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Cruciferous vegetables and the thyroid gland: friends or foes?

Authors:

Abstract

PURPOSE: Cruciferous (brassica) vegetables are very common foods, especially in plant-based diets. They contain many healthy nutrients, including phytochemicals with anticarcinogenic, antioxidative and antiinflammatory activity. However, they also contain goitrogens such as progoitrin and glucosinolates, which may interfere with thyroid hormone production or utilization. The aim of this evidence-based literature review is to provide information regarding the influence of cruciferous vegetables on thyroid function in humans. METHODS: A review of articles relating cruciferous vegetables with thyroid function in humans was performed. RESULTS: Four observational studies, one case report, one article investing the goitrogens content of brassica vegetables and three experimental studies were found. Most of the brassica vegetables have low goitrin contents, with the exception of collards, Brussel sprouts and some Russian kale species. The consumption of 150g of cooked Brussel sprouts/die for four weeks did not show any negative effect on thyroid parameters. The only studies with negative outcomes were 1) a case report where 1–1.5kg of raw Bok Choy was consumed daily over several months and 2) observational studies from the seventies, where children consumed large amounts of milk by cows fed with high glucosinolate-containing food crops. CONCLUSIONS: There is little reliable evidence that the consumption of normal dietary levels of cruciferous vegetables affects thyroid function. Furthermore, the goitrogen-concentration can be decreased by cooking by boiling, which causes leaching of glucosinolates into water and inactivation of the enzyme myrosinase.
CRUCIFEROUS VEGETABLES
AND THE THYROID GLAND: FRIENDS OR FOES?
Michael Kob, MD, Division of Clinical Nutrition, Bolzano Central Hospital, Bolzano, Italy
Cruciferous (brassica) vegetables are very common
foods, especially in plant-based diets. They contain
many healthy nutrients, including phytochemicals
with anticarcinogenic, antioxidative and
antiinflammatory activity[1]. However, they also
contain goitrogens[2] such as progoitrin (fig. 1) and
thiocyanate-producing indole glucosinolates (fig.
2), which may interfere with thyroid hormone
production or utilization (fig. 3). The aim of this
evidence-based literature review is to provide
information regarding the influence of cruciferous
vegetables on thyroid function in humans.
A review of articles relating cruciferous vegetables
with thyroid function in humans was performed.
Four observational studies[3,4,5,6],one case report[7],
one article investing the goitrogens content of
brassica vegetables[8] and three experimental
studies were found[9,10,11].
Most of the brassica vegetables have low goitrin
contents, with the exception of collards, Brussel
sprouts and some Russian kale species (fig. 4). The
consumption of 150 gof cooked Brussel sprouts/die
for four weeks did not show any negative effect on
thyroid parameters[11].
The only studies with negative outcomes were
1) acase report where 1-1.5 kg of raw Bok Choy was
consumed daily over several months[7] and
2) observational studies from the seventies,where
children consumed large amounts of milk by cows fed
with high glucosinolate-containing food crops.
CONCLUSIONS: There is little reliable evidence that the consumption of normal dietary levels of
cruciferous vegetables affects thyroid function. Furthermore, the goitrogen-concentration can be
decreased by cooking by boiling, which causes leaching of glucosinolates into water and inactivation
of the enzyme myrosinase [12].
REFERENCES: [1]Wagner AE et al., Oxid Med Cell Longev 2013; [2]Jahangir M et al., Compr Rev Food Saf 2009; [3]Clements FW, Med J Aust
1957; [4]Chandra AK, Indian J Med Res 2008; [5]Fernando R et al., Int J Int Med 2012; [6]Gaitan E, Annu Rev Nutr 1990; [7]Chu M et al., N Engl J
Med 2010; [8]Felker P et al., Nutr Rev 2016; [9]Langer P et al., Endokrinologie 1971; [10]McMillan M et al., Hum Toxicol 1986; [11]Shapiro TA, Nutr
Cancer 2006; [12]Rungapamestry V et al., J Agric Food Chem 2006;
Fig. 1: Conversion of progoitrin to goitrin by the enzyme myrosinase [2]
BACKGROUND
METHODS
RESULTS
Fig. 2: Glucosinate degradation [2]. Indole glucosinates produce
thiocyanates
THIOCYANATES
GOITRIN
GOITRIN
THIOCYANATES
Fig. 3: Inhibitition of the Sodium Iodide Symporter (NIS) and the
Thyroperoxidase (TPO) by goitrin and thiocyanates
Fig. 4: Thiocyanate-producing glucosinolate and progoitrin concentrations
in different cruciferous vegetable[8]
0
100
200
300
400
500
600
700
800
900
Kale (B.
oleracea
leaves)
Kale (B. napus
leaves)
Brussel sprouts B. oleracea
acephala
group
(collards)
Broccoli rabe Cima di rapa
variants
Chinese
cabbage
Turnip tops Pak Choi
THIOCYANATE-PRODUCING GLUCOSINOLATE CONCENTRATIONS [umol/100g]
PROGOITRIN CONCENTRATION [umol/100g]
Contact: michael.kob@sabes.it

Supplementary resource (1)

... Also, Takaya et al. (2003) reported that a methanol extract of JRS had a better scavenge activity than L-ascorbic acid and that antioxidants involving sinapinic acid esters and flavonoids were responsible for the activity. Chandra et al. (2006) and Kob (2018) reported that cruciferous plants (i.e. cabbage, cauliflower, turnip, radish, mustard, etc.) are very popular foods, particularly in plant-based diets. ...
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