Micronutrients, iodine status and concentrations of thyroid hormones: a systematic review.

Abstract:

Context:The metabolism of thyroid hormones, which are essential for normal development, involves many proteins and enzymes. It requires iodine as a key component but is also influenced by several other micronutrients, including selenium, zinc, iron, and vitamin A. Objective:This systematic review was designed to investigate the effect of micronutrient status and supplementation on iodine status and thyroid hormone concentrations. Data Sources:Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines, electronic databases were searched from their inception to April 2016. Study Selection:Human studies published in English and reporting data on micronutrient status and iodine status and/or thyroid hormone concentrations were included. Studies that examined the effect of micronutrient supplementation on iodine status and/or thyroid hormone concentrations were also included. Data Extraction:A predesigned and piloted data extraction form was used to compile data from individual studies. Results:A total of 57 studies were included: 20 intervention studies and 37 observational studies. Although observational evidence suggests that concentrations of selenium, zinc, and iron are positively associated with iodine status, data from randomized controlled trials fail to confirm this relationship. Conclusions:Further studies are needed to provide greater understanding of the role of micronutrient status in iodine nutrition and thyroid function to ascertain the public health implications for populations worldwide.

journal_name

Nutr Rev

journal_title

Nutrition reviews

authors

O'Kane SM,Mulhern MS,Pourshahidi LK,Strain JJ,Yeates AJ

doi

10.1093/nutrit/nuy008

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

418-431

issue

6

eissn

0029-6643

issn

1753-4887

pii

4954223

journal_volume

76

pub_type

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