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Technical Briefs |
1 Centre Hospitalier Universitaire St. Pierre, Free University of Brussels, 1000 Brussels, Belgium
2 Division of Endocrinology, Department of Medicine, University of Virginia, Charlottesville, VA 22908
3 International Council for the Control of Iodine Deficiency Disorders, Box 801416, University of Virginia Health System, Charlottesville, VA 22908
aauthor for correspondence: fax 434-243-9195, e-mail jtd@virginia.edu
| The first 300 words of the full text of this article appear below. |
International groups recommend the following median urinary iodine concentration as the best single indicator of iodine nutrition in populations: severe deficiency, 00.15 µmol/L (019 µg/L); moderate deficiency, 0.160.38 µmol/L (2049 µg/L); mild deficiency, 0.400.78 µmol/L (5099 µg/L); optimal iodine nutrition, 0.791.56 µmol/L (100199 µg/L); more than adequate iodine intake, 1.572.36 µmol/L (200299 µg/L); and excessive iodine intake,
2.37 µmol/L (
300 µg/L) (1). The range in which the median falls is more important than the precise number (2)(3).
Many methods for assessing urinary iodine exist (3)(4)(5)(6)(7)(8), most based on the SandellKolthoff reaction (9), in which iodide catalyzes the reduction of ceric ammonium sulfate (yellow) to the colorless cerous form in the presence of arsenious acid. Although iodide is the chemical form for both the catalytic reaction and in urine, some preliminary treatment is needed to rid urine of impurities, most commonly by acid digestion (3)(5). We have extended previous approaches (5)(6)(10) with improved conditions and here present a new method ("Fast B") that is rapid, inexpensive, reliable, and flexible.
The equipment required for the Fast B method includes a heating block, Pyrex test tubes (13 x 100 mm), two fixed-volume pipettes (0.5 mL and 1.0 mL), one adjustable pipette (0200 µL), and a multipet (Eppendorf) for quick reagent volume additions of 0.125 and 0.1 mL. The basic chemicals used are potassium iodate, arsenic trioxide, ammonium persulfate, ammonium cerium(IV) sulfate dihydrate, sodium chloride, ferroine, and sulfuric acid.
The solutions used in the assay are as follows:
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