Evidence of impaired carbohydrate assimilation in euthyroid patients with Hashimoto’s thyroiditis

Heckl, Stefan; Reiners, Christoph; Buck, Andreas K.; Schäfer, Arne; Dick, Anke; Scheurlen, Michael

doi:10.1038/ejcn.2015.167

Cited by 3 publications

(1 citation statement)

References 39 publications

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“…Even though gluten exclusion might be beneficial for HT patients [48], it is associated with potential exacerbation of nutritional deficiencies and carbohydrate or lipid metabolism in HT patients [18]. Lactose intolerance seems to occur more often in HT [49,50]; however, it should be implemented only when diagnosed based on the hydrogen and methane breath test [51]. In our study, 10.4% of patients used a vegetarian diet and 6% used the autoimmune protocol.…”

Section: Bmi Obesity and Dieting Experiencesmentioning

confidence: 73%

Are Nutritional Patterns among Polish Hashimoto Thyroiditis Patients Differentiated Internally and Related to Ailments and Other Diseases?

Ihnatowicz

Wątor²,

Gębski

et al. 2021

Nutrients

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There is not any diet recommended for Hashimoto’s disease, despite that those patients are often undernourished. Because of the high heterogeneity of Hashimoto’s patients, insight into dietary patterns might shed some light on the patient-tailored dietary approach, thus improving their treatment and helping to identify patients with the highest probability of particular nutritional deficiencies. The aim of this study was to identify Hashimoto’s patients’ dietary patterns and their characterization based on both socio-demographic variables and dietary self-assessment. We collected data online from patients with Hashimoto’s disease. The questionnaire formula used in the study was developed based on a validated food frequency questionnaire KomPAN®. K-means pattern analyses were used to characterize patients into patterns based on the frequency of particular types of foods consumption and socio-demographic factors. Four patterns were identified. We labeled them as ‘Convenient’, ‘Non-meat’, ‘Pro-healthy’, and ‘Carnivores’ with participants proportions at approximately one-fourth per each pattern. The patients were mainly of the female gender (94.08%), with a female: male ratio of 15.9. Hashimoto’s patients differed in their food product choices, food choice motives, dieting experience, nutritional knowledge, smoking habits, food allergies and intolerances, and lipid disorders, and thus represent different eating patterns. However, these patterns were not determined by comorbidities or the majority of ailments.

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Section: Bmi Obesity and Dieting Experiencesmentioning

confidence: 73%

Are Nutritional Patterns among Polish Hashimoto Thyroiditis Patients Differentiated Internally and Related to Ailments and Other Diseases?

Ihnatowicz

Wątor²,

Gębski

et al. 2021

Nutrients

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Digestion, absorption, metabolism, and physiological effects of lactose

Szilagyi

2019

Lactose

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Thyroid, Diet, and Alternative Approaches

Larsen

Singh²,

Brito

2022

The Journal of Clinical Endocrinology &Amp; Metabolism

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Background Increasingly, patients are asking their physicians about the benefits of dietary and alternative approaches to manage their diseases, including thyroid disease. We seek to review the evidence behind several of the vitamins, minerals, complementary medicines, and elimination diets which patients are most commonly using for the treatment of thyroid disorders. Summary Several trace elements are essential to normal thyroid function, and their supplementation has been studied in various capacities. Iodine supplementation has been implemented on national scales through universal salt iodization with great success in preventing severe thyroid disease, but can conversely cause thyroid disorders when given in excess. Selenium and zinc supplementation has been found to be beneficial in specific populations with otherwise limited generalizability. Other minerals, vitamin B12, low-dose naltrexone, and ashwagandha root extract have little to no evidence of any impact on thyroid disorders. Avoidance of gluten and dairy have positive impacts only in patients with concomitant sensitivities to those substances, likely by improving absorption of levothyroxine. Avoidance of cruciferous vegetables and soy has little proven benefit in patients with thyroid disorders. Conclusion While many patients are seeking to avoid conventional therapy and instead turn to alternative and dietary approaches to thyroid disease management, many of the most popular approaches have no proven benefit or have not been well-studied. It is our responsibility to educate our patients about the evidence for or against benefit, potential harms, or dearth of knowledge behind these strategies.

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Evidence of impaired carbohydrate assimilation in euthyroid patients with Hashimoto’s thyroiditis

Abstract: Carbohydrate malassimilation and gastrointestinal complaints are frequent in euthyroid patients with HT, leading to novel clinical and pathophysiological considerations and concepts.

Cited by 3 publications

References 39 publications

Are Nutritional Patterns among Polish Hashimoto Thyroiditis Patients Differentiated Internally and Related to Ailments and Other Diseases?

Are Nutritional Patterns among Polish Hashimoto Thyroiditis Patients Differentiated Internally and Related to Ailments and Other Diseases?

Digestion, absorption, metabolism, and physiological effects of lactose

Thyroid, Diet, and Alternative Approaches

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