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Iodine Content of Enteral and Parenteral Nutrition Solutions

Overview of attention for article published in Endocrine Practice, March 2017
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Title
Iodine Content of Enteral and Parenteral Nutrition Solutions
Published in
Endocrine Practice, March 2017
DOI 10.4158/ep161692.or
Pubmed ID
Authors

Devina L. Willard, Lorraine S. Young, Xuemei He, Lewis E. Braverman, Elizabeth N. Pearce

Abstract

Iodine is essential for thyroid hormone synthesis, and iodine deficiency may result in thyroid disorders including goiter and hypothyroidism. Patients on long-term enteral nutrition (EN) or parenteral nutrition (PN) may be at risk for micronutrient deficiencies. The recommended daily allowance for iodine intake is 150 μg for nonpregnant adults. However, there is no current consensus among scientific societies regarding the quantity of iodine to be added in adult EN and PN formulations. The objective of this study was to determine the iodine content of U.S. adult enteral and parenteral nutrition solutions. This study also aimed to determine whether adult patients in the United States who are receiving long-term artificial nutrition may be at risk for iodine deficiency. Ten enteral nutrition solutions and four parenteral nutrition solutions were evaluated. The iodine content of these solutions was measured spectrophotometrically and compared to the labeled content. Measured and labeled EN iodine content were similar, range 131-176 μg/L and 106-160 μg/L respectively. In contrast, PN formulas were found to contain small, unlabeled amounts of iodine, averaging 27 μg/L. Typical fluid requirements are 30-40 ml/kg/day for adults receiving either total EN (TEN) or total PN (TPN). Adults on long-term TEN likely consume enough servings to meet their daily iodine requirements. However, patients on long-term TPN would require on average 5.6 L PN/day to meet the recommended daily allowance of iodine. This volume of PN is far in excess of typical consumption. Thus, U.S. patients requiring long-term TPN may be at risk for iodine deficiency.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 20 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 20 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 15%
Professor 2 10%
Student > Master 2 10%
Lecturer 1 5%
Other 1 5%
Other 4 20%
Unknown 7 35%
Readers by discipline Count As %
Medicine and Dentistry 6 30%
Nursing and Health Professions 2 10%
Agricultural and Biological Sciences 1 5%
Pharmacology, Toxicology and Pharmaceutical Science 1 5%
Social Sciences 1 5%
Other 1 5%
Unknown 8 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 March 2017.
All research outputs
#20,660,571
of 25,382,440 outputs
Outputs from Endocrine Practice
#874
of 1,139 outputs
Outputs of similar age
#248,795
of 322,668 outputs
Outputs of similar age from Endocrine Practice
#10
of 12 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,139 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.4. This one is in the 10th percentile – i.e., 10% of its peers scored the same or lower than it.
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We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.