The Essential Role of Iodine in Thyroid Health

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Iodine is an essential element playing important roles in thyroid health, and bone and brain development. It is not as often mentioned by healthcare professionals as an iodine deficiency tends to be a rare occurrence, especially here in the United States. This, however, has not always been the case as worldwide efforts began as early as the 1920s to supplement iodine through dietary means. This is most commonly seen through iodized salt, dairy foods, and baked breads as the food industry has made efforts to incorporate iodine in its manufacturing process.1 However, even with such efforts to eliminate iodine deficiency, there are still countries which remain iodine deficient and at risk for adverse effects. As of 2013, there are still 30 countries including about 30% of the world’s population, who are considered to be iodine-deficient though none are categorized as severe.1 In addition, recent studies have shown than that pregnant women may be at an increased risk even within nations considered to be iodine sufficient. The following review will focus on understanding the importance of having sufficient dietary iodine and the possible role of supplementation on maternal and infant health.

Iodine Function and Deficiency Effects
Iodine is essential for thyroid health as it is a major component for the hormones triiodothyroinine (T3) and thyroxine (T4). Thyroid functioning itself plays an important role in metabolic activity and fetal growth and development.2 Iodine deficiency can cause numerous issues including toxic goiter and hypothyroidism in adults. This issue may be more severe when occurring in pregnant women. Overall, the iodine requirements during pregnancy increase as there is a higher need for the thyroxine hor...

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...isk for decreases in thyroid levels, but this does not seem to have a highly prevalence effect on thyroid functioning of those individuals. It also appears that a women’s body is able to adapt to the increase need for thyroid hormones during pregnancy with little negative effect on infant development. It should be cautioned though that this is a topic that should be reviewed periodically as lifestyles and food manufacturing change. Individuals in the United States may currently not be prone to iodine deficiency, but levels may be decreasing based on changes in salt consumption and lifestyle, as well as variations depending upon the region of the country. The main focus continues to be on the remaining 30 countries who are iodine deficient and need supplementation to prevent thyroid related health issues as well as the occurrence of cognitive disabilities.

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