Systematic reviewindependent cross-checkabstract checked★ key study I-VEG-127 standard review
Cabbage-family vegetables are not bad for the thyroid
Do Brassica Vegetables Affect Thyroid Function?-A Comprehensive Systematic Review.
Overview
Galanty A et al.. Int J Mol Sci 2024 · PMID 38612798 · DOI 10.3390/ijms25073988
A review of 123 studies concluded that daily brassica vegetables, especially with enough iodine, do not harm thyroid function.
Does the study support the specific claim? No · Methodological quality: low
Plain-language summary
Study explained simply
- What did the researchers want to find out?
Assess thyroid effects of brassicas.
- How was the study done?
Systematic review.
- How many people, animals or samples were studied?
123 articles.
- What was actually found?
No adverse effect at dietary intakes with adequate iodine.
- How large was the observed effect?
Not quantified.
- What do the results mean in everyday life?
Normal amounts of cabbage, broccoli or bok choy are fine for the thyroid.
- What are the study's limitations?
Mixed study types.
- What does it say about Elawady's specific claim?
Contradicts the claim.
- Do the results apply to Germany and Europe?
Applicable.
- What can explicitly not be concluded from this study?
Cannot exclude effects at extreme raw intakes with iodine deficiency.
Scientific in-depth review
1. Full reference
- Authors
- Galanty A et al.
- Journal
- Int J Mol Sci
- Year
- 2024
- Identifier
- PMID 38612798 DOI 10.3390/ijms25073988
- Verification
- verified – PubMed efetch 2026-10-26; Crossref 2026-10-26
- Retracted
- no
- Corrections
- none
- Extent checked
- abstract only
- Conflicts of interest and funding
COI statement: The authors declare no conflicts of interest. | Funding (PubMed grant list): This research was funded by the following grants from the Polish Ministry of Education and Science:
2. Research question
Do Brassica vegetables affect thyroid function?
3. Study design and population
- Study design
- Systematic review – Systematic review (PRISMA) of in vitro, animal and human studies
- Population
In vitro, animal and human studies
- Country
Multiple
- Period
not stated in abstract
- Sample size
123 articles
- Inclusion and exclusion criteria
not stated in abstract
4. Methods and endpoints
- Exposure / intervention
Brassica vegetables, extracts, glucosinolates, isothiocyanates
- Comparator
Various
- Endpoints
Thyroid mass/histology, TSH, T3, T4, iodine uptake, thyroid cancer cells
- Statistical methods
Narrative synthesis
5. Actual results
- Results
The vast majority of results cast doubt on antithyroid effects of brassica plants in humans; including brassica vegetables in the daily diet, particularly with adequate iodine intake, poses no adverse effects on thyroid function.
- Absolute risks
not reported
- Authors' conclusion
Brassica vegetables in the daily diet, especially with adequate iodine, are not associated with adverse thyroid effects.
6. Strengths
- Comprehensive; multiple study types
7. Weaknesses
- Mixed evidence levels; few human trials
- Narrative synthesis
8. Risk of bias
- Orienting tool
- AMSTAR 2
- Type of assessment
- simplified assessment (abstract only)
- Full formal assessment
- no
- Overall risk of bias
- some concerns
- Rationale
No quantitative synthesis; quality appraisal not described in abstract.
9. Assessment of the statistical interpretation
No pooled estimate.
10. Relevance to the specific claim
Directly addresses goitrogenic concern for normal consumption.
11. Independent contrary findings
Chu 2010 case (A-VEG-07); Felker 2016 (some varieties have high goitrin).
12. Transferability to Germany and Europe
Applicable.
13. Overall methodological judgement
Contradicts generalisation from a single extreme case.
| Multidimensional assessment | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | low |
| Risk of bias | some concerns |
| Precision of results | not applicable |
| Directness | direct |
| Reproducibility | unknown |
| Consistency with the overall evidence | consistent |
| Regional transferability | high |
| Adequacy of the interpretation (by the archive) | not applicable |
14. Open questions
Human trials in iodine-deficient settings.
15. Linked fact checks
- Raw cruciferous greens such as bok choy suppress the thyroid (glucosinolates) and can cause myxedema coma. – Studies contradicting or limiting the claim