТИИ)РоссияIndustrial University of TyumenRussian FederationТюменский государственный медицинский университет (ГМУ); Управление федеральной службы по надзору в сфере защиты прав потребителей и благополучия человека по Тюменской областиРоссияTyumen State Medical University; Federal Service for Supervision of Consumer Rights and Human Welfare in the Tyumen RegionRussian Federation20191605201918196108Copyright © Суплотова Л.А., Макарова О.Б., Ковальжина Л.С., Шарухо Г.В., 20192019Суплотова Л.А., Макарова О.Б., Ковальжина Л.С., Шарухо Г.В.Suplotova L.A., Makarova O.B., Kovalzhina L.S., Sharuho G.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://bulletin.ssmu.ru/jour/article/view/2174

Проблема йодного дефицита остается актуальной во всем мире в связи с широкой распространенностью и негативным влиянием на здоровье человека во все возрастные периоды. Йодный дефицит приводит к снижению интеллектуального потенциала у детей, развитию репродуктивных нарушений в молодом возрасте, а также к формированию многоузлового токсического зоба как крайней точки зобной трансформации, сопровождающейся нарушениями сердечного ритма в среднем и пожилом возрасте. В обзоре освещаются вопросы мониторинга йодного дефицита в регионах, приводятся данные ситуации в мире на этапе становления программ профилактики и в настоящее время. Проведен детальный анализ каждого критерия тяжести йодного дефицита и эффективности профилактических программ. Особое внимание уделено критерию неонатальной гипертиреотропинемии как перспективного индикатора мониторинга йодного дефицита.

The problem of iodine deficiency remains relevant all over the world due to the widespread prevalence and the negative impact it has on human health in all agegroups. Iodine deficiency leads to a decrease in the intellectual potential of children, the development of reproductive disorders at a young age, as well as the formation of multinodular toxic goiter as the last stage of goiter transformation, accompanied by heart rhythm disturbances in middle and old age. The article covers the issues of monitoring iodine deficiency in the regions of Russia and provides data on the situation in the world on the development of future prevention programs and current prevention programs. A detailed analysis of each criterion for the severity of iodine deficiency and the effectiveness of preventive programs was carried out. Particular attention is paid to the criterion of neonatal hyperthyrotropinemia as a promising indicator for monitoring iodine deficiency.

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