Indiana University

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Thursday, May 8, 2008

Are you getting enough iodine in your diet?

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Adult men and women should get 100-200 micrograms of iodine per day but many are not reaching that goal, says Sara Blackburn, registered dietician and clinical associate professor in the Department of Nutrition and Dietetics at the School of Health and Rehabilitation Sciences at Indiana University-Purdue University Indianapolis.

"We are being told we are taking in too much salt, yet low salt diets are associated with increased blood pressure," says Blackburn.

Blackburn says restricting sodium intake to reduce blood pressure works if a person is salt sensitive.

"If they are salt sensitive, then salt restriction will drop blood pressure. If not, then I recommend using medication, changing the diet, and working with a registered dietician to guide them," she said.

Experts in the health field have sent the message for some time now that low-sodium diets are associated with low blood pressure. This message has worked well and Americans are now consuming less salt. According to Blackburn, this has had the unintended consequence of an increased risk for iodine deficiencies. Why this concern? Iodine is an essential component of thyroid hormones and the developing nervous system.

"In the Midwest, the most consistent source of iodine in the diet is iodized table salt," says Blackburn.

The problem of low iodine intake was identified during World War I. Salt became the first functional food when, in 1924, iodine was added to table salt.

According to data from the National Health and Nutrition Examination Surveys I and III (NHANES), urinary iodine levels in the United States have dropped since 1974.

"This means that the use of iodized salt and iodine in the diet has decreased, increasing the risk of iodine deficiencies," says Blackburn.

Blackburn notes the following reasons for the increase of iodine deficiencies in the U.S.:


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