Iodine Deficiency 101: Everything You Need to Know!

Medically reviewed by Mary Ahern MS, RDN, RYT December 16, 2024| Written by Zenda Nel

Iodine Deficiency 101: Everything You Need to Know!

Iodine is an essential micronutrient – one of those minerals that we only need a minute amount of and yet, can't do without. It is part of a small group of micronutrients called trace elements. Iodine is especially critical for infants.

This mineral is found in some foods. But it’s essential to make thyroid hormones. These hormones are integral to metabolism, growth, and development. Iodine deficiency is a major public health problem. A 2013 global estimate found that1.88 billion people, including 241 million school-age children get sufficient iodine through their diet.

It is estimated thattwo billion individuals are deficient in iodine globally.

While iodine deficiency can have serious consequences for individuals of all ages, fortunately, it is easy to avoid.

Why is Iodine Important?

Iodine is vital for proper fetal and infant development. Pregnant women have an increased need for iodine. If a pregnant woman is deficient in iodine, there is a higher risk of miscarriage, stillbirth, low birth weight, and an increased risk of the infant dying after birth. 

In addition, offspring of iodine-deficient mothers are at greater risk for cognitive impairments, including cretinism.Cretinism, also called congenital iodine deficiency syndrome, is a condition of severely stunted physical and mental growth.

As mentioned above, iodine is also important for thyroid hormones. Thyroid hormonesimpact every cell and organ in the human body. Thyroid hormones:

  • Regulate metabolism – controlling the speed at which the body burns calories. This affects weight loss or weight gain
  • Regulate heart rate - slowing it down or speeding it up.
  • Regulate body temperature.
  • Influence how fast food moves through the digestive tract.
  • Support brain development.
  • Manage muscle contractions.
  • Supports skin and bone maintenance by managing the replacement of dying cells.

How to Identify Iodine Deficiency? 

Iodine deficiency happens when the body doesn't get enough iodine for the thyroid to function properly. Too little iodine in the diet can lead to hypothyroidism, which means the body is unable to produce adequate amounts of thyroid hormones. 

Iodine deficiency is more common in women. Symptoms of iodine deficiency can include:

  • Goiter (enlarged thyroid gland)
  • Weight gain, fatigue, and weakness
  • Thinning hair
  • Dry skin
  • Brittle nails
  • Always feeling cold
  • Slowed heart rate
  • Sore muscles and joints
  • High cholesterol
  • Constipation 
  • Heavy or irregular periods

What Causes an Iodine Deficiency?

Iodine deficiency happens when the body doesn't get enough iodine, so the thyroid gland doesn't get enough iodine to function properly. Iodine deficiency occurs from not consuming enough iodine.

While this is not common in the United States, it may be more common in developing countries, especially those with higher altitudes.  

What are Iodine Deficiency Disorders?

Women are more likely to have a thyroid condition than men. In women, thyroid deficiency can lead to infertility, pregnancy-related high blood pressure, period problems, and postpartum thyroiditis, when the thyroid gets inflamed after giving birth. 

There are two main types of thyroid disease, namely hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid). Different factors lead to the development of these conditions. 

A) Conditions that Can Cause Hypothyroidism

1. Iodine Deficiency

In hypothyroidism, the thyroid doesn't make enough thyroid hormones because it doesn't get enough iodine via food in the diet. This problem is mostly solved by making iodized salt available to the population. In countries where this is not done, hypothyroidism is more common. 

2. Postpartum Thyroiditis

Postpartum thyroiditis is inflammation of the thyroid after giving birth. The condition is rare, affecting 5 – 10% of women. It usually manifests first as hyperthyroidism and later as hypothyroidism. The condition is not permanent.

3. Hashimoto’s Disease

Hashimoto's disease is an autoimmune condition where the immune system attacks the thyroid gland, preventing it from making hormones. This is a common cause of an underactive thyroid in countries that make iodized salt and iodine-enriched foods available to citizens.

4. Congenital Hypothyroidism

In rare cases, infants are born without a thyroid or an underactive thyroid. The prevalence is about 1 in every3,000 to 4,000 babies.

5. Damage or Removal of the Thyroid

Naturally, if your thyroid has been removed surgically or if it has been damaged by chemical treatment, it won't be able to produce hormones.

B) Conditions that Can Cause Hyperthyroidism

1. Graves’ Disease

Graves' disease is an autoimmune condition that causes the immune system to attack the thyroid, causing an overproduction of thyroid hormones. It is the most common cause of hyperthyroidism.

2. Thyroid Nodules

Nodules, or lumps on the thyroid can also lead to hormone overproduction, especially if they are overactive. 

3. Excessive Iodine

It's possible to have too much iodine available for the thyroid which then produces excessive amounts of thyroid hormones. Taking certain medications that contain iodine can lead to excessive amounts of iodine in the system.   

4. Subacute Thyroiditis

This condition, inflammation of the thyroid causes it to produce excess hormones. In this case, the hyperthyroidism is not permanent, lasting from a few weeks to a few months.

5. Cancer of the Thyroid Gland

Thyroid cancer occurs when abnormal cells grow in the thyroid gland. Symptoms include difficulty swallowing, hoarseness, persistent throat pain, weight loss, and fatigue.The prognosis for thyroid cancer is positive, especially when caught early with options like surgery, radioactive iodine therapy, and hormone replacement therapy. 

See Also: Cancer Diet: Foods To Eat and Avoid!

Which Foods Contain Iodine?

Iodine is most commonly found in seafood. Other sources include eggs, milk, and beef. The following foods aresome of the best sources of iodine.

1) Seaweed

Seaweed is known for being a good source of iodine. There are many different seaweed species, and they all contain different amounts of iodine. Seaweed species commonly included in human diets are nori, Kombu, kelp, and wakame. 

In addition to minerals like iodine, seaweed contains antioxidants, and vitamins A, C, E, and B12.

Research has shown that Kombu has the highest average iodine content, 2523.5 micrograms/kg. That means as little as 59.4 grams of Kombu will give you the 150 micrograms of iodine you need per day. 

2) Marine Fish

Fish has a naturally high concentration of iodine. AnIcelandic study found these fish species contain high levels of iodine: haddock 191 mcg/100 g; cod 170 mcg/100 g; wild salmon 36 mcg/100 g, and farmed salmon 30 mcg/100 g. 

Interestingly, the researchers found low-fat marine fish species have the highest iodine content. Cod and haddock are both low in fat.

3) Oysters

Oysters also provide ample iodine. If you love eating them, enjoy the fact that justsix oysters can provide up to 144 mcg of iodine. 

4) Dairy

Dairy is a great source of iodine. Whole milk, low-fat milk, and flavored milk provide good quantities of iodine. The amount of iodine in milk and milk products differs depending on various factors. Based on research, 1 cup of milk contains59–112% of the recommended daily amount of iodine.

5) Greek Yogurt

Greek yogurt is an excellent source of iodine — ¾ cup non-fat plain yogurt contains87 mcg of iodine.

6) Eggs

Apart from being a good source of protein, eggs are also a good source of iodine. One hard-boiled egg provides about 26 mcg of iodine.

7) Liver

Beef liver is an extremely nutritious food source. In addition to protein and vitamins, it contains many important minerals such as iron, iodine, and zinc.  A three-ounce serving of liver contains around14 mcg of iodine.

8) Enriched Bread

While the ingredients for bread don't typically contain iodine, manufacturers enrich bread by adding nutrients like B vitamins, iron, and iodine to the flour. 

Where people can buy enriched bread, a single slice of white bread may contain as much as 185 mcg of iodine.

9) Iodized Salt

You can ensure that you get enough iodine in by using iodized salt. It is widely available in the United States and most developed countries.

Do Vegans Run a Risk of Iodine Deficiency?

Since seafood and animal sources such as milk and dairy products are the primary sources of iodine, vegans who don't eat any animal products could become iodine deficient. For vegans, the main sources of iodine are seaweed, prunes, lima beans, and iodized salt. 

However, scientists say that there are ways for vegansto prevent iodine deficiency. They suggest using iodine-fortified plant-based milk alternatives and taking iodine-containing supplements.  They recommend a supplement that is not seaweed-based and does not exceed 150 mcg/d.

Related Link: Dietitian-Backed Vegan Meal Plan!

Is it Safe to Take Iodine Daily? 

It is safe to take iodine every day provided you stay withinthe recommended limits. The recommended amount is 150 mcg for adults and teens, 220 mcg for pregnant women and pregnant teens, and 290 mcg for breastfeeding mothers.

However, adults should not exceed 1,100 mcg, and teens 14 – 18 years should not exceed 900 mcg. The upper limit for children 9-13 years is 600 mcg and for children 4 – 8 years is 300 mcg.

If you consume too much iodine, you can experience the same symptoms as iodine deficiency, including goiter. Iodine intake that exceeds recommended levels can cause inflammation of the thyroid and even thyroid cancer. 

What Foods to Avoid in Iodine Deficiency?

If you experience an iodine deficiency, you should avoid foods that contain goitrogens. Goitrogens are substances that inhibit the uptake of iodine in the thyroid, potentially worsening iodine deficiency. 

Foods high in goitrogens include soy, cassava, and cruciferous vegetables, such as cabbage, broccoli, cauliflower, brussels sprouts, and kale. Soy-based foods such as tofu, soy milk, and edamame are also high in goitrogens. 

However, goitrogens are not a problem for people who are not deficient in iodine and eat a variety of foods.

Health experts are warning people living with hypothyroidism against eating cassava. Cassava is a root vegetable that is becoming popular in the United States. However, cassava can slow an underactive thyroid down even more.

Is Iodine the Same Mineral as Iron?

No, iodine and iron are two distinct minerals. In the body, they act as essential micronutrients for proper body functioning. Iodine is crucial for thyroid hormone production, which helps regulate metabolism and development. Iron is critical for the forming of hemoglobin, the protein in red blood cells that delivers oxygen to the tissues.

See Also: 17 Practical Ideas to Get More Vitamins and Minerals through Diet!

The two minerals are closely associated when it comes to their functions in the body. The body needs iron to make thyroid hormone. When one is iron-deficient, the thyroid can't produce enough thyroid hormones, which raises the risk of hypothyroidism. Should hypothyroidism treatment become necessary, low iron may prevent the medications from working properly.

So, to help your thyroid operate optimally, ensure that you get enough iron by including the following foods in your diet: 

  • Red meat, especially beef liver
  • Iron-fortified foods, such as cereals and bread
  • Poultry 
  • Seafood 
  • Dried fruit, such as raisins and apricots

You can also consider using iron pots for cooking. The iron leaches from the container into the food,elevating the iron content of the food.

Which Supplements to Avoid in Iodine Deficiency?

Supplements cannot help you to avoid iodine deficiency. In fact,health experts warn people with thyroid issues not to take supplements. 

Iodine supplements can worsen hypothyroidism. If your underactive thyroid is not caused by an iodine deficiency, taking iodine supplements can elevate your iodine levels too high, which is dangerous. 

And for people with hyperthyroidism, additional iodine can also spike their iodine levels, causing too much thyroid hormone production.

Conclusion

Iodine is an essential micronutrient needed for the production of thyroid hormones that help regulate numerous body functions. It is crucial for fetal and infant development – a shortage during this time can lead to neurological and psychological deficits. 

It is essential throughout life, and low levels can cause several health problems. 

But, it is unlikely that people in developed countries will suffer from a deficiency.  If you suspect that you might have an overactive or underactive thyroid, consult your doctor before taking nutritional supplements. Your doctor can determine if you need a supplement and how much you need.

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