Serum reference intervals of micronutrients, vitamins, and interleukins among healthy adults in South-Western Nigeria
- PMID: 38715661
- PMCID: PMC11075053
- DOI: 10.1016/j.plabm.2024.e00363
Serum reference intervals of micronutrients, vitamins, and interleukins among healthy adults in South-Western Nigeria
Abstract
Objectives: Clinical decision making depends mostly on appropriate application of numerical pathology reports from laboratory results, interpreted by comparison with reference intervals. We determined serum reference intervals of micronutrients, vitamins, and detectable interleukins among healthy adults in South-Western Nigeria.
Design and methods: This prospective study used a priori selection approach in blood-donors. They were screened for conditions that could elicit cytokine production.Serum micronutrients were assayed using Atomic Absorption Spectrophotometry; interleukins and vitamins by high Performance Liquid Chromatography. The reference intervals (RIs) were estimated at 2.5th percentile and 97.5th percentile.
Results: One hundred and eighteen (118) apparently healthy subjects, aged 18-56 years; 113 (95.8%) being 18-44years, and 5 (4.2%): 45-56 years; mostly males, 13 (11.02%) females, all Africans of Yoruba ethnicity.Estimated reference limits were: Zinc: 9.49-20.54 μmol/L, Selenium: 0.50-1.11 μmol/L, Copper: 13.86-27.97 μmol/L, Iron: 14.19-32.07 μmol/L, Manganese: 6.24-16.37 nmol/L; Magnesium: 0.78-1.62 mmol/L.Vitamins: A-1.08-2.39 μmol/L; D: 59.89-164.42 μmol/L; E: 7.13-19.45 μmol/L; K: 0.16-0.42 nmol/L; B1: 74.09-201.56 nmol/L; B6: 0.12-0.29 nmol/L; B12: 155.55-407.96 pmol/L; C: 47.74-112.99 μmol/L.Detected interleukins (IL-1 to IL-18): IL-1: 0.58-1.24 ng/L, IL-2: 0.09-0.18 ng/L, IL-3: 0.39-0.89 ng/L, IL-4: 0.27-0.58 ng/L, ….to IL-18: 0.74-1.56 ng/L.
Conclusions: The RI derived from this study for serum micronutrient, vitamin and interleukin concentrations are the first published for our population. They are in general agreement with those published from other geographical climes but there are differences at the lower and upper limits of the RI. The study reinforces the importance of deriving RI for the population that a clinical laboratory will serve.
Keywords: Interleukins; Micronutrients; Priori selection; Reference intervals; Vitamins.
© 2024 Published by Elsevier B.V.
Conflict of interest statement
All authors declare that there are no conflicts of interest.
Figures
References
-
- Christenson R.H. Committee on evidence based laboratory medicine of the international federation for clinical chemistry laboratory medicine. Evidence-Based laboratory medicine-a guide for critical evaluation of in vitro laboratory testing. Ann. Clin. Biochem. 2007;44:111–130. - PubMed
-
- Hallworth M.J. The ‘70% claim’: what is the evidence base? Ann. Clin. Biochem. 2011;48(6):487–488. - PubMed
-
- Plebani M., Lippi G. Is laboratory medicine a dying profession? Blessed are those who have not seen and yet have believed. Clin. Biochem. 2010;43:939–941. - PubMed
-
- Hallworth M.J., Epner P.L., Ebert C., Fantz C.R., Faye S.A., Higgins T.N., et al. Current evidence and future perspectives on the effective practice of patient-centered laboratory medicine. Clin. Chem. 2015;61(4):589–599. - PubMed
-
- Gambino S.R. Met and unmet needs of the automated clinical laboratory. Trans. N. Y. Acad. Sci. 1970;32(7 SeriesII):816–820. - PubMed
LinkOut - more resources
Full Text Sources
Research Materials
Miscellaneous