. 2025 Aug 22;17(3):269–277. doi: 10.4274/jcrpe.galenos.2025.2024-9-12

Table 3. Attitude regarding nutritional modifications and supplements .

Responses

All of the participants

(n=168)

Pediatric endocrinologists

(n=122)

Adult endocrinologists

(n=46)

p value

Selenium supplementation

It may be given after measuring blood/urinary level and if necessary and,or if the patient has overt/subclinical hypothyroidism.

I’m undecided*

It is completely unnecessary

53 (31.6%)

60 (35.7%)

55 (32.7%)

31 (25.4%)

50 (41%)

41 (33.6%)

22 (47.8%)

10 (21.7%)

14 (30.4%)

0.007

Gluten-free diet^†

I state that no restrictions are required

I don’t make suggestions unless asked.

I recommend.

Other

83 (49.4%)

73 (43.5%)

3 (1.8%)

9 (5.4%)

65 (53.3%)

54 (44.3%)

3 (2.4%)

18 (39.1%)

19 (41.3%)

3 (6.5%)

6 (13.1%)

0.015

Iodine restriction

I state that no restrictions are required

I don’t make suggestions unless asked.

I recommend.

I decide based on urine iodide level

98 (58.3%)

36 (21.5%)

14 (8.3%)

20 (11.9%)

74 (60.7%)

28 (23%)

6 (4.9%)

14 (11.5%)

24 (52.2%)

8 (17.4%)

6 (13%)

0.434

*Significant in relation with ‘undecided’. ^†For the statistical analysis only 2 groups included (‘I recommend’ and the others)