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Quality in Sport

The role of iodine in thyroid function and iodine impact on the course of Hashimoto’s thyroiditis - review
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The role of iodine in thyroid function and iodine impact on the course of Hashimoto’s thyroiditis - review

Authors

  • Zuzanna Malinka Szpital św. Wincentego a Paulo https://orcid.org/0009-0000-3354-0570
  • Julita Gmitrzuk Nikolay Pirogov Specialized District Hospital, ul. Wólczańska 191/195, 90-001 Łódź, Poland https://orcid.org/0009-0001-6965-290X
  • Katarzyna Wiśniewska Central Clinical Hospital of the Medical University of Lodz, ul. Pomorska 251, 92-213 Lodz, Poland https://orcid.org/0009-0007-5844-5829
  • Anna Jachymek St. Vincent de Paul Hospital, ul. Wójta Radtkego 1, 81-348 Gdynia, Poland https://orcid.org/0009-0003-4275-5778
  • Martyna Opatowska Faculty of Medicine, Medical University of Lodz, al. Tadeusza Kościuszki 4, 90-419 Łódź, Poland https://orcid.org/0009-0008-6088-2742
  • Joanna Jakubiec Provincial Multispecialty Center of Oncology and Traumatology named after M. Kopernik in Lodz, ul. Pabianicka 62, 93-513 Lodz https://orcid.org/0009-0006-3246-5410
  • Tomasz Kucharski Nikolay Pirogov Specialized District Hospital, ul. Wólczańska 191/195, 90-001 Łódź, Poland https://orcid.org/0009-0005-3456-5215
  • Marta Piotrowska Central Clinical Hospital of the Medical University of Lodz, ul. Pomorska 251, 92-213 Lodz, Poland https://orcid.org/0000-0002-0680-9789

DOI:

https://doi.org/10.12775/QS.2024.16.52639

Keywords

Hashimoto’s thyroiditis, thyroid function, iodine

Abstract

Introduction:

Iodine is one of the most important micronutrients necessary for the proper functioning of the thyroid gland. It is an essential component of thyroxine and triiodothyronine, hormones produced and secreted by the thyroid gland. Severe iodine deficiency impairs thyroid hormone synthesis and can lead to gland enlargement. This deficiency results in various disorders collectively termed iodine deficiency disorders. Not only iodine deficiency but also excess iodine intake can be harmful and affect thyroid function. Doses of iodine above physiological levels can result in both hypothyroidism and hyperthyroidism. Numerous studies have linked chronic high iodine intake to an increased frequency of autoimmune thyroiditis. This review examines the mechanisms of iodine regulation and the role of excess iodine can play in the development of Hashimoto’s thyroiditis.

Aim of the study: The aim of the study is to present and summarize the role of iodine in thyroid function and its impact on the course of Hashimoto’s thyroiditis. This review explains the potential increased risk of thyroid autoimmune disorder connected with iodine over-supplementation.

Materials and Methods: For this current literature review, the important studies published from 1986-2024 in PubMed database was searched. The literature available in the PubMed database was reviewed with the following keywords: iodine, Hashimoto’s thyroiditis, autoimmune thyroiditis.

Conclusion: Iodine is crucial for thyroid health and fetal development, but its excessive intake can be harmful. Maintaining optimal levels of this microelement is essential to prevent both iodine deficiency and autoimmune disorders. Iodine supplementation is recommended only for pregnant and lactating women.

References

Mikulska AA, Karaźniewicz-Łada M, Filipowicz D, Ruchała M, Główka FK. Metabolic Characteristics of Hashimoto's Thyroiditis Patients and the Role of Microelements and Diet in the Disease Management-An Overview. Int J Mol Sci. 2022 Jun 13;23(12):6580. https://doi.org/10.3390/ijms23126580

Ralli M, Angeletti D, Fiore M, D'Aguanno V, Lambiase A, Artico M, de Vincentiis M, Greco A. Hashimoto's thyroiditis: An update on pathogenic mechanisms, diagnostic protocols, therapeutic strategies, and potential malignant transformation. Autoimmun Rev. 2020 Oct;19(10):102649. https://doi.org/10.1016/j.autrev.2020.102649

Rayman MP. Multiple nutritional factors and thyroid disease, with particular reference to autoimmune thyroid disease. Proc Nutr Soc. 2019 Feb;78(1):34-44. https://doi.org/10.1017/S0029665118001192

Duntas LH. The Role of Iodine and Selenium in Autoimmune Thyroiditis. Horm Metab Res. 2015 Sep;47(10):721-6.

https://doi.org/10.1055/s-0035-1559631

Hu X, Chen Y, Shen Y, Tian R, Sheng Y, Que H. Global prevalence and epidemiological trends of Hashimoto's thyroiditis in adults: A systematic review and meta-analysis. Front Public Health. 2022 Oct 13;10:1020709.

https://doi.org/10.3389/fpubh.2022.1020709

Pyzik A, Grywalska E, Matyjaszek-Matuszek B, Roliński J. Immune disorders in Hashimoto's thyroiditis: what do we know so far? J Immunol Res. 2015;2015:979167. https://doi.org/10.1155/2015/979167

Liontiris MI, Mazokopakis EE. A concise review of Hashimoto thyroiditis (HT) and the importance of iodine, selenium, vitamin D and gluten on the autoimmunity and dietary management of HT patients.Points that need more investigation. Hell J Nucl Med. 2017 Jan-Apr;20(1):51-56. https://doi.org/10.1967/s002449910507

Zimmermann MB. The Importance of Adequate Iodine during Pregnancy and Infancy. World Rev Nutr Diet. 2016;115:118-24.

https://doi.org/10.1159/000442078

Glinoer D. The regulation of thyroid function during normal pregnancy: importance of the iodine nutrition status. Best Pract Res Clin Endocrinol Metab. 2004 Jun;18(2):133-52. https://doi.org/10.1016/j.beem.2004.03.001

Ihnatowicz P, Drywień M, Wątor P, Wojsiat J. The importance of nutritional factors and dietary management of Hashimoto's thyroiditis. Ann Agric Environ Med. 2020 Jun 19;27(2):184-193. https://doi.org/10.26444/aaem/112331

Zimmermann MB, Jooste PL, Pandav CS. Iodine-deficiency disorders. Lancet. 2008 Oct 4;372(9645):1251-62.

https://doi.org/10.1016/S0140-6736(08)61005-3

Zimmermann MB. Iodine deficiency. Endocr Rev. 2009 Jun;30(4):376-408. https://doi.org/10.1210/er.2009-0011

Guideline: Fortification of Food-Grade Salt with Iodine for the Prevention and Control of Iodine Deficiency Disorders. Geneva: World Health Organization; 2014. Available from: https://www.ncbi.nlm.nih.gov/books/NBK254243

Regulation of the Minister of Health and Social Welfare of July 24, 1996, on the prohibition of the production and marketing of certain types of salt for consumption purposes. https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WMP19960480462 (Access 9.04.2024)

Szybiński Z. Polish Council for Control of Iodine Deficiency Disorders. Work of the Polish Council for Control of Iodine Deficiency Disorders, and the model of iodine prophylaxis in Poland. Endokrynol Pol. 2012; 63(2): 156–160, indexed in Pubmed: 22538756

Dudzik I. A Wise Pole After Iodine. Medical Tribune. 2017 https://podyplomie.pl/medical-tribune/25066,madry-polak-po-jodzie (Access: 10.04.2024)

Hersant H, He S, Maliha P, Grossberg G. Over the Counter Supplements for Memory: A Review of Available Evidence. CNS Drugs. 2023 Sep;37(9):797-817. https://doi.org/10.1007/s40263-023-01031-6

Regulation of the Minister of Health of October 9, 2007, on the composition and labeling of dietary supplements; Journal of Laws 2007 No. 196, item 1425 https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=wdu20071961425 (Access: 10.04.2024)

Leung AM, Braverman LE. Consequences of excess iodine. Nat Rev Endocrinol. 2014 Mar;10(3):136-42.

https://doi.org/10.1038/nrendo.2013.251

Rose HR, Zulfiqar H, Anastasopoulou C. Jod-Basedow Syndrome. [Updated 2023 Jun 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544277/

Kubiak K, Szmidt MK, Kaluza J, Zylka A, Sicinska E. Do Dietary Supplements Affect Inflammation, Oxidative Stress, and Antioxidant Status in Adults with Hypothyroidism or Hashimoto's Disease?-A Systematic Review of Controlled Trials. Antioxidants (Basel). 2023 Sep 24;12(10):1798.

https://doi.org/10.3390/antiox12101798

Sang Z, Wang PP, Yao Z, Shen J, Halfyard B, Tan L, Zhao N, Wu Y, Gao S, Tan J, Liu J, Chen Z, Zhang W. Exploration of the safe upper level of iodine intake in euthyroid Chinese adults: a randomized double-blind trial. Am J Clin Nutr. 2012 Feb;95(2):367-73. https://doi.org/10.3945/ajcn.111.028001

Allen EM, Appel MC, Braverman LE. The effect of iodide ingestion on the development of spontaneous lymphocytic thyroiditis in the diabetes-prone BB/W rat. Endocrinology. 1986 May;118(5):1977-81.

https://doi.org/10.1210/endo-118-5-1977

Kahaly GJ, Dienes HP, Beyer J, Hommel G. Iodide induces thyroid autoimmunity in patients with endemic goitre: a randomised, double-blind, placebo-controlled trial. Eur J Endocrinol. 1998 Sep;139(3):290-7.

https://doi.org/10.1530/eje.0.1390290

Pedersen IB, Knudsen N, Carlé A, Vejbjerg P, Jørgensen T, Perrild H, Ovesen L, Rasmussen LB, Laurberg P. A cautious iodization programme bringing iodine intake to a low recommended level is associated with an increase in the prevalence of thyroid autoantibodies in the population. Clin Endocrinol (Oxf). 2011 Jul;75(1):120-6.

https://doi.org/10.1111/j.1365-2265.2011.04008.x.

Miranda DM, Massom JN, Catarino RM, Santos RT, Toyoda SS, Marone MM, Tomimori EK, Monte O. Impact of nutritional iodine optimization on rates of thyroid hypoechogenicity and autoimmune thyroiditis: a cross-sectional, comparative study. Thyroid. 2015 Jan;25(1):118-24. https://doi.org/10.1089/thy.2014.0182

Carayanniotis G. Recognition of thyroglobulin by T cells: the role of iodine. Thyroid. 2007 Oct;17(10):963-73.

https://doi.org/10.1089/thy.2007.0199

Bath SC. Thyroid function and iodine intake: global recommendations and relevant dietary trends. Nat Rev Endocrinol. 2024 May 1.

https://doi.org/10.1038/s41574-024-00983-z

Delange F, Lecomte P. Iodine supplementation: benefits outweigh risks. Drug Saf. 2000 Feb;22(2):89-95.

https://doi.org/10.2165/00002018-200022020-00001

Connelly KJ, Boston BA, Pearce EN, Sesser D, Snyder D, Braverman LE, Pino S, LaFranchi SH. Congenital hypothyroidism caused by excess prenatal maternal iodine ingestion. J Pediatr. 2012 Oct;161(4):760-2.

https://doi.org/10.1016/j.jpeds.2012.05.057

van Heek L, Staudacher C, Faust M, Chiapponi C, Mettler J, Schmidt M, Drzezga A, Dietlein M, Kobe C. Avoidance of iodine deficiency/excess during pregnancy in Hashimoto's thyroiditis. Nuklearmedizin. 2021 Aug;60(4):266-271. English.

https://doi.org/10.1055/a-1400-3522

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Published

2024-07-09

How to Cite

1.
MALINKA, Zuzanna, GMITRZUK, Julita, WIŚNIEWSKA, Katarzyna, JACHYMEK, Anna, OPATOWSKA, Martyna, JAKUBIEC, Joanna, KUCHARSKI, Tomasz and PIOTROWSKA, Marta. The role of iodine in thyroid function and iodine impact on the course of Hashimoto’s thyroiditis - review. Quality in Sport. Online. 9 July 2024. Vol. 16, p. 52639. [Accessed 17 June 2025]. DOI 10.12775/QS.2024.16.52639.
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Vol. 16 (2024)

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Medical Sciences

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Copyright (c) 2024 Zuzanna Malinka, Julita Gmitrzuk, Katarzyna Wiśniewska, Anna Jachymek, Martyna Opatowska, Joanna Jakubiec, Tomasz Kucharski, Marta Piotrowska

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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