营养和甲状腺疾病。

IF 2.6 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM Current Opinion in Endocrinology & Diabetes and Obesity Pub Date : 2023-12-01 Epub Date: 2023-08-13 DOI:10.1097/MED.0000000000000831
Leonidas H Duntas
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引用次数: 0

摘要

综述目的:本综述的目的是根据最新发现,确定对甲状腺功能和对抗甲状腺疾病至关重要的微量元素和维生素的参与情况。最近的发现:营养指导对于降低甲状腺疾病的风险和在疾病发生时进行管理至关重要,这意味着饮食中富含碘、硒、铁、锌和维生素B12、D3和A等微量营养素。上述大多数微量营养素都是很好的抗氧化剂,可以增强抗炎作用,减少甲状腺自身抗体和体脂,以及改善甲状腺功能。越来越多的人开始节食,尤其是那些患有桥本甲状腺炎的人。在规定的饮食中值得注意的是地中海饮食。富含关键元素,在免疫内分泌和生物分子水平上对患者有益。摘要:重要的是,广泛坚持地中海饮食,减少肉类消费,消除麸质和乳糖,可能会改善炎症,对公众健康产生影响,同时可能减轻甲状腺炎症状。希望这项审查能够指导决策者采取具有成本效益的干预措施,最大限度地减少必需矿物质和维生素的缺乏,从而保护全身和甲状腺健康。
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Nutrition and thyroid disease.

Purpose of review: The aim of this review was to determine, based on the most recent findings, the involvement of trace elements and vitamins critical for thyroid function and combating thyroid disease.

Recent findings: Nutritional guidance is pivotal to reducing the risk of thyroid disease and to managing it when it arises, this meaning the prescription of diets rich in such micronutrients as iodine, selenium, iron, zinc, and vitamins B12, D3, and A. Most of the above micronutrients are good antioxidants, building up an anti-inflammatory profile, reducing thyroid autoantibodies and body fat, and improving thyroid function. Diets are increasingly being prescribed, especially for those suffering from Hashimoto's thyroiditis. Notable among prescribed diets is the Mediterranean diet. Rich in critical elements, it benefits patients at the immune endocrine and biomolecular levels.

Summary: Importantly, it is likely that widespread adherence to the Mediterranean diet, together with a reduction of meat consumption and potential elimination of gluten and lactose may improve inflammation and have an impact on public health while possibly diminishing thyroiditis symptoms. It is hoped that this review can direct policymakers towards undertaking cost-effective interventions to minimize deficiency of essential minerals and vitamins and thus protect both general and thyroid health.

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来源期刊
CiteScore
5.80
自引率
3.10%
发文量
128
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​​Current Opinion in Endocrinology, Diabetes and Obesity delivers a broad-based perspective on the most recent and exciting developments in the field from across the world. Published bimonthly and featuring twelve key topics – including androgens, gastrointestinal hormones, diabetes and the endocrine pancreas, and neuroendocrinology – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.
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