{"id":1,"date":"2026-09-22T11:55:27","date_gmt":"2026-09-22T11:55:27","guid":{"rendered":"https:\/\/zdravljeihrana.com\/?p=1"},"modified":"2026-09-22T20:57:04","modified_gmt":"2026-09-22T20:57:04","slug":"hello-world","status":"publish","type":"post","link":"https:\/\/zdravljeihrana.com\/?p=1","title":{"rendered":"\u0160to povezuje soju i \u0161titnja\u010du? Tko je treba 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 stolje\u0107ima jede u velikim koli\u010dinama bez masovnih problema sa \u0161titnja\u010dom. Istina je, kao i obi\u010dno, negdje izme\u0111u.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Soja sadr\u017ei izoflavone, biljne spojeve sli\u010dne estrogenu. U istra\u017eivanjima na \u0161takorima oni su, ovisno o dozi, i do 80 posto smanjili rad enzima klju\u010dnog za proizvodnju hormona \u0161titnja\u010de. No razine hormona, veli\u010dina \u017elijezde i njezino stanje pod mikroskopom pritom su ostali uredni. Za stvarnu \u0161tetu, \u010dini se, potreban je dodatni faktor, prije svega manjak joda.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Kod zdravih ljudi bez ve\u0107ih promjena<\/h4>\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, uz tek blago, oko 10-postotno povi\u0161enje TSH-a. \u010cak ni kod \u017eena s blago povi\u0161enim TSH-om, koje su naj\u010de\u0161\u0107a meta upozorenja, sojini spojevi nisu pogor\u0161ali nalaze niti ubrzali razvoj hipotireoze.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">A kod autoimunih bolesti?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Podataka je manje. U jednom istra\u017eivanju na \u017eenama nakon uklanjanja jajnika soja nije zna\u010dajno poremetila ravnote\u017eu hormona ni protutijela. Ma\u0111arski nalaz predstavljen na kongresu europskih endokrinologa pokazao je, pak, da su pacijenti s Gravesovom bole\u0161\u0107u alergi\u010dni na soju imali znatno vi\u0161e protutijela protiv vlastite \u0161titnja\u010de. To nije dokaz da soja \u0161teti svima, nego naznaka da kod onih s alergijom mo\u017ee biti dodatni okida\u010d upale.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Pravi problem: lijek<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Ono \u0161to je doista va\u017eno jest odnos soje i levotiroksina, 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 njegovu apsorpciju. Najizra\u017eenije je to kod dojen\u010dadi koja se lije\u010de i hrane sojinim adaptiranim mlijekom. Kod odraslih su dokazi slabiji, ali savjet struke je jasan: lijek uzmite najmanje tri do \u010detiri sata prije ili poslije obroka sa sojom.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Tko treba biti oprezan?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Poseban oprez potreban je kod dojen\u010dadi na terapiji koja piju sojino mlijeko, kod osoba s izra\u017eenim manjkom joda te kod svih koji uzimaju levotiroksin. Zdrave osobe s dovoljno joda, kao i oni s Hashimotom koji su na stabilnoj terapiji i redovito kontroliraju nalaze, umjerene koli\u010dine tofua, edamamea ili sojina mlijeka ne moraju izbjegavati, osim ako imaju dokazanu alergiju na soju.<\/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 umjerenost, dovoljno joda i razmak od lijeka.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>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\">Izvori:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12060828\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/12060828\/<\/a><br><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30850697\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30850697\/<\/a><br><a href=\"https:\/\/www.nature.com\/articles\/s41598-019-40647-x\">https:\/\/www.nature.com\/articles\/s41598-019-40647-x<\/a><br><a href=\"https:\/\/nutritionfacts.org\/video\/can-goitrogens-in-soy-and-cruciferous-vegetables-interfere-with-thyroid-function\/\">https:\/\/nutritionfacts.org\/video\/can-goitrogens-in-soy-and-cruciferous-vegetables-interfere-with-thyroid-function\/<\/a><br><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3135991\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3135991<\/a><br><a href=\"https:\/\/endocrine-abstracts.org\/ea\/0014\/ea0014oc1.6\">https:\/\/endocrine-abstracts.org\/ea\/0014\/ea0014oc1.6<\/a><br><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8002057\/\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8002057\/<\/a><br><a href=\"https:\/\/iris.unibs.it\/handle\/11379\/585605\">https:\/\/iris.unibs.it\/handle\/11379\/585605<\/a><br><a href=\"https:\/\/hellopharmacist.com\/drug-herbal-interactions\/soy-with-levothyroxine\">https:\/\/hellopharmacist.com\/drug-herbal-interactions\/soy-with-levothyroxine<\/a><\/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":{"pagelayer_contact_templates":[],"_pagelayer_content":"","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"],"_links":{"self":[{"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=\/wp\/v2\/posts\/1","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1"}],"version-history":[{"count":1,"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=\/wp\/v2\/posts\/1\/revisions"}],"predecessor-version":[{"id":15,"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=\/wp\/v2\/posts\/1\/revisions\/15"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=\/wp\/v2\/media\/14"}],"wp:attachment":[{"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zdravljeihrana.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}