Friday, March 20, 2009
Why Your Diet May Not Be As Rich In Iodine As You Assume
by: Steve Smith
The trace mineral iodine is well known for its crucial role in enabling the body's
manufacture of vital thyroid hormones, but it is also important for the health of the immune
system and for optimal brain function. It is widely believed by many authorities that iodine
deficiency should never be seen in the affluent West, although this problem affects millions
throughout the developed world.
Some nutritionists argue, however, that this conventional view is too optimistic, because
the content of all minerals in foods is heavily dependent on the mineral content of the soil
from which those foods are derived. The assumption must therefore be that the continuing
de-mineralisation of farm soils has led to a reduction in the amount of dietary iodine
commonly consumed.
Fish and other seafood, however, remain a relatively rich source because these ocean
creatures concentrate the sea's iodine in their flesh. Though not commonly eaten in the
West, seaweed, or kelp, is also an excellent source of iodine for this reason, and is
readily available in the form of a dietary supplements. Dairy products and certain meats may
also be a good source, particularly where iodine is routinely added to farm animal feed. But
in countries, including most of Western Europe, where animals are grazing fields growing on
iodine depleted soils, levels are likely to be much lower.
So even in the West, those not including fish or seafood in their diets, and not using
iodised or sea salt, may be at real risk of deficiency. In an effort to compensate for low
levels of dietary iodine, the mineral has been routinely added to ordinary table salt in the
US for many years. But the practice is not as common in the UK and other European countries,
where specially iodised or natural "sea-salt" has been marketed more as a luxury
alternative. The problem of insufficient dietary iodine has been compounded on both sides of
the Atlantic, however, by increasing concern about the possible adverse health consequences,
particularly high blood pressure, of excessive salt intake. Many nutritionists, however,
regard these fears as exaggerated, and believe that any such potential problems are far less
serious than the consequences of an insufficiency of iodine, and may be easily resolved by
the use of the low sodium salt alternatives available.
Iodine, however, cannot in any case be regarded as a luxury. Its essential function lies in
the production of the vital thyroid hormones; thyroxine, sometimes known as T4, and
tri-iodothyronine, or T3. And as is well known, these hormones are crucially important in
ensuring a healthy metabolic rate and the release of energy from food; so an underactive
thyroid gland is commonly the villain in cases of excessive weight gain, particularly where
this of sudden onset, and in cases of difficulty in losing weight even when following a
sensible reducing programme. A healthy thyroid gland is also crucial for the optimal
functioning of the immune system.
But perhaps even more importantly, iodine deficiency is also known as a major cause of
avoidable brain damage; a problem which the World Health Organisation has estimated to
affect an astonishing 50 million people worldwide. Sadly, many of these cases occur in
children whose mothers were iodine deficient in pregnancy, resulting in a condition of
severely retarded brain development known as congenital hypothyroidism, or "cretinism". Even
where such catastrophic consequences are avoided, iodine deficiency in childhood may also
have serious effects on the developing brain, leading to low energy and motivation for
learning, and measurable impairment of IQ scores.
Since 2001 the Food and Nutrition Board of the US Institute of Medicine (FNB) has prescribed
a Recommended Dietary Allowance for iodine of 150 mcg for all individuals over 14, rising to
220 mcg for pregnant women and 290 mcg for those breastfeeding. Somewhat confusingly,
however, an excessive consumption of iodine is also associated with a malfunctioning or
enlargement of the thyroid gland, as well as mouth ulcers, headaches and gastric upsets, and
the FNB therefore advises an upper safe limit for daily iodine consumption of 1,100 mcg for
adults. Most people eating a conventional Western diet are unlikely to exceed this level.
With the possible exception of pregnant and breastfeeding women, people in the West who use
liberal quantities of iodised salt as a regular seasoning are unlikely to need further
supplements. But many commercial multi-mineral preparations contain iodine in reasonable
quantities, usually in the form of potassium iodide, and whilst not perhaps strictly
necessary, such supplementary doses will do no harm and may be regarded as a useful
insurance policy given that, like all minerals needed by the body, iodine functions best in
the presence of adequate supplies of all the others. And it should be particularly noted in
this context that the effects of any deficiency of iodine may be intensified by any
deficiency of selenium, iron or vitamin A.
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