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Search Results (257)

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26 pages, 693 KB  
Review
Decontamination of Chloride Salt Solvent from Spent Chloride Salt Fuel and Pyro–Electrometallurgical Processing Salt for Recycling—A Review
by Sikun George Xu
J. Nucl. Eng. 2026, 7(2), 38; https://doi.org/10.3390/jne7020038 - 27 May 2026
Viewed by 142
Abstract
Alkaline and alkaline earth metal chloride salts are used in molten chloride fast reactors (MCFRs) and pyro–electrometallurgical (or –electrochemical) recovering of uranium and transuranic elements (PERUT) from spent nuclear fuel. Reprocessing of MCFR spent fuel with the PERUT process, after recovery of U [...] Read more.
Alkaline and alkaline earth metal chloride salts are used in molten chloride fast reactors (MCFRs) and pyro–electrometallurgical (or –electrochemical) recovering of uranium and transuranic elements (PERUT) from spent nuclear fuel. Reprocessing of MCFR spent fuel with the PERUT process, after recovery of U and transuranic elements (Np, Pu, Am, Cm), results in a chloride salt solvent waste stream containing fission and activation product chlorides. Recycling the chloride salt solvent by separation of fission and light element activation products (FPs and LEAPs) is highly desired because of the low chloride loading in the available glass and ceramic waste forms. This paper reviews the status of chloride salt waste management, chloride salt recycling studies, and potential FP and LEAP chlorides sequestration approaches. The chloride salt solvent recycling studies are represented by chemical precipitation of rare earth (RE) fission product chlorides with carbonate, O2 gas and phosphate in LiCl and eutectic LiCl-KCl salt solvent, which is then followed by separation of Cs and Sr with distillation or crystallization. More than 99% removal efficiencies are attained for RE FP chlorides, and distillation removes more than 99% of Sr and Ba from the salt solvent. Volatile species released from the operation of MCFRs need to be sequestered. Minor chlorides species, such as SnCl3, FeCl3, CrCl3, and ZrCl2, will be present in the waste stream, and the separation of these species will be required for salt solvent recycling. Bromine and iodine can form bromides and iodides with metal elements such as alkaline and alkaline earth metal elements, which behave chemically similarly to their chloride counterparts. The presence of these compounds in the salt solvent waste may complexify the recycling process, for which more experimental studies are required. Full article
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13 pages, 1365 KB  
Article
Iodine Nutritional Status and Its Associated Factors Among Children and Adolescents in Zhejiang Province Ten Years After the Downward Adjustment of the National Salt Iodization Policy
by Ziying Jiang, Simeng Gu, Hui Kan, Yan Zou, Lichun Huang, Fanjia Guo, Sujun Yan, Yuanyang Wang, Zhijian Chen, Xiaofeng Wang, Xiaoming Lou, Guangming Mao and Zhe Mo
Nutrients 2026, 18(10), 1634; https://doi.org/10.3390/nu18101634 - 21 May 2026
Viewed by 292
Abstract
Background: Iodine nutrition requires continued surveillance after changes in salt iodization policy. This study evaluated iodine status and associated factors among children and adolescents in Zhejiang Province, ten years after the national salt iodization standard was lowered. Methods: A cross-sectional survey employing a [...] Read more.
Background: Iodine nutrition requires continued surveillance after changes in salt iodization policy. This study evaluated iodine status and associated factors among children and adolescents in Zhejiang Province, ten years after the national salt iodization standard was lowered. Methods: A cross-sectional survey employing a stratified, multistage cluster sampling design was conducted in 2022. A total of 688 participants aged 6–17 years with complete data on urinary iodine concentration, household salt iodine concentration, geographic classification, and key questionnaire variables were included in the analysis. Multivariate logistic regression analysis was performed to identify factors independently associated with iodine sufficiency. Results: Among 688 participants, the median household salt iodine concentration was 21.50 mg/kg, and iodized salt coverage was 64.68%. The median urinary iodine concentration (UIC) was 191.4 μg/L; however, 15.26% of participants had UIC < 100 μg/L. Participants in coastal areas had lower UIC levels and lower household iodized salt coverage than those in inland areas. Multivariate logistic regression analysis identified age, geographic region, and household use of iodized salt as factors significantly associated with iodine sufficiency. Conclusions: The overall iodine nutritional status among children and adolescents aged 6–17 years in Zhejiang Province is adequate. However, a certain proportion of iodine deficiency persists. Continued, targeted monitoring and health education on the appropriate use of qualified iodized salt are warranted, particularly in coastal areas and among younger children. Full article
(This article belongs to the Section Nutrition and Public Health)
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18 pages, 698 KB  
Systematic Review
Maternal Iodine Status During Pregnancy and Child Neurodevelopment: A Systematic Review and Dose–Response Meta-Analysis of Prospective Cohort Studies
by Qingshan Luo, Zhou Wang, Jie Jiang, Xianru Luo, Tingxuan Feng, Chao Wang, Shasha Ruan and Xiaoheng Li
Nutrients 2026, 18(9), 1474; https://doi.org/10.3390/nu18091474 - 5 May 2026
Viewed by 604
Abstract
Background: Iodine deficiency during pregnancy remains a leading cause of preventable neurodevelopmental impairment worldwide, yet quantitative characterization of the dose–response relationship between maternal iodine status and child neurodevelopment is lacking. Methods: A systematic search of PubMed, Embase, the Cochrane Library, and Web of [...] Read more.
Background: Iodine deficiency during pregnancy remains a leading cause of preventable neurodevelopmental impairment worldwide, yet quantitative characterization of the dose–response relationship between maternal iodine status and child neurodevelopment is lacking. Methods: A systematic search of PubMed, Embase, the Cochrane Library, and Web of Science was conducted for prospective cohort studies published up to February 2026 reporting associations between maternal iodine status and child neurodevelopmental outcomes across at least three exposure categories. All continuous effect estimates were converted to standardized mean differences (Hedges’ g) to permit pooling across heterogeneous assessment instruments, and meta-analyses were stratified by neurodevelopmental domain (cognitive, language, motor, behavior, academic). A two-stage dose–response meta-analysis was used to characterize non-linearity. Risk of bias was evaluated using the Newcastle–Ottawa Scale (NOS). Results: Ten prospective cohort publications corresponding to eight independent cohorts were included. After converting all continuous effect estimates to standardized mean differences (Hedges’ g) and consolidating the three overlapping MoBa publications into a single cohort, the pooled analysis revealed a significant negative association between suboptimal maternal iodine status and child neurodevelopmental performance (Hedges’ g = −0.13, 95% CI: −0.20 to −0.06, p < 0.001; I2 = 95.2%). Domain-stratified analysis identified cognitive outcomes as most consistently affected (g = −0.22, 95% CI: −0.30 to −0.14; I2 = 37.5%), followed by motor (g = −0.17; I2 = 0%) and language outcomes (g = −0.16; I2 = 92.5%), with between-domain heterogeneity explaining 38.6% of the total variance (p = 0.012). Binary outcome analysis confirmed increased odds of adverse neurodevelopmental outcomes (OR = 1.19, 95% CI: 1.03 to 1.39, p = 0.026). Subgroup analysis by iodine exposure indicator showed directionally consistent negative effects across dietary intake (g = −0.11), UIC (g = −0.11) and UI/Cr (g = −0.28), with no significant between-subgroup difference (p = 0.237). Exploratory dose–response modeling on the Hedges’ g scale suggested that neurodevelopmental performance in the fitted curves approached its maximum within a mid-range of dietary iodine intake (approximately 150–300 µg/d); however, the quadratic non-linearity terms did not reach statistical significance after cohort consolidation (p = 0.612 for dietary intake; p = 0.436 for UI/Cr), and these findings should therefore be interpreted as exploratory. Conclusions: Suboptimal maternal iodine status during pregnancy was associated with modest decrements in child neurodevelopmental performance, with exploratory dose–response analyses suggesting that the fitted curves approached their maximum within a mid-range of dietary iodine intake. Although statistical evidence for quadratic non-linearity was attenuated after consolidating overlapping cohorts, the directional pattern across indicators remained consistent with an inverted U-shaped relationship, supporting maintenance of adequate but not excessive iodine nutrition during pregnancy. Full article
(This article belongs to the Section Nutrition in Women)
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15 pages, 1904 KB  
Article
Impact of Cheese Micronutrient Fortification on Micronutrient Consumption in Children from Morocco: A Modelling Study
by Alba M. Santaliestra-Pasías, Isabel Rueda-De Torre, Mª Isabel Benedicto-Toboso, Luis Mariano Esteban, Sergio Sabroso-Lasa, Karima Sabounji, Larbi Rjimati and Luis A. Moreno
Nutrients 2026, 18(9), 1397; https://doi.org/10.3390/nu18091397 - 29 Apr 2026
Viewed by 400
Abstract
Background/Objectives: Micronutrient malnutrition, particularly deficiencies in calcium, vitamin D, iron, zinc, and iodine, remains a significant public health issue among school-aged children in Morocco. Processed cheese, such as “The Laughing Cow” (TLC), has potential as a vehicle for fortification due to its [...] Read more.
Background/Objectives: Micronutrient malnutrition, particularly deficiencies in calcium, vitamin D, iron, zinc, and iodine, remains a significant public health issue among school-aged children in Morocco. Processed cheese, such as “The Laughing Cow” (TLC), has potential as a vehicle for fortification due to its widespread consumption and accessibility. This study aimed to evaluate the impact of fortified TLC on micronutrient intake and adequacy relative to the Recommended Dietary Allowances (RDA), among Moroccan children aged 6–12 years, and to explore differences in effects by socioeconomic status (SES). Methods: Data from the Moroccan Household Budget Survey (2013–2014) included 9266 children (39.4% TLC consumers). Dietary intake was assessed using 24 h recalls, and nutrient composition was analyzed using Ciqual 2020 tables and specialized software. Fortification scenarios were modelled to estimate potential impacts on micronutrient intake and compliance with RDAs. Results: Under the modelling scenarios, consumption of one portion/day of fortified TLC significantly improved RDAs compliance for iron, iodine, and zinc (p < 0.05). There was also an increase in RDA compliance for calcium and vitamin D, but differences were not significant. The impact of fortification on micronutrient intake and RDA compliance increased with socioeconomic status. Consumers of more than one portion/day showed the highest compliance with RDAs (p < 0.001). Fortification effects were consistent across age subgroups. Conclusions: Fortifying processed cheese represents a feasible strategy to address micronutrient deficiencies among Moroccan schoolchildren. This study highlights the potential of targeted fortification programmes to improve public health outcomes, particularly in vulnerable populations. Further research is needed to optimize fortification approaches and ensure sustainability. Full article
(This article belongs to the Section Pediatric Nutrition)
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14 pages, 293 KB  
Review
Iodine in Health and Disease: A Comprehensive Review
by Tea Delić and Sandra Karanović Štambuk
Nutrients 2026, 18(8), 1262; https://doi.org/10.3390/nu18081262 - 16 Apr 2026
Viewed by 1444
Abstract
Iodine is an essential micronutrient required for the synthesis of thyroid hormones and the maintenance of metabolic, neurodevelopmental and immune function. As iodine cannot be synthesized endogenously, adequate intake depends on dietary sources and environmental availability. Despite decades of progress in improving iodine [...] Read more.
Iodine is an essential micronutrient required for the synthesis of thyroid hormones and the maintenance of metabolic, neurodevelopmental and immune function. As iodine cannot be synthesized endogenously, adequate intake depends on dietary sources and environmental availability. Despite decades of progress in improving iodine supply, both iodine deficiency and excess remain significant global public health challenges. This review summarizes iodine physiology, covering both its role in thyroid hormone synthesis and emerging evidence for extrathyroidal immunomodulatory and antioxidant actions. It summarizes major dietary sources, global intake patterns and current approaches to iodine status assessment, including urinary biomarkers, salivary iodide measurement and dietary screening tools. The clinical consequences of iodine imbalance are examined, ranging from goiter, hypothyroidism and impaired neurocognitive development associated with deficiency, to iodine-induced thyroid dysfunction, autoimmunity and adverse systemic effects linked to excess intake. Special attention is given to vulnerable populations, particularly pregnant women and infants. This review further evaluates public health strategies, including salt iodization and targeted supplementation, while addressing the emerging challenge posed by salt-reduction initiatives. Achieving optimal iodine intake remains essential for thyroid health and population well-being, underscoring the need for coordinated monitoring and policy adaptation. Full article
(This article belongs to the Special Issue Nutritional Perspectives in Hormonal Health and Endocrine Disorders)
21 pages, 652 KB  
Article
Iodine Content of Commercially Available Iodized Salts in Hungary Determined by Iodometric Titration: Implications for the Effectiveness of Salt Iodization
by Nicole Hunter, Károly Berényi, Ágnes Csergő, Afshin Zand, Anita Bufa, Ágnes Dörnyei, Balázs Németh, István Kiss, Bálint Árvay and Katalin Szendi
Nutrients 2026, 18(7), 1164; https://doi.org/10.3390/nu18071164 - 7 Apr 2026
Viewed by 1126
Abstract
Background/Objectives: Iodine deficiency remains an important global public health concern. Although iodized salt is the primary strategy for iodine deficiency prevention, its effectiveness depends on adequate iodine concentrations in commercially available products. However, laboratory data on the iodine content of retail salt products [...] Read more.
Background/Objectives: Iodine deficiency remains an important global public health concern. Although iodized salt is the primary strategy for iodine deficiency prevention, its effectiveness depends on adequate iodine concentrations in commercially available products. However, laboratory data on the iodine content of retail salt products in Hungary are currently lacking. Therefore, this study aimed to determine the iodine concentration of commercially available iodized table salts in Hungary and to assess their compliance with the WHO-recommended range of 20–40 ppm. Methods: Twenty different brands of iodized table salt were purchased from major retail outlets in Pécs, Hungary, representing the dominant food retail sector. According to product labels, ten salts were fortified with potassium iodate (KIO3) and ten with potassium iodide (KI). Iodine concentrations were determined by iodometric titration following WHO-recommended laboratory methods. All measurements were performed in triplicate and expressed as mean values. In addition, a small exploratory wholesale micro-survey examined purchasing patterns of iodized and non-iodized salt in the regional supply chain. Results: Measured iodine concentrations varied substantially among products, ranging from 0 to 33.9 ppm. Overall, 65% of the analyzed salt samples contained less than 20 ppm iodine, while only 35% fell within the WHO-recommended range of 20–40 ppm. Notably, several products declared iodine concentrations below recommended levels on their labels. The wholesale micro-survey showed that ten times more iodized than non-iodized salt was ordered during the observation period. Conclusions: These results suggest that the presence of iodized salt on the market does not necessarily guarantee adequate iodine supply and highlight the potential relevance of considering iodine status during the differential diagnosis of hypothyroidism. Full article
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26 pages, 1441 KB  
Review
Ferroptosis in Differentiated Thyroid Cancer: Redox–Iodine Metabolism, Dedifferentiation, and Therapeutic Sensitization Beyond Anaplastic Disease
by Jaewang Lee and Jong-Lyel Roh
Cells 2026, 15(7), 630; https://doi.org/10.3390/cells15070630 - 31 Mar 2026
Viewed by 924
Abstract
Differentiated thyroid cancer (DTC), including papillary and follicular subtypes, is generally associated with favorable prognosis; however, a subset of patients develops recurrent, metastatic, or radioiodine-refractory diseases with limited therapeutic options. Ferroptosis, an iron-dependent form of regulated cell death driven by lipid peroxidation, has [...] Read more.
Differentiated thyroid cancer (DTC), including papillary and follicular subtypes, is generally associated with favorable prognosis; however, a subset of patients develops recurrent, metastatic, or radioiodine-refractory diseases with limited therapeutic options. Ferroptosis, an iron-dependent form of regulated cell death driven by lipid peroxidation, has recently emerged as a biologically relevant process in thyroid cancer, yet its role in differentiated disease remains incompletely defined. Unlike many other malignancies, thyroid cancer arises within an organ intrinsically shaped by iodine-dependent redox reactions required for thyroid hormone biosynthesis. This unique oxidative environment imposes selective pressure on tumor cells to adapt redox balance, lipid metabolism, and antioxidant defenses, all of which are central regulators of ferroptosis. Accumulating evidence indicates that ferroptosis susceptibility in DTC is dynamically modulated by differentiation status, oncogenic signaling, metabolic rewiring, and tumor microenvironmental interactions. Notably, progression toward radioiodine-refractory disease is accompanied by dedifferentiation and reinforcement of anti-ferroptotic programs, linking ferroptosis resistance to therapeutic failure. In this review, we synthesize recent original studies and contemporary reviews to provide a focused overview of ferroptosis in DTC, excluding anaplastic disease. We discuss thyroid-specific redox and iodine metabolism, genetic and metabolic determinants of ferroptosis sensitivity, lipid remodeling, and immune–microenvironmental interactions, and highlight translational opportunities for targeting ferroptosis in radioiodine-refractory DTC. By reframing ferroptosis as a context-dependent vulnerability rather than a universal death pathway, this review outlines a conceptual roadmap for integrating ferroptosis modulation into existing therapeutic strategies for DTC. Full article
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15 pages, 446 KB  
Article
Assessment of Iodine Status in Pregnant Women: Diagnostic Performance of Spot Urinary Iodine Indices Compared with 24-h Urinary Iodine Excretion
by Emre Altuğ, Gamze Dur, Nazli Sensoy, Aysen Mert and Halit Bugra Koca
Nutrients 2026, 18(5), 835; https://doi.org/10.3390/nu18050835 - 4 Mar 2026
Viewed by 618
Abstract
Background: Adequate iodine intake during pregnancy is essential for optimal maternal thyroid function and fetal neurodevelopment. Although universal salt iodization has been implemented in Turkey, pregnant women may remain vulnerable to iodine insufficiency. This study aimed to evaluate maternal thyroid function in [...] Read more.
Background: Adequate iodine intake during pregnancy is essential for optimal maternal thyroid function and fetal neurodevelopment. Although universal salt iodization has been implemented in Turkey, pregnant women may remain vulnerable to iodine insufficiency. This study aimed to evaluate maternal thyroid function in relation to iodine status, and to comprehensively compare the diagnostic performance of spot urinary indices and creatinine-adjusted measures against measured 24 h urinary iodine excretion (24h-UIE) in pregnant women. Methods: A total of 227 pregnant women attending family health centers in Afyonkarahisar, Turkey, provided both spot urine samples and complete 24 h urine collections. Urinary iodine concentration (UIC), creatinine-corrected UIC (UIC/UCr), and 24h-UIE were measured. Thyroid function tests were interpreted using trimester-specific reference ranges. Correlations between urinary indices were assessed, and ROC analyses were performed using 24h-UIE as the operational reference. A structured questionnaire evaluated iodine-related dietary knowledge and salt-use practices. Results: The median spot UIC was 59.0 µg/L, indicating insufficient recent iodine intake at the population level. Based on 24h-UIE, 70% of participants had excretion levels below the Estimated Average Requirement (EAR) threshold (<144 µg/day). Spot UIC showed a weak correlation with 24h-UIE (rho = 0.270, p < 0.001), whereas UIC/UCr demonstrated a stronger correlation (rho = 0.491, p < 0.001). In ROC analyses, UIC/UCr yielded a significantly higher AUC than spot UIC (0.774 [95% CI: 0.707–0.841] vs. 0.670 [95% CI: 0.593–0.748]; DeLong p = 0.016). Overt hypothyroidism was not observed; subclinical hypothyroidism was present in 16.3% of participants. While no overall association was found between iodine indices and thyroid status, in the first trimester, those with subclinical hypothyroidism had higher 24h-UIE medians than euthyroid peers (134.2 vs. 100.3 µg/day, p = 0.037), although both groups remained below the EAR threshold. Knowledge regarding iodine-rich foods and iodized salt use was limited among the study population. Conclusions: Iodine insufficiency remains highly prevalent among pregnant women in this region despite salt iodization. While spot UIC alone showed limited agreement with 24h-UIE, creatinine-adjusted UIC may offer improved interpretability under conditions of variable urine dilution. Preserved thyroid function in the presence of iodine insufficiency highlights the silent nature of this condition during pregnancy. Strengthened pregnancy-specific iodine surveillance and targeted antenatal education are warranted. Full article
(This article belongs to the Special Issue Diet Quality and Nutritional Status Among Pregnant Women)
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15 pages, 1584 KB  
Article
Spectral Precision: The Added Value of Dual-Energy CT for Axillary Lymph Node Characterization in Breast Cancer
by Susanna Guerrini, Giulio Bagnacci, Paola Morrone, Cecilia Zampieri, Chiara Esposito, Iacopo Capitoni, Nunzia Di Meglio, Armando Perrella, Francesco Gentili, Alessandro Neri, Donato Casella and Maria Antonietta Mazzei
Cancers 2026, 18(3), 363; https://doi.org/10.3390/cancers18030363 - 23 Jan 2026
Viewed by 636
Abstract
Background/Objectives: To develop and validate a predictive model that combines morphological features and dual-energy CT (DECT) parameters to non-invasively distinguish metastatic from benign axillary lymph nodes in patients with breast cancer (BC). Methods: In this retrospective study, 117 patients (median age, [...] Read more.
Background/Objectives: To develop and validate a predictive model that combines morphological features and dual-energy CT (DECT) parameters to non-invasively distinguish metastatic from benign axillary lymph nodes in patients with breast cancer (BC). Methods: In this retrospective study, 117 patients (median age, 65 years; 111 women and 6 men) who underwent DECT followed by axillary lymphadenectomy between April 2015 and July 2023, were analyzed. A total of 375 lymph nodes (180 metastatic, 195 benign) were evaluated. Two radiologists recorded morphological criteria (adipose hilum status, cortical appearance, extranodal extension, and short-axis diameter) and placed regions of interest to measure dual-energy parameters: attenuation at 40 and 70 keV, iodine concentration, water concentration and spectral slope. Normalized iodine concentration was calculated using the aorta as reference. Univariate analysis identified variables associated with metastasis. Multivariate logistic regression with cross-validation was used to construct two models: one based solely on morphological features and one integrating water concentration. Results: On univariate testing, all DECT parameters and morphological criteria differed significantly between metastatic and benign nodes (p < 0.01). In multivariate analysis, water concentration emerged as the only independent DECT predictor (odds ratio = 0.97; p = 0.002) alongside cortical abnormality, absence of adipose hilum, extranodal extension and short-axis diameter. The morphologic model achieved an area under the receiver operating characteristic curve (AUC) of 0.871. Increasing water concentration increased the AUC to 0.883 (ΔAUC = 0.012; p = 0.63, not significant), with internal cross-validation confirming stable performance. Conclusions: A model combining standard morphologic criteria with water concentration quantification on DECT accurately differentiates metastatic from benign axillary nodes in BC patients. Although iodine-based metrics remain valuable indicators of perfusion, water concentration offers additional tissue composition information. Future multicenter prospective studies with standardized imaging protocols are warranted to refine parameter thresholds and validate this approach for routine clinical use. Full article
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19 pages, 561 KB  
Review
Carnivore Diet: A Scoping Review of the Current Evidence, Potential Benefits and Risks
by Almiera Lietz, Janina Dapprich and Tobias Fischer
Nutrients 2026, 18(2), 348; https://doi.org/10.3390/nu18020348 - 21 Jan 2026
Viewed by 28196
Abstract
Background: The Carnivore Diet (CD) is an almost exclusively animal-based dietary pattern that has gained increasing popularity on social media. Despite numerous health-related claims, a standardized definition is lacking, and scientific evidence regarding the long-term effects of this diet remains unclear. Methods [...] Read more.
Background: The Carnivore Diet (CD) is an almost exclusively animal-based dietary pattern that has gained increasing popularity on social media. Despite numerous health-related claims, a standardized definition is lacking, and scientific evidence regarding the long-term effects of this diet remains unclear. Methods: The literature search for this scoping review was conducted in accordance with PRISMA guidelines (PRISMA-ScR) using the databases PubMed, LIVIVO, Web of Science, and the Cochrane Library. Results: Nine human studies were included. Individual publications reported positive effects of the CD, such as weight reduction, increased satiety, and potential improvements in inflammatory or metabolic markers. At the same time, potential risks of nutrient deficiencies, particularly in vitamins C and D, calcium, magnesium, iodine, and dietary fiber, as well as elevated low-density-lipoprotein (LDL-) and total cholesterol (TC) levels, were identified, along with one case describing a deterioration in health status. Overall, the quality of evidence is very limited due to small sample sizes, short study durations, and the absence of control groups. Conclusions: The CD may offer short-term health benefits but carries substantial risks of nutrient deficiencies, reduced intake of health-promoting phytochemicals, and the development of cardiovascular disease. At this time, long-term adherence to a CD cannot be recommended. Full article
(This article belongs to the Section Nutrition and Metabolism)
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14 pages, 835 KB  
Article
Effects of Iodine Status and Vitamin A Level on Blood Pressure, Blood Glucose, and Blood Lipid Levels in Chinese Adults: A Cross-Sectional Study
by Jingtao Zhao, Manman Chen, Yang Peng, Keyu Han, Qu Lu and Bin Dong
Nutrients 2025, 17(24), 3948; https://doi.org/10.3390/nu17243948 - 17 Dec 2025
Cited by 1 | Viewed by 1383
Abstract
Background: Iodine deficiency remains a significant public health concern worldwide and may contribute to metabolic disorders beyond thyroid dysfunction. Emerging evidence suggests that nutritional factors, such as vitamin A, may influence the health effects of iodine deficiency, yet population-based evidence remains limited. This [...] Read more.
Background: Iodine deficiency remains a significant public health concern worldwide and may contribute to metabolic disorders beyond thyroid dysfunction. Emerging evidence suggests that nutritional factors, such as vitamin A, may influence the health effects of iodine deficiency, yet population-based evidence remains limited. This study aimed to investigate the associations between iodine deficiency and cardiometabolic risk factors (blood pressure, glucose, and lipids) and to explore whether these associations are different between adults with different vitamin A levels. Methods: A total of 4723 adults (1895 males and 2828 females) were included in this cross-sectional study. Participants were categorized based on iodine status and serum vitamin A levels. Demographic, anthropometric, and biochemical indicators were assessed through standardized examinations. Multivariable linear and logistic regression models were used to evaluate the associations between iodine deficiency and continuous (systolic blood pressure [SBP], diastolic blood pressure [DBP], fasting blood glucose [FBG], total cholesterol [TC], high-density lipoprotein cholesterol [HDL-C], low-density lipoprotein cholesterol [LDL-C], triglycerides [TGs]) and binary outcomes (hypertension, hyperglycemia, and dyslipidemia), with stratified analyses by gender, age, and vitamin A status. Results: Iodine deficiency was significantly associated with higher SBP (β = 2.89, 95% confidence interval [CI]: 2.00–3.77), DBP (β = 1.08, 0.55–1.60), FBG (β = 0.06, 0.01–0.12) and TC (β = 0.05, 0.00–0.10). The odds of hypertension (odds ratio [OR] = 1.41, 1.23–1.63) and hyperglycemia (OR = 1.39, 1.17–1.65) were also increased. Stratified analyses indicated that these associations were more pronounced among participants with vitamin A deficiency than those with sufficient vitamin A. In this subgroup, iodine deficiency was positively associated with FBG (β = 0.14, 0.03–0.25), TC (β = 0.08, 0.00–0.15), and hyperglycemia (OR = 1.35, 1.04–1.76). Conclusions: The findings suggest that the association of iodine deficiency with adverse cardiometabolic risk factors may be stronger in individuals with concurrent vitamin A deficiency. This highlights the potential value of integrated nutritional assessments and supports the need for longitudinal studies to confirm these interactions and assess the effects of combined micronutrient supplementation. Full article
(This article belongs to the Section Micronutrients and Human Health)
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25 pages, 1740 KB  
Article
Analysis of Determinants of Dietary Iodine Intake of Adolescents from Northern Regions of Poland: Coastal Areas and Lake Districts
by Katarzyna Lachowicz and Małgorzata Stachoń
Nutrients 2025, 17(24), 3813; https://doi.org/10.3390/nu17243813 - 5 Dec 2025
Viewed by 1257
Abstract
Background/Objectives: Iodine plays a central role in thyroid hormone synthesis and neurodevelopment. Its deficiency and excessive intake have been identified as risk factors for thyroid diseases and their consequences. The objective of the study was to analyze dietary iodine intake (dIi) and the [...] Read more.
Background/Objectives: Iodine plays a central role in thyroid hormone synthesis and neurodevelopment. Its deficiency and excessive intake have been identified as risk factors for thyroid diseases and their consequences. The objective of the study was to analyze dietary iodine intake (dIi) and the factors that determine its intake among post-primary school students from northern Poland, specifically those from coastal areas and lake districts. Methods: The study was conducted on a sub-national sample of 3102 adolescents (1751 females and 1351 males) aged 14–20 years, recruited from schools located in the Northern (N) and North-Western (N-W) macroregions of Poland. Dietary iodine intake was assessed using the Iodine Dietary Intake Evaluation-Food Frequency Questionnaire. Based on the data obtained, the adequacy of the intake of this micronutrient was assessed. Statistical analysis was performed using the Shapiro-Wilk, U Mann-Whitney, and Kruskal-Wallis tests and Spearman’s correlation analysis. Results: The median dIi was 66.83 µg daily, including 53 µg from natural sources. This value was below the recommended dietary allowance of 150 µg and below the estimated average requirement of 95 µg of iodine in 85% and 68% of the study participants, respectively. Milk and dairy products provided the highest iodine intake (26.4%). Iodine-enriched salt (16.2%) also significantly impacted iodine intake. However, 60% of respondents did not use iodized salt. The median iodine levels from natural sources were found to be low (dairy products: 15.02 µg, fish and fish products: 2.38 µg, and eggs: 2.10 µg). Dietary iodine intake was significantly lower in adolescents from the N than N-W macroregion of Poland (median: 65.63 vs. µg daily, 74.2 p < 0.001). However, dIi did not depend on sex (p = 0.10), age (p = 0.80), school location (p = 0.80), body mass index classification (p = 0.76), or iodine supplementation (p = 0.90). Conclusions: The study results indicate that insufficient iodine intake among adolescents in northern Poland can be attributed to a limited intake of iodine from natural food sources. A pressing need exists to closely monitor iodine intake and status among Polish adolescents and to implement nutritional education, focusing on the role of iodine, potential risks associated with iodine deficiency, and dietary sources of iodine. Full article
(This article belongs to the Special Issue Selenium and Iodine in Human Health and Disease)
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28 pages, 1380 KB  
Systematic Review
Dairy Intake and Iodine Status in Pregnant and Lactating Women: A Systematic Review and Meta-Analysis
by Elham Razmpoosh, Katrina Geronimo, Caroline Gauntlett, Isabella Vicente, Patricia Pham, Aarsh Shah and Kathy Musa-Veloso
Nutrients 2025, 17(23), 3765; https://doi.org/10.3390/nu17233765 - 30 Nov 2025
Viewed by 2219
Abstract
Background/Objectives: Despite salt iodization, iodine deficiency during pregnancy and lactation is re-emerging in many industrialized countries, necessitating an evaluation of the role of dairy in supporting iodine status during these critical periods. Methods: We conducted a systematic review and meta-analysis in [...] Read more.
Background/Objectives: Despite salt iodization, iodine deficiency during pregnancy and lactation is re-emerging in many industrialized countries, necessitating an evaluation of the role of dairy in supporting iodine status during these critical periods. Methods: We conducted a systematic review and meta-analysis in accordance with PRISMA guidelines. Ten databases were searched through March 2025 using ProQuest Dialog™ (Version 75.0). Study quality was assessed using either the Quality Evaluation for Observational Studies tool or the Risk of Bias 2 tool, depending on study design. Random-effects models were applied, with certainty of evidence rated using the GRADE framework. Publication bias, sensitivity analyses, and subgroup analyses were also performed. Results: Fifty-one publications met the eligibility criteria, including 50 publications of observational studies and 1 publication of a randomized controlled trial (RCT), with most studies conducted on pregnant women. Higher dairy intake was associated with significantly greater urinary iodine concentration (UIC), (23 studies; standardized mean difference: 0.326; 95% confidence interval [CI]: 0.228, 0.424; p < 0.001; I2 = 57.31%; low-certainty), and significantly lower odds of iodine deficiency (11 studies; odds ratio: 0.58; 95% CI: 0.48, 0.70; p < 0.001; I2 = 0%; moderate-certainty). Associations were stronger in studies conducted during later pregnancy, in higher-quality studies, and when the dairy food was specifically milk. Dairy contributed to ~27% of iodine intake from foods. Breast milk iodine concentration (BMIC) findings were inconsistent, though in one RCT, iodine-fortified milk improved BMIC and UIC. Conclusions: Dairy intake supports adequate iodine status during pregnancy and lactation. RCTs would be valuable in further investigating the role of dairy in supporting iodine status, particularly in lactating women. (PROSPERO CRD420251054576) Full article
(This article belongs to the Special Issue Nutritional Requirements of Pregnant and Lactating Women)
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16 pages, 749 KB  
Review
Aeronutrient Therapy: A New Frontier in Systemic Drug Delivery
by Stephen R. Robinson, Malav S. Trivedi and Flávia Fayet-Moore
Biomedicines 2025, 13(11), 2788; https://doi.org/10.3390/biomedicines13112788 - 14 Nov 2025
Viewed by 1755
Abstract
Background: Although the micronutrients (vitamins and trace minerals) essential for growth and normal physiological function are obtained from the diet, a substantial fraction of the human population is deficient in one or more micronutrients due to inadequate nutrition and/or malabsorption. Methods: This narrative [...] Read more.
Background: Although the micronutrients (vitamins and trace minerals) essential for growth and normal physiological function are obtained from the diet, a substantial fraction of the human population is deficient in one or more micronutrients due to inadequate nutrition and/or malabsorption. Methods: This narrative review examines evidence that airborne micronutrients (‘aeronutrients’) are readily absorbed by the lungs, and preclinical and clinical evidence that inhaled iodine and vitamins A, B12 and D can enter the bloodstream. Results: Inhaled vitamin B12 resolves the symptoms and haematological features of pernicious anaemia with a bioavailability comparable to intramuscular injections and superior to oral formulations. Inhaled nebulised vitamin A restores serum levels in children with retinol deficiency. Randomised controlled trials have reported that inhalation of nebulised preparations of vitamins A, B12, magnesium and zinc are well tolerated and not associated with adverse health effects. Aeronutrient formulations have untapped potential for the therapeutic treatment of nutritional deficits, particularly in individuals with malabsorption or a low tolerance of injections. Aeronutrient therapy should be regarded as a medical intervention and be regulated accordingly, with efficacy and safety supported by scientific evidence, unlike the ‘vitamin vapes’ marketed by the wellness industry. Conclusions: Before this potential can be realised, a regulatory framework will need to be developed for aeronutrients. The high effectiveness of the pulmonary route introduces concerns regarding overdosing and toxicity which can best be addressed by categorising these formulations as prescription drugs that require regular monitoring of nutritional and health status. Full article
(This article belongs to the Section Drug Discovery, Development and Delivery)
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17 pages, 681 KB  
Article
Maternal and Environmental Drivers of Trace Mineral Dynamics in Camel Dams and Neonates Across Regions and Seasons in Saudi Arabia
by Mutassim M. Abdelrahman, Ibrahim A. Alhidary, Ahmad A. Aboragah, Mohammed M. Qaid, Mohammed A. Al-Badwi, Abdulkareem M. Matar, Mohsen M. Alobre, Ramzi A. Amran and Riyadh S. Aljumaah
Life 2025, 15(11), 1730; https://doi.org/10.3390/life15111730 - 10 Nov 2025
Cited by 2 | Viewed by 761
Abstract
Background: Dromedary camel in Saudi Arabia thrive across diverse desert ecosystems where trace minerals are vital for key physiological functions, yet data on how regional and seasonal factors affect these minerals in dams and neonates are limited. Aim: This study investigated the effects [...] Read more.
Background: Dromedary camel in Saudi Arabia thrive across diverse desert ecosystems where trace minerals are vital for key physiological functions, yet data on how regional and seasonal factors affect these minerals in dams and neonates are limited. Aim: This study investigated the effects of regional and seasonal variability on trace mineral status in dam serum (DS), dam milk (DM), and neonatal serum (NS) across major camel-rearing regions of Saudi Arabia. We hypothesized that environmental factors—particularly heat stress and local feed resources—drive regional and seasonal differences in mineral profiles and maternal–neonatal transfer. Methods: Samples of serum, milk, feed, water, and soil were collected from five major regions during three seasons. Concentrations of selenium (Se), zinc (Zn), copper (Cu), iron (Fe), manganese (Mn), and iodine (I) were quantified, and correlations among biological compartments were analyzed. Meteorological data were used to compute the temperature-humidity index (THI). Results: The THI ranged from thermoneutral levels in the Northern winter (17.4) to severe heat stress in Eastern summer (33.8). Milk minerals exhibited strong seasonal and regional effects, with selenium peaking in summer and zinc in spring. Western dams showed elevated iron and iodine, whereas northern dams had higher zinc. Serum minerals in dams varied moderately with season but differed regionally for zinc, selenium, and iron. Neonatal serum reflected maternal and regional influences, showing significant season-by-region interactions for selenium and iodine. Positive correlations indicated coordinated maternal–neonatal mineral transfer, particularly for selenium, iodine, and zinc. Feed represented the main environmental source of Cu and Se. In conclusion, camel trace mineral status is mainly driven by environmental factors but regulated through maternal transfer, with selenium and iodine emerging as key heat-stress markers supporting targeted, region- and season-specific supplementation to improve health and productivity in arid regions. Full article
(This article belongs to the Section Animal Science)
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