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碘营养的现代挑战:纯素和素食饮食。

Modern challenges of iodine nutrition: vegan and vegetarian diets.

作者信息

Croce Laura, Rotondi Mario, Ruggeri Rosaria Maddalena

机构信息

Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.

Istituti Clinici Scientifici Maugeri Istituto di ricovero e cura a carattere scientifico (IRCCS), Unit of Endocrinology and Metabolism, Laboratory for Endocrine Disruptors, Pavia, Italy.

出版信息

Front Endocrinol (Lausanne). 2025 May 8;16:1537208. doi: 10.3389/fendo.2025.1537208. eCollection 2025.

DOI:10.3389/fendo.2025.1537208
PMID:40405969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12094987/
Abstract

Vegetarian diets are gaining popularity worldwide, especially among women and in the younger part of the population, rising some concerns for the risk of inadequate iodine requirements if the diet is not correctly planned. Indeed, subjects under vegetarian dietary regimens, mainly the vegan ones, are at risk of developing both iodine deficiency and excess, due to lack of animal-derived foods on the one hand, and to the use of vegan alternatives (such as seaweed) and over-the-counter supplements on the other hand. Women in childbearing age and children are particularly vulnerable to the adverse thyroid consequences. Thus, this paper aims to provide some practical information to achieve adequate iodine intake and avoid adverse effects on thyroid in this population.

摘要

素食饮食在全球范围内越来越受欢迎,尤其是在女性和年轻人群体中。如果饮食计划不当,人们会对碘摄入不足的风险产生一些担忧。事实上,遵循素食饮食方案的人群,主要是纯素食者,一方面由于缺乏动物性食物,另一方面由于使用纯素食替代品(如海藻)和非处方补充剂,有患碘缺乏和碘过量的风险。育龄妇女和儿童尤其容易受到甲状腺不良后果的影响。因此,本文旨在提供一些实用信息,以帮助这一人群实现充足的碘摄入,并避免对甲状腺产生不良影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70f/12094987/2e7195e0ca9e/fendo-16-1537208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70f/12094987/2e7195e0ca9e/fendo-16-1537208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70f/12094987/2e7195e0ca9e/fendo-16-1537208-g001.jpg

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本文引用的文献

1
Plant-Based Diets in Children: Secular Trends, Health Outcomes, and a Roadmap for Urgent Practice Recommendations and Research-A Systematic Review.儿童植物性饮食:世俗趋势、健康结果,以及紧急实践建议和研究的路线图——系统评价。
Nutrients. 2024 Mar 1;16(5):723. doi: 10.3390/nu16050723.
2
Dietary supplements, guideline alignment and biochemical nutrient status in pregnancy: Findings from the Queensland Family Cohort pilot study.膳食补充剂、指南一致性与妊娠期间的生化营养素状况:昆士兰家庭队列研究的初步研究结果。
Matern Child Nutr. 2024 Jan;20(1):e13589. doi: 10.1111/mcn.13589. Epub 2023 Nov 10.
3
Iodine and plant-based diets: a narrative review and calculation of iodine content.
碘与植物性饮食:叙述性综述及碘含量计算。
Br J Nutr. 2024 Jan 28;131(2):265-275. doi: 10.1017/S0007114523001873. Epub 2023 Aug 25.
4
Prevalence of iodine deficiency among vegan compared to vegetarian and omnivore children in the Czech Republic: cross-sectional study.捷克共和国素食儿童与杂食儿童相比碘缺乏症的流行率:横断面研究。
Eur J Clin Nutr. 2023 Nov;77(11):1061-1070. doi: 10.1038/s41430-023-01312-9. Epub 2023 Jul 24.
5
Human Milk Composition and Nutritional Status of Omnivore Human Milk Donors Compared with Vegetarian/Vegan Lactating Mothers.人乳成分和杂食性人乳供体与素食/纯素哺乳期母亲的营养状况比较。
Nutrients. 2023 Apr 12;15(8):1855. doi: 10.3390/nu15081855.
6
Systematic review and meta-analysis of iodine nutrition in modern vegan and vegetarian diets.现代纯素和素食饮食中碘营养的系统评价和荟萃分析。
Br J Nutr. 2023 Nov 14;130(9):1580-1594. doi: 10.1017/S000711452300051X. Epub 2023 Mar 13.
7
The Effect of a Vegan Diet on the Coverage of the Recommended Dietary Allowance (RDA) for Iodine among People from Poland.素食饮食对波兰人群推荐膳食允许量(RDA)碘覆盖的影响。
Nutrients. 2023 Feb 25;15(5):1163. doi: 10.3390/nu15051163.
8
Invited review: Iodine level in dairy products-A feed-to-fork overview.邀请评论:乳制品中的碘含量——从饲料到餐桌的概述。
J Dairy Sci. 2023 Apr;106(4):2213-2229. doi: 10.3168/jds.2022-22599. Epub 2023 Mar 2.
9
Modeling lacto-vegetarian, pescatarian, and "pescavegan" USDA food patterns and assessing nutrient adequacy for healthy non-pregnant, non-lactating adults.模拟乳素食、鱼素和“鱼素纯素”的美国农业部食物模式,并评估健康的非孕、非哺乳期成年人的营养充足情况。
Front Nutr. 2023 Feb 7;10:1113792. doi: 10.3389/fnut.2023.1113792. eCollection 2023.
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Breastfeed Med. 2023 Jan;18(1):37-42. doi: 10.1089/bfm.2022.0211. Epub 2022 Nov 24.