Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: Editor-in-chief: Prabhat Kumar Mandal
Open Access
Journal Browser
Journal of Food and Nutrition Research. 2019, 7(9), 656-661
DOI: 10.12691/jfnr-7-9-6
Open AccessArticle

Health-related Behaviours of Women Diagnosed with Hashimoto's Disease

Sykut-Domańska Emilia1, Krawęcka Ada1, and Piłat Monika1

1Division of Engineering and Cereals Technology, Department of Plant Food Technology and Gastronomy, University of Life Sciences in Lublin, Skromna 8, 20-704 Lublin, Poland

Pub. Date: September 21, 2019

Cite this paper:
Sykut-Domańska Emilia, Krawęcka Ada and Piłat Monika. Health-related Behaviours of Women Diagnosed with Hashimoto's Disease. Journal of Food and Nutrition Research. 2019; 7(9):656-661. doi: 10.12691/jfnr-7-9-6


The survey was conducted to assess health-related behaviours of women diagnosed with chronic lymphocytic thyroiditis also known as Hashimoto's disease. A correlation was found between the respondents' age and the body mass index. The presence of comorbidities was significantly correlated with both the body mass index and respondents' age. It was shown that respondents with excessive body weight developed cardiovascular diseases more often (p=0.01) than the other women. Respondents aged 30-39 years maintained normal body weight more often than the 40-49-year-olds (p=0.001). Nearly half of the respondents did not receive additional recommendations (n=63, 45.5%) from the attending doctor on supplementation or changes in the lifestyle. The most frequent recommendations included supplementation with vitamin D, introduction of a diet, physical activity, and avoidance of stress. There are still no guidelines for Hashimoto's thyroiditis patients that would systematise the current knowledge of the general treatment of this disease.

chronic lymphocytic thyroiditis Hashimoto's disease body mass index health-related behaviours dietary supplements physical activity

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Pyzik, A., Grywalska, E., Matyjaszek-Matuszek, B. and Roliński, J, “Immune Disorders in Hashimoto's Thyroiditis: What Do We Know So Far?”, J Immunol Res, 8, 2015.
[2]  Konturek, A., Barczyński, M., Wierzchowski, W. and Stopa M, Nowak W. “Coexistence of papillary thyroid cancer with Hashimoto thyroidits”, Langenbecks Arch Surg, 398, 389-394, 2013.
[3]  Przybylik-Mazurek, E., Hubalewska-Dydejczyk, A. and Huszno, B, “Autoimmune hypothyroidism”, Alergologia Immunologia. T. 4, nr 3/4 (2007), s. 64-69 1731-9404.
[4]  Zirilli, G., Velletri, M.R., Porcaro, F., Candela, G., Maisano, P. and La Monica, G, “In children with Hashimoto’s thyroiditis the evolution over time of thyroid status may differ according to the different presentation patterns”, Acta Biomed, 86(2), 137-141, 2015.
[5]  Luo, Y., Kawashima, A., Ishido, Y., Yoshihara, A., Oda, K., Hiroi, N., Ito, T., Ishii, N. and Suzuki, K, “Iodine Excess as an Environmental Risk Factor for Autoimmune Thyroid Disease”, Int J Mol Sci, 15, 12895-12912, 2017.
[6]  Aghini Lombardi, F., Fiore, E., Tonacchera, M., Antonangeli, L., Rago, T., Frigeri, M., Provenzale, A.M., Montanelli, L., Grasso, L., Pinchera, A. and Vitti P, “The Effect of Voluntary Iodine Prophylaxis in a Small Rural Community: The Pescopagano Survey 15 Years Later”, J Clin Endocrinol Metab, 98, 3(1), 1031-1039, 2013.
[7]  Ajjan, R.A. and Weetman, A.P, “The Pathogenesis of Hashimoto’s Thyroiditis: Further Developments in our Understanding”, Horm Metab Res, 47, 702-710, 2015.
[8]  Lisowska, K.A. and Bryl, E, “The role of vitamin D in the development of autoimmune diseases”, Postepy Hig Med Dosw. 71: 797-810, 2017.
[9]  Ratajczak, A.E., Moszak, M. and Grzymisławski M, “Dietary recommendations for hypothyroidism and Hashimoto’s disease”, Piel Zdr Publ, 7(4), 305-311, 2017.
[10]  Bliddal, S., Nielsen, C.H. and Feldt-Rasmussen, U, “Recent advances in understanding autoimmune thyroid disease: the tallest tree in the forest of polyautoimmunity”, Food Research, 6, 1776, 2017.
[11]  Fallahi, P., Ferrari, S.M., Ruffilli, I., Elia, G., Biricotti, M., Vita, R., Benvenga, S. and Antonelli, A, “The association of other autoimmune diseases in patients with autoimmune thyroiditis: Review of the literature and report of a large series of patients”, Autoimmun Rev, 15(12), 1125-1128, 2016.
[12]  Cellini, M., Santaguida, M.G., Virili, C., Capriello, S., Brusca, N., Gargano, L. and Centanni, M, “Hashimoto’s Thyroiditis and Autoimmune Gastritis”, Front Endocrinol, 8, 92, 2017.
[13]  Chen, W.H., Chen, Y.H., Lin, C.L., Yeh, J.H. and Kao, C.H, “Hashimoto's Thyroiditis, Risk of Coronary Heart Disease, and l-Thyroxine Treatment: A Nationwide Cohort Study”, J Clin Endocrinol Metab, 100(1), 109-114, 2015.
[14]  Asik, M., Sahin, S., Ozkul, F., Anaforoglu, I., Ayhan, S., Karagol, S., Gunes, F. and Algun, E, “Evaluation of epicardial fat tissue thickness in patients with Hashimoto thyroiditis”, Clin Endocrinol (Oxf), 79 (4), 571-6, 2013.
[15]  Wentz, I. and Nowosadzka, M, Zapalenie tarczycy Hashimoto: Jak Znaleźć i Wyeliminować Źródłową Przyczynę Choroby, Wentz LLC, 2013.
[16]  Gruszczyńska, M., Bąk-Sosnowska, M. and Plinta, R, “Health-related behaviors as an essential part of human life activities. Attitude of Poles towards their own health”, Hygeia Public Healt, 50(4), 558-56, 2015.
[17]  Sadowska, J. and Stawska, A, “Nutritional prevention of diseases concomitant with hypothyroisism in the group of selected women”, Bromat Chem Toksykol, 4, 690-700, 2015.
[18]  Omeljaniuk, W.J., Dziemianowicz, M., Naliwajko, S.K., Bartosiuk, E., Markiewicz-Żukowska, R. and Borawska, M.H, “Estimate of nutrition in woman’s patients with hashimoto disease”, Bromat Chem Toksykol, 3, 428-433, 2011.
[19]  Erdogan, M., Kosenli, A., Ganidagli, S. and Kulaksizoglu, M, “Characteristics of anemia in subclinical and overt hypothyroid patients”, Endocr J, 59(3), 213-20, 2012.
[20]  Kolkhir, P., Metz, M., Altrichter, S. and Maurer, M., “Comorbidity of chronic spontaneous urticaria and autoimmune thyroid diseases: A systematic review”, Allergy, 72(10), 1440-1460, 2017.
[21]  Chen, W.H., Lin, C.L., Cheng, F.T.F., Sung, F.C. and Kao, C.H, “Cancer risk in patients with Hashimoto’s thyroiditis: a nationwide cohort study”, BJC, 109, 2496-2501, 2013.
[22]  Carle, A., Pedersen, I.B., Knudsen, N., Perrild, H., Ovesen, L. and Laurberg, P, “Hypothyroid symptoms and the likelihood of overt thyroid failure: a population-based case–control study”, Eur J Endocrinol, 171(5), 593-602, 2014.
[23]  Gałęcka, M. (red), Dieta w chorobach autoimmunologicznych. Co jeść by czuć się lepiej? Wydawnictwo PZWL, 2017.
[24]  Gackowska, M, “Interpretation of laboratory test results in the practice of dietitian. Part III. Diagnostic and nutritional recommendations in Hashimoto's disease”, Food Forum, 3, 13, 2016.
[25]  Kusy, K., Zielińska, K., Zaprutko, T., Ratajczak, P. and Nowakowska, E, “Hashimoto disease - The effectiveness of a gluten-free diet”, Pol Prz Nauk Zdr, 4, 49, 2016.
[26]  Winther, K.H., Cramon, P., Watt, T., Bjorner, J.B., Ekholm, O., Feldt-Rasmussen, U., Groenvold, M., Rasmussen, A.K., Hegedus, L. and Bonnema, S.J, “Disease-Specific as Well as Generic Quality of Life Is Widely Impacted in Autoimmune Hypothyroidism and Improves during the First Six Months of Levothyroxine Therapy”, PLOS ONE, 11, 6, 2016.
[27]  Pirola, I., Gandossi, E., Agosti, B., Delbarba, A. and Cappelli, C, “Selenium supplementation could restore euthyroidism in subclinical hypothyroid patients with autoimmune thyroiditis”, Endokrynol Pol, 67, 6, 2016.