Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review

Vegan and vegetarian diets are becoming increasingly popular. Dietary restrictions may increase the risk of iodine deficiency. This systematic review aims to assess iodine intake and status in adults following a vegan or vegetarian diet in industrialised countries. A systematic review and quality as...

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Main Authors: Elizabeth R. Eveleigh, Lisa J. Coneyworth, Amanda Avery, Simon J. M. Welham
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/6/1606
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author Elizabeth R. Eveleigh
Lisa J. Coneyworth
Amanda Avery
Simon J. M. Welham
author_facet Elizabeth R. Eveleigh
Lisa J. Coneyworth
Amanda Avery
Simon J. M. Welham
author_sort Elizabeth R. Eveleigh
collection DOAJ
description Vegan and vegetarian diets are becoming increasingly popular. Dietary restrictions may increase the risk of iodine deficiency. This systematic review aims to assess iodine intake and status in adults following a vegan or vegetarian diet in industrialised countries. A systematic review and quality assessment were conducted in the period May 2019–April 2020 according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were identified in Ovid MEDLINE, Embase, Web of Science, PubMed, Scopus, and secondary sources. Fifteen articles met inclusion criteria. Participants included 127,094 adults (aged ≥ 18 years). Vegan groups presented the lowest median urinary iodine concentrations, followed by vegetarians, and did not achieve optimal status. The highest iodine intakes were recorded in female vegans (1448.0 ± 3879.0 µg day<sup>−1</sup>) and the lowest in vegetarians (15.6 ± 21.0 µg day<sup>−1</sup>). Omnivores recorded the greatest intake in 83% of studies. Seaweed contributed largely to diets of vegans with excessive iodine intake. Vegans appear to have increased risk of low iodine status, deficiency and inadequate intake compared with adults following less restrictive diets. Adults following vegan and vegetarian diets living in countries with a high prevalence of deficiency may be more vulnerable. Therefore, further monitoring of iodine status in industrialised countries and research into improving the iodine intake and status of adults following vegan and vegetarian diets is required.
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spelling doaj.art-33afefd14c714071bd86033c6aecaf522023-11-20T02:14:38ZengMDPI AGNutrients2072-66432020-05-01126160610.3390/nu12061606Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic ReviewElizabeth R. Eveleigh0Lisa J. Coneyworth1Amanda Avery2Simon J. M. Welham3Division of Food, Nutrition & Dietetics, School of Biosciences, The University of Nottingham, Sutton Bonington LE12 5RD, UKDivision of Food, Nutrition & Dietetics, School of Biosciences, The University of Nottingham, Sutton Bonington LE12 5RD, UKDivision of Food, Nutrition & Dietetics, School of Biosciences, The University of Nottingham, Sutton Bonington LE12 5RD, UKDivision of Food, Nutrition & Dietetics, School of Biosciences, The University of Nottingham, Sutton Bonington LE12 5RD, UKVegan and vegetarian diets are becoming increasingly popular. Dietary restrictions may increase the risk of iodine deficiency. This systematic review aims to assess iodine intake and status in adults following a vegan or vegetarian diet in industrialised countries. A systematic review and quality assessment were conducted in the period May 2019–April 2020 according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were identified in Ovid MEDLINE, Embase, Web of Science, PubMed, Scopus, and secondary sources. Fifteen articles met inclusion criteria. Participants included 127,094 adults (aged ≥ 18 years). Vegan groups presented the lowest median urinary iodine concentrations, followed by vegetarians, and did not achieve optimal status. The highest iodine intakes were recorded in female vegans (1448.0 ± 3879.0 µg day<sup>−1</sup>) and the lowest in vegetarians (15.6 ± 21.0 µg day<sup>−1</sup>). Omnivores recorded the greatest intake in 83% of studies. Seaweed contributed largely to diets of vegans with excessive iodine intake. Vegans appear to have increased risk of low iodine status, deficiency and inadequate intake compared with adults following less restrictive diets. Adults following vegan and vegetarian diets living in countries with a high prevalence of deficiency may be more vulnerable. Therefore, further monitoring of iodine status in industrialised countries and research into improving the iodine intake and status of adults following vegan and vegetarian diets is required.https://www.mdpi.com/2072-6643/12/6/1606iodine statusiodine intakeiodine deficiencyveganvegetarian
spellingShingle Elizabeth R. Eveleigh
Lisa J. Coneyworth
Amanda Avery
Simon J. M. Welham
Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review
Nutrients
iodine status
iodine intake
iodine deficiency
vegan
vegetarian
title Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review
title_full Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review
title_fullStr Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review
title_full_unstemmed Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review
title_short Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review
title_sort vegans vegetarians and omnivores how does dietary choice influence iodine intake a systematic review
topic iodine status
iodine intake
iodine deficiency
vegan
vegetarian
url https://www.mdpi.com/2072-6643/12/6/1606
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