Iodised salt

What the research shows

Mostly no concerns

most studies in people found no harm or a benefit

Salt mixed with a tiny amount of iodine salts.

It prevents iodine deficiency, which causes thyroid problems and developmental disabilities.12

What research says

Studies in people

  • Open question

    Child growth3

    Scientists do not yet know whether iodised salt helps children grow, as no review has pulled the evidence together.

  • Benefit

    Iodine deficiency progress4

    In some countries, more dietary salt was adequately iodised, and many reached or neared eliminating iodine deficiency.

  • Open question

    Iodine levels in pregnancy5

    In pregnant women in Turkey, iodised salt use was common but many still had low iodine levels.

  • Concern

    Thyroid health in India6

    In Manipur, iodised salt did not stop goitre; thiocyanate from bamboo shoots was linked to thyroid disease.

  • No harm found

    Thyroid and goiter risk7

    In Chinese people, iodised salt intake was not linked to goiter, two-degree goiter or cretinism.

  • 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.

  • Benefit

    Thyroid health in pregnancy10

    Pregnant women who used iodised salt long-term had healthier thyroids than those who only started when pregnant.

  • Open question

    Iodine levels in the body12

    Even where iodised salt is used, many adults in Gilgit-Baltistan still had low iodine levels.

  • 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.

  • No harm found

    Children's brain development15

    In children aged 4 to 6, iodised salt did not clearly improve thinking or language test scores.

  • 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.

  • Concern

    Iodine in pregnancy and children17

    In this Indian study, iodised salt gave pregnant women enough iodine, but their children got more than enough.

  • Open question

    Iodine deficiency in children18

    Children in this area still lacked iodine even though most families used iodised salt.

  • Open question

    Iodine deficiency and excess19

    Iodised salt raised iodine levels in Malaysian villagers, but some still had too little and others too much.

  • 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

  • Iodine intake in adults9

    In Italian adults, iodised salt supplied about 43% of iodine, but most still fell short of the recommended amount.

  • Iodine intake in coastal areas11

    In Zhejiang, people who used iodised salt had higher dietary iodine intake than those who did not.

  • Iodine nutrition in pregnancy13

    Iodised salt gave most groups enough iodine, but pregnant women in Croatia were sometimes borderline low.

  • 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

  1. 1iodised salt: ingredient taxonomy entry. Open Food Facts.
  2. 2Iodised salt. Wikipedia. Accessed September 26, 2026. CC BY-SA 4.0.
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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