Iodised salt
What the research shows
Mostly no concerns
most studies in people found no harm or a benefit
What research says
Studies in people
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Open question
Child growth3
Scientists do not yet know whether iodised salt helps children grow, as no review has pulled the evidence together.
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Benefit
Iodine deficiency progress4
In some countries, more dietary salt was adequately iodised, and many reached or neared eliminating iodine deficiency.
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Open question
Iodine levels in pregnancy5
In pregnant women in Turkey, iodised salt use was common but many still had low iodine levels.
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Concern
Thyroid health in India6
In Manipur, iodised salt did not stop goitre; thiocyanate from bamboo shoots was linked to thyroid disease.
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No harm found
Thyroid and goiter risk7
In Chinese people, iodised salt intake was not linked to goiter, two-degree goiter or cretinism.
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Benefit
Iodine levels in children8
In school-aged children on São Miguel Island, iodised salt use was linked to iodine levels that were not deficient.
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Benefit
Thyroid health in pregnancy10
Pregnant women who used iodised salt long-term had healthier thyroids than those who only started when pregnant.
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Open question
Iodine levels in the body12
Even where iodised salt is used, many adults in Gilgit-Baltistan still had low iodine levels.
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Benefit
Iodine intake in children14
Using iodised salt in meals fully met iodine needs for preschoolers but gave schoolchildren only part of what they need.
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No harm found
Children's brain development15
In children aged 4 to 6, iodised salt did not clearly improve thinking or language test scores.
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Concern
Thyroid nodules and cancer16
Eating more than 5g of iodised salt a day was linked to thyroid nodules and thyroid cancer in this study.
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Concern
Iodine in pregnancy and children17
In this Indian study, iodised salt gave pregnant women enough iodine, but their children got more than enough.
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Open question
Iodine deficiency in children18
Children in this area still lacked iodine even though most families used iodised salt.
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Open question
Iodine deficiency and excess19
Iodised salt raised iodine levels in Malaysian villagers, but some still had too little and others too much.
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Benefit
Birth defects prevention20
Women who ate salt with added folic acid had more folate in their blood, which may help prevent spina bifida.
How it’s made and used
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Iodine intake in adults9
In Italian adults, iodised salt supplied about 43% of iodine, but most still fell short of the recommended amount.
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Iodine intake in coastal areas11
In Zhejiang, people who used iodised salt had higher dietary iodine intake than those who did not.
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Iodine nutrition in pregnancy13
Iodised salt gave most groups enough iodine, but pregnant women in Croatia were sometimes borderline low.
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Iodine in cooking21
Iodised salt in bouillon cubes and powder keeps its iodine when boiled in broth or cooked into rice.
The signal at the top counts the findings in people and in animal and lab studies. A concern in studies of people outranks animal and lab studies, and “No concerns” needs at least one finding in people. When most findings in people point one way, the page leans that way (“Mostly”), and every finding is still shown. Findings whose study type is not stated are shown but not counted. This page is a reference, not medical advice. It describes what regulators and published research say. Talk to a doctor or dietitian about your own diet.
References
- 1iodised salt: ingredient taxonomy entry. Open Food Facts.
- 2Iodised salt. Wikipedia. Accessed September 26, 2026. CC BY-SA 4.0.
- 3Farebrother J, Naude CE, Nicol L, Andersson M, Zimmermann MB. Iodised salt and iodine supplements for prenatal and postnatal growth: a rapid scoping of existing systematic reviews. Nutr J. 2015;14:89. doi:10.1186/s12937-015-0079-z
- 4Doggui R, Al-Jawaldeh H, Al-Jawaldeh A. Trend of Iodine Status in the Eastern Mediterranean Region and Impact of the Universal Salt Iodization Programs: a Narrative Review. Biol Trace Elem Res. 2020;198(2):390-402. doi:10.1007/s12011-020-02083-1
- 5Isiklar Ozberk D, Kutlu R, Kilinc I, Kilicaslan AO. Effects of mandatory salt iodization on breast milk, urinary iodine concentrations, and thyroid hormones: is iodine deficiency still a continuing problem? J Endocrinol Invest. 2019;42(4):411-418. doi:10.1007/s40618-018-0930-0
- 6Singh LH, Chandra AK, Yumnam SD, et al. Thiocyanate in excess develops goiter followed by auto immune thyroid diseases even after effective salt iodization in a rural community of north east India. Ecotoxicol Environ Saf. 2021;208:111711. doi:10.1016/j.ecoenv.2020.111711
- 7Liang Z, Xu C, Luo YJ. Association of iodized salt with goiter prevalence in Chinese populations: a continuity analysis over time. Mil Med Res. 2017;4:8. doi:10.1186/s40779-017-0118-5
- 8Carvalho R, Moniz CS, Mendes I, Mendes A, Sousa I. Iodine status, dietary iodine intake and iodized salt in school-aged children in São Miguel Island, Azores, Portugal. Nutrition. 2022;99-100:111681. doi:10.1016/j.nut.2022.111681
- 9Iacone R, Iaccarino Idelson P, Russo O, et al. Iodine Intake from Food and Iodized Salt as Related to Dietary Salt Consumption in the Italian Adult General Population. Nutrients. 2021;13(10). doi:10.3390/nu13103486
- 10Moleti M, Lo Presti VP, Campolo MC, et al. Iodine prophylaxis using iodized salt and risk of maternal thyroid failure in conditions of mild iodine deficiency. J Clin Endocrinol Metab. 2008;93(7):2616-21. doi:10.1210/jc.2008-0352
- 11He J, Huang L, Liu C, et al. Dietary Iodine Intake and Sources among Residents in Zhejiang Province 10 Years after Reducing Iodine Concentration in Iodized Salt. Nutrients. 2024;16(13). doi:10.3390/nu16132153
- 12Hussain A, Qazalbash MA, Hussain M, Mary H, Shoukat MU, Mujaddad-Ur-Rehman M. Iodine status in relation to iodized salt consumption by the adult population of Gilgit-Baltistan, Pakistan. Nutr Health. 2026;32(4):1255-1264. doi:10.1177/02601060251368957
- 13Dold S, Zimmermann MB, Jukic T, et al. Universal Salt Iodization Provides Sufficient Dietary Iodine to Achieve Adequate Iodine Nutrition during the First 1000 Days: A Cross-Sectional Multicenter Study. J Nutr. 2018;148(4):587-598. doi:10.1093/jn/nxy015
- 14Suplotova LA, Gerasimov GA, Troshina EA, et al. [Assessing of iodine consumption with iodized salt in organized nutrition of children of preschool and school age in the Tyumen region]. Vopr Pitan. 2023;92(4):29-37. doi:10.33029/0042-8833-2023-92-4-29-37
- 15Aboud FE, Bougma K, Lemma T, Marquis GS. Evaluation of the effects of iodized salt on the mental development of preschool-aged children: a cluster randomized trial in northern Ethiopia. Matern Child Nutr. 2017;13(2). doi:10.1111/mcn.12322
- 16Wang Y, Wang J, Chen Z, et al. Analysis of the correlation between high iodized salt intake and the risk of thyroid nodules: a large retrospective study. BMC Cancer. 2021;21(1):1000. doi:10.1186/s12885-021-08700-z
- 17Jaiswal N, Melse-Boonstra A, Sharma SK, Srinivasan K, Zimmermann MB. The iodized salt programme in Bangalore, India provides adequate iodine intakes in pregnant women and more-than-adequate iodine intakes in their children. Public Health Nutr. 2015;18(3):403-13. doi:10.1017/S136898001400055X
- 18Mittal M, Tandon M, Raghuvanshi RS. Iodine status of children and use of iodized salt in Tarai region of North India. J Trop Pediatr. 2000;46(5):300-2. doi:10.1093/tropej/46.5.300
- 19Lim KK, Wong M, Mohamud WN, Kamaruddin NA. Iodized salt supplementation and its effects on thyroid status amongst Orang Asli in Hulu Selangor, Malaysia. Asia Pac J Clin Nutr. 2013;22(1):41-7. doi:10.6133/apjcn.2013.22.1.02
- 20Pattisapu JV, Manda VV, Kottakki MNR, et al. Folic Acid-Fortified Iodized Salt and Serum Folate Levels in Reproductive-Aged Women of Rural India: A Nonrandomized Controlled Trial. JAMA Netw Open. 2024;7(3):e241777. doi:10.1001/jamanetworkopen.2024.1777
- 21Spohrer R, Knowles J, Jallier V, et al. Estimation of population iodine intake from iodized salt consumed through bouillon seasoning in Senegal. Ann N Y Acad Sci. 2015;1357:43-52. doi:10.1111/nyas.12963