By: Amy Norton

NEW YORK (Reuters Health) – Iodine supplements may improve mental function in children with even mild deficiencies in the nutrient, a small study suggests.

Iodine is a chemical element necessary for normal growth and development of the brain and body. Because the body does not make iodine, it must be obtained from the diet — from sources like seafood, dairy products, plants grown in iodine-rich soil and iodized table salt.

Severe iodine deficiency has long been known to cause mental impairment, stunted growth and other problems in children. Such deficiency remains a major problem in parts of the world — typically where the soil is iodine-poor, people eat little seafood and uae salt that is not iodized.

But there has also been a recent re-emergence of milder iodine deficiency in certain countries, including New Zealand and Australia — thought to be due to factors like declining use of iodized salt and changes in dairy-product manufacturing that have lowered iodine levels.

Whether mild deficiency affects children's mental functioning, and whether the problem should be treated, is still in question.

To study the issue, researchers in New Zealand randomly assigned 184 mildly iodine-deficient children to take either a tablet containing 150 micrograms of iodine or a placebo pill every day for 28 weeks.

At the end of the study, children in the iodine group showed an overall improvement on two standard cognitive tests that gauge problem-solving abilities. And they outperformed children who received the placebo.

Iodine is necessary for the body to produce thyroid hormones, which regulate metabolism. The traditional view was that since these hormone levels are still within normal range when a person is mildly iodine deficient, the lack of iodine may have no health effects.

The current findings, however, suggest that mild iodine deficiency "could prevent children from attaining their full intellectual potential," the researchers report in the American Journal of Clinical Nutrition.

Still, it is too soon to start routinely treating children with mild deficiencies, according to Dr. Sheila A. Skeaff, a senior lecturer at the University of Otago in Dunedin and one of the researchers on the work.

"More studies should be done," she told Reuters Health in an email. "We found a small effect in children (and) we don't know if this is permanent or not."

Skeaff pointed out that there are no standard tests for mild iodine deficiency. The best solution for people who think they might be deficient is to regularly eat foods high in iodine and/or use iodized table salt.

Note:  We think it is important to point out here that just using more iodized salt is really not the healthiest alternative.  Read this article to look at one of the healthier alternatives!

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Although most of us believe we are not deficient in iodine since the fortification of salt with iodine, the fact is most people are deficient and don't know it.  Due to changes in food intake, eating patterns and food production methods, iodine intake has been decreasing in the U.S. since the early 70's.  Even worse, we are exposed to increasing levels of environmental toxins that either block the absorption of iodine or block its actions in the body.

According to the National Health and Nutrition Survey (NHANES), 24-hour urine levels of iodine have decreased from average levels of 320 mcg/L during 1971-1974 to 165 mcg/L in 2001-2002 – a drop of almost 50%.^1,2  NHANES (2003-2004) found a urinary iodine level of <50 mcg/L in 12% of the U.S. population, indicating severe deficiency (<100 mcg/L is indicative of deficiency).³  Iodine levels in the breast milk of nursing mothers in Boston showed that only 47% contained sufficient amounts of iodine to meet infant requirements.⁴  This dramatic drop in iodine intake is made worse by an increasing level of iodine uptake inhibitors – perchlorate, nitrate, and thiocyanate – in the food supply and environment.

Why has iodine disappeared from our diet?

Iodized salt is very effective in normalizing iodine intake.  The problem is we eat less iodized salt.  This has occurred for 2 reasons: first, we've all been told to decrease salt intake because excess consumption can elevate blood pressure.  However, the more important cause is that almost everyone now eats more processed foods and meals at restaurants—most of these do not use iodized salt!  This is made worse by the fact that the iodized salt sold for home use often contains less iodine than stated on the label and two other good sources of iodine, bread and milk products, now contain very little due to changes in how they are produced.

Dairy products used to contain a significant amount of iodine since it was used to disinfect cow udders and dairy processing equipment.  Now, however, antibiotics and other methods are used instead.  In addition, less iodine is used in feed supplements.  With these changes, the average iodine content of U.S. whole cow's milk had decreased from 602 mcg/L in 1978 to 155 mcg/L in 1990.  A 2002 study found as little as 88 mcg/L, less than 15% of those measured in 1978.⁵ This is worsened by the substitution of soft drinks for milk by children, adolescents and adults so we drink less milk which has less iodine.^6,7,8

Another significant source of iodine in the past was bread since iodated-based bread conditioners were used to prolong shelf life.  Today, most commercial bakeries are using bromated-based conditioners instead.

Iodized salt may have less than we think because it evaporates over time from salt containers and shakers.⁹ The rate of evaporation is increased by humidity and heat. In the summer in humid areas of the country, the half life of iodine in salt can be as little as one week! Many in the natural products field use sea salt as a supposed better alternative to regular salt.  Unfortunately, it is not iodized.

What happens when iodine levels are too low?

Everyone is aware that iodine is required to produce thyroid hormones, so if levels are too low people suffer hypothyroidism.  This is one reason the incidence of clinical and subclinical hypothyroidism affects 10-15% of the population, especially women.  Probably more prevalent are the other problems found in people with low to marginal levels of iodine.  It is well known that low iodine levels in fetuses and children leads to impaired mental development and research has now shown an increased incidence of fibrocystic breast disease and breast cancer.^10,11  Some research has also shown that iodine deficiency may contribute to obesity, attention deficit hyperactivity disorder (ADHD), psychiatric disorders, and fibromyalgia.

Are seaweeds/sea vegetables a good source of iodine?

Although sea vegetables, i.e., seaweed, are common in many traditional diets – especially the Japanese, they are not commonly consumed in the U.S.  Most people think of sea vegetables as a food source for iodine.  Some are, but many aren't, and you have to eat more than just a few sprinkles. Also, some may be contaminated with toxic metals.

As the table below shows, the amount of iodine in seaweed varies greatly.¹²

Bottom Line

Iodine deficiency is a common and growing problem in North America. Fortunately, eating enough of the right kind of seaweed will replenish iodine supplies.

References

1. Hollowell JG, Staehling NW, Hannon WH, et al. 1998 Iodine nutrition in the United States: trends and public health implications: iodine excretion data from the National Health and Nutrition Surveys I and III (1971–1974 and 1988–1994). J Clin Endocrinol Metab. Oct1998;83(10):3401-8

2. Caldwell KL, Jones R, Hollowell JG. Urinary iodine concentration: United States National Health And Nutrition Examination Survey 2001-2002. Thyroid. Jul2005;15(7):692-9

3. Caldwell KL, Miller GA, Wang RY, et al,. Iodine status of the U.S. population, National Health and Nutrition Examination Survey 2003-2004. Thyroid. Nov2008;18(11):1207-14

4. Pearce EN, Leung AM, Blount BC, et al. Breast milk iodine and perchlorate concentrations in lactating Boston-area women. J Clin Endocrinol Metab 2007;92:1673-1677

5. Pearce EN, Pino S, He X, et al. Sources of dietary iodine: bread, cows' milk, and infant formula in the Boston area. J Clin Endocrinol Metab. Jul2004;89(7):3421-4

6. Keller KL, Kirzner J, Pietrobelli A, et al. Increased sweetened beverage intake is associated with reduced milk and calcium intake in 3- to 7-year-old children at multi-item laboratory lunches. J Am Diet Assoc. Mar2009;109(3):497-501

7. Rampersaud GC, Bailey LB, Kauwell GP. National survey beverage consumption data for children and adolescents indicate the need to encourage a shift toward more nutritive beverages. J Am Diet Assoc. Jan2003;103(1):97-100

8. Bleich SN, Wang YC, Wang Y, et al. Increasing consumption of sugar-sweetened beverages among US adults: 1988-1994 to 1999-2004. Am J Clin Nutr. Jan2009;89(1):372-81

9. Dasgupta PK, Liu Y, Dyke JV. Iodine nutrition: iodine content of iodized salt in the United States. Environ Sci Technol. Feb2008;42(4):1315-23

10. Patrick L. Iodine: deficiency and therapeutic considerations. Altern Med Rev. Jun2008;13(2):116-27

11. Aceves C, Anguiano B, Delgado G. Is iodine a gatekeeper of the integrity of the mammary gland? J Mammary Gland Biol Neoplasia. Apr2005;10(2):189-96

12. Teas J, Pino S Critchley A and Braverman LE. Variability of Iodine Content in Common Commercially Available Edible Seaweeds. THYROID 2004;14:836-41

Author: Joseph
Pizzorno, ND -  November 2009

Dr. Joe Pizzorno is the founding president of Bastyr University and editor-in-chief of Integrative Medicine, A Clinician's Journal. He is the co-author of seven books including the internationally acclaimed Textbook of Natural Medicine and the Encyclopedia of Natural Medicine, which has sold over a million copies and been translated into six languages.

Sea Vegetables are an important part of our multi-nutrient Liquid Power Multi-V™

Can you tell me what the ORAC Value per two ounces is in your Vitamin and Mineral supplements?

Thank you,

LuAnn

Answer: Lu Ann,

We don’t perform ORAC testing on any of our products. I have had a very successful and large holistic practice in Southern California for almost 18 years. I carry over 450 unique supplements from, what I and others consider the top companies in the industry and none of them perform ORAC scores on their products. ORAC is an internet phenomenon only! I need to say that again, ORAC is an internet phenomenon only! Please do not buy into marketing hype when it comes to buying your supplements, it’s not going to get you a better product.

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ORAC says nothing to what is in the product. I can add a gram of ascorbic acid (vitamin C) and boost the score through the roof, is that a better product? I don’t think so.

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More information on ORAC:

ORAC – Analysis – Flash Pasteurization

ORAC – My Opinion

Here’s More On – ORAC