{"id":1,"date":"2026-09-22T11:55:27","date_gmt":"2026-09-22T11:55:27","guid":{"rendered":"https:\/\/zdravljeihrana.com\/?p=1"},"modified":"2026-09-27T21:54:48","modified_gmt":"2026-09-27T21:54:48","slug":"soja-i-stitnjaca-tko-je-smije-jesti-a-tko-izbjegavati","status":"publish","type":"post","link":"https:\/\/zdravljeihrana.com\/?p=1","title":{"rendered":"Soja i \u0161titnja\u010da: Tko je smije jesti, a tko izbjegavati"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Internet je pun upozorenja da soja &#8220;gu\u0161i&#8221; \u0161titnja\u010du i da je osobe s Hashimotovom bole\u0161\u0107u trebaju izbaciti iz prehrane. S druge strane, u Aziji se soja stolje\u0107ima jede u velikim koli\u010dinama bez masovnih problema sa \u0161titnja\u010dom. Kakav je stvarno odnos izme\u0111u soje i \u0161titnja\u010de? Kao i obi\u010dno, istina je negdje izme\u0111u<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Soja sadr\u017ei <strong>izoflavone<\/strong>, biljne spojeve sli\u010dne estrogenu. U istra\u017eivanjima na \u0161takorima izoflavoni su, ovisno o dozi, i do 80 posto smanjili aktivnost enzima klju\u010dnog za proizvodnju hormona \u0161titnja\u010de.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ipak, razine hormona, veli\u010dina \u017elijezde i njezin izgled pod mikroskopom ostali su uredni. \u010cini se da je za stvarnu \u0161tetu potreban dodatni \u010dimbenik, prije svega <strong>manjak joda<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Soja kod zdravih ljudi: bez ve\u0107ih promjena<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">U vi\u0161e od desetak istra\u017eivanja na ljudima soja nije zna\u010dajno promijenila razine hormona \u0161titnja\u010de. Zabilje\u017eeno je tek blago povi\u0161enje <strong>TSH-a<\/strong>, od oko 10 posto.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">U ve\u0107ini istra\u017eivanja soja nije pogor\u0161ala nalaze ni kod \u017eena s blago povi\u0161enim TSH-om, koje su naj\u010de\u0161\u0107a meta upozorenja.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Soja kod autoimunih bolesti \u0161titnja\u010de<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Za Hashimotovu i Gravesovu bolest podataka je manje:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong>U istra\u017eivanju na \u017eenama nakon uklanjanja jajnika soja nije zna\u010dajno poremetila ravnote\u017eu hormona \u0161titnja\u010de ni razinu protutijela.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong>Ma\u0111arski nalaz predstavljen na kongresu europskih endokrinologa pokazao je da su pacijenti s <strong>Gravesovom bole\u0161\u0107u<\/strong> koji su alergi\u010dni na soju imali znatno vi\u0161e protutijela protiv vlastite \u0161titnja\u010de.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To nije dokaz da soja \u0161teti svima, nego naznaka da kod osoba s alergijom na soju ona mo\u017ee biti dodatni okida\u010d upale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Soja i levotiroksin: pravi problem je apsorpcija lijeka<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mnogo je va\u017eniji odnos soje i <strong>levotiroksina<\/strong>, lijeka koji uzimaju osobe sa sni\u017eenim radom \u0161titnja\u010de. Pregled 63 studije pokazao je da soja, kao i kava, vlakna, kalcij i \u017eeljezo, mo\u017ee smanjiti apsorpciju ovog lijeka.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">U\u010dinak je najizra\u017eeniji kod dojen\u010dadi koja se lije\u010de i hrane adaptiranim mlijekom na bazi soje. Kod odraslih su dokazi slabiji, ali savjet struke je jasan: <strong>levotiroksin uzmite najmanje tri do \u010detiri sata prije ili poslije obroka sa sojom.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tko treba biti oprezan sa sojom?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Poseban oprez potreban je kod:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong><strong>dojen\u010dadi na terapiji<\/strong> koja piju sojino adaptirano mlijeko,<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong><strong>osoba s izra\u017eenim manjkom joda<\/strong>,<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong><strong>svih koji uzimaju levotiroksin<\/strong>, zbog razmaka izme\u0111u lijeka i obroka.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zdrave osobe s dovoljno joda, kao i osobe s Hashimotom na stabilnoj terapiji koje redovito kontroliraju nalaze, ne moraju izbjegavati umjerene koli\u010dine <strong>tofua, edamamea ili sojina mlijeka<\/strong>, osim ako imaju dokazanu alergiju na soju.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ukratko<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong>Izoflavoni iz soje u pokusima na \u017eivotinjama ko\u010de enzim za proizvodnju hormona \u0161titnja\u010de, ali bez \u0161tete za samu \u017elijezdu ako <strong>ima dovoljno joda<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong>Kod zdravih ljudi soja <strong>ne mijenja zna\u010dajno<\/strong> razine hormona \u0161titnja\u010de, uz tek blago povi\u0161enje TSH-a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong>Kod autoimunih bolesti podataka je malo, a <strong>alergija na soju<\/strong> mo\u017ee biti dodatni okida\u010d upale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u2022<\/strong> <strong><\/strong>Najva\u017enije je <strong>razmak od levotiroksina<\/strong> od najmanje tri do \u010detiri sata.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Velikih, dugoro\u010dnih istra\u017eivanja na ljudima s autoimunom bole\u0161\u0107u \u0161titnja\u010de jo\u0161 nema. Do tada najrazumniji pristup nije potpuno izbacivanje soje, nego <strong>umjerenost, dovoljno joda i razmak od lijeka<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u010cesto postavljana pitanja<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Smije li se jesti soja kod Hashimotove bolesti?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Osobe s Hashimotom na stabilnoj terapiji i s dovoljno joda mogu jesti umjerene koli\u010dine soje, uz razmak od lijeka i redovitu kontrolu nalaza, osim ako imaju alergiju na soju.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Koliko razmaka treba biti izme\u0111u levotiroksina i soje?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Stru\u010dni savjet je najmanje tri do \u010detiri sata prije ili poslije obroka sa sojom.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0160teti li soja \u0161titnja\u010di kod zdravih ljudi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Istra\u017eivanja na ljudima nisu pokazala zna\u010dajne promjene hormona \u0161titnja\u010de, uz tek blago povi\u0161enje TSH-a od oko 10 posto.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Za\u0161to se u Aziji jede puno soje bez problema sa \u0161titnja\u010dom?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jedno od obja\u0161njenja je dovoljan unos joda, jer se \u010dini da soja mo\u017ee \u0161tetiti \u0161titnja\u010di uglavnom kad joda nedostaje.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Napomena: Tekst je informativnog karaktera i ne zamjenjuje savjet lije\u010dnika. Ako imate poreme\u0107aj \u0161titnja\u010de ili uzimate terapiju, o prehrani se posavjetujte sa svojim lije\u010dnikom.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Internet je pun upozorenja da soja &#8220;gu\u0161i&#8221; \u0161titnja\u010du i da je osobe s Hashimotovom bole\u0161\u0107u trebaju izbaciti iz<\/p>\n","protected":false},"author":1,"featured_media":14,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[5,4],"class_list":["post-1","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hrana","tag-je-li-soja-zdrava","tag-soja-i-stitnjaca"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - 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