scholarly journals Establishment of Reference Intervals of Clinical Chemistry Analytes for the Adult Population in Egypt

2020 ◽  
Author(s):  
Heba Baz ◽  
Kiyoshi Ichihara ◽  
May Selim ◽  
Ahmed Awad ◽  
Sarah Aglan ◽  
...  
Keyword(s):  
Regional Differences ◽  
Clinical Chemistry ◽  
Adult Population ◽  
Middle Eastern ◽  
Low Density Lipoprotein ◽  
Parametric Method ◽  
Density Lipoprotein ◽  
Reference Intervals ◽  
Lipoprotein Cholesterol ◽  
Multiple Regions

AbstractBackgroundThis is the first Egyptian nationwide study for derivation of reference intervals (RIs) for 34 major chemistry analytes. It was conducted as a part of the global initiative by the IFCC Committee on Reference Intervals and Decision Limits (C-RIDL) for establishing country-specific RIs based on a harmonized protocol.Methods691 apparently healthy volunteers aged ≥18 years were recruited from multiple regions in Egypt. Serum specimens were analyzed in two centers. The harmonization and standardization of test results were achieved by measuring value-assigned serum panel provided by C-RIDL. The RIs were calculated by parametric method. Sources of variation of reference values (RVs) were evaluated by multiple regression analysis. The need for partitioning by sex, age, and region was judged primarily by standard deviation ratio (SDR).ResultsGender-specific RIs were required for six analytes including total bilirubin (TBil), aspartate and alanine aminotransferase (AST, ALT). Seven analytes required age-partitioning including glucose and low-density lipoprotein cholesterol (LDL-C)., Regional differences were observed between northern and southern Egypt for direct bilirubin, glucose, and high-density-lipoprotein cholesterol (HDL-C) with all their RVs lower in southern Egypt. Compared with other collaborating countries, the features of Egyptian RVs were lower HDL-C and TBil and higher TG and C-reactive protein. In addition, BMI showed weak association with most of nutritional markers. These features were shared with two other Middle Eastern countries: Saudi Arabia and Turkey.ConclusionThe standardized RIs established by this study can be used as common Egyptian RI, except for a few analytes that showed regional differences. Despite high prevalence of obesity among Egyptians, their RVs of nutritional markers are less sensitive to increased BMI, compared to other collaborating countries.

scholarly journals Establishment of reference intervals of clinical chemistry analytes for the adult population in Egypt

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0236772
Author(s):  
Heba Baz ◽  
Kiyoshi Ichihara ◽  
May Selim ◽  
Ahmed Awad ◽  
Sarah Aglan ◽  
...  
Keyword(s):  
Regional Differences ◽  
Clinical Chemistry ◽  
Adult Population ◽  
Middle Eastern ◽  
Low Density Lipoprotein ◽  
Parametric Method ◽  
Density Lipoprotein ◽  
Reference Intervals ◽  
Lipoprotein Cholesterol ◽  
Multiple Regions

Background This is the first Egyptian nationwide study for derivation of reference intervals (RIs) for 34 major chemistry analytes. It was conducted as a part of the global initiative by the IFCC Committee on Reference Intervals and Decision Limits (C-RIDL) for establishing country-specific RIs based on a harmonized protocol. Methods 691 apparently healthy volunteers aged ≥18 years were recruited from multiple regions in Egypt. Serum specimens were analyzed in two centers. The harmonization and standardization of test results were achieved by measuring value-assigned serum panel provided by C-RIDL. The RIs were calculated by parametric method. Sources of variation of reference values (RVs) were evaluated by multiple regression analysis. The need for partitioning by sex, age, and region was judged primarily by standard deviation ratio (SDR). Results Gender-specific RIs were required for six analytes including total bilirubin (TBil), aspartate and alanine aminotransferase (AST, ALT). Seven analytes required age-partitioning including glucose and low-density lipoprotein cholesterol (LDL-C). Regional differences were observed between northern and southern Egypt for direct bilirubin, glucose, and high-density-lipoprotein cholesterol (HDL-C) with all their RVs lower in southern Egypt. Compared with other collaborating countries, the features of Egyptian RVs were lower HDL-C and TBil and higher TG and C-reactive protein. In addition, BMI showed weak association with most of nutritional markers. These features were shared with two other Middle Eastern countries: Saudi Arabia and Turkey. Conclusion The standardized RIs established by this study can be used as common Egyptian RI, except for a few analytes that showed regional differences. Despite high prevalence of obesity among Egyptians, their RVs of nutritional markers are less sensitive to increased BMI, compared to other collaborating countries.

scholarly journals rs2569190A>G in CD14 is Independently Associated with Hypercholesterolemia: A Brief Report

2019 ◽  
Vol 6 (4) ◽  
pp. 37 ◽  
Author(s):  
Ali Salami ◽  
Christy Costanian ◽  
Said El Shamieh
Keyword(s):  
Disease Risk ◽  
Middle Eastern ◽  
Cardiovascular Disease Risk ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Nucleotide Polymorphism ◽  
Single Nucleotide ◽  
Multiethnic Population ◽  
Cluster Of Differentiation

Many studies have assessed the implication of cluster of differentiation 14 (CD14) molecules and its single nucleotide polymorphism rs2569190A>G with different complex diseases, such as diabetes and cardiovascular diseases (CVDs). In this study, we investigated the association of rs2569190A>G in CD14 with cardiovascular disease risk factors (hypercholesterolemia and hypertension) in 460 individuals from the general Lebanese population (Middle Eastern multiethnic population). Using a multiple logistic regression model adjusted for six covariates (under additive and recessive assumptions), we found that the G allele of rs2569190 in CD14 was associated with increased levels of total cholesterol (OR = 3.10, p = 0.009), low-density lipoprotein cholesterol (OR = 3.87, p = 0.003), and decreased levels of high-density lipoprotein cholesterol (OR = 0.38, p = 0.001). In contrast, no significant relationship was found with hypertension. Thus, we concluded that rs2569190G in CD14 is associated with a higher risk of developing hypercholesterolemia.

scholarly journals Gender- and age-specific reference intervals of common biochemical analytes in chinese population – derivation using real laboratory data

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Danchen Wang ◽  
Chaochao Ma ◽  
Yutong Zou ◽  
Songlin Yu ◽  
Honglei Li ◽  
...  
Keyword(s):  
Low Density Lipoprotein ◽  
Laboratory Data ◽  
Density Lipoprotein ◽  
Inorganic Phosphorus ◽  
Reference Intervals ◽  
Peking Union Medical College ◽  
Lipoprotein Cholesterol ◽  
Specific Reference ◽  
College Hospital ◽  
Medical College

Summary Background Indirect sampling methods are not only inexpensive but also efficient for establishing reference intervals (RIs) using clinical data. This study was conducted to select fully normal records to establish age- and gender-specific RIs for common biochemical analytes by laboratory data mining. Methods In total, 280,206 records from 2014 to 2018 were obtained from Peking Union Medical College Hospital. Common biochemical analytes [total protein, albumin, total bilirubin (TBil), direct bilirubin (DBil), alanine aminotransferase (ALT), glutamyltranspeptidase (GGT), alkaline phosphatase (ALP), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), potassium, sodium, chlorine, calcium, urea, glucose, uric acid (UA), inorganic phosphorus, creatinine (Cr), total cholesterol, triglyceride, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol] were measured using an automatic analyzer. Sources of variation were identified by multiple regression analysis. The 2.5th and 97.5th percentiles were calculated as the lower and upper limits of the RIs, respectively. Results Metode indirektnog uzorkovanja nisu samo jeftine, već su i efikasne za uspostavljanje referentnih intervala (RI) korišćenjem velike količine kliničkih podataka. Ova studija je sprovedena sa ciljem da se odaberu potpuno normalni pojedinačni zapisi da bi se utvrdio RI za starost i pol za zajedničke biohemijske analite pomoću laboratorijski dobijenih podataka. Conclusions Ukupno je uzeto 280.206 pojedinačnih rezultata u periodu od 2014. do 2018. godine iz bolnice Peking Union Medical College-a. Uobičajeni biohemijski analiti [ukupni protein, albumin, ukupni bilirubin (TBil), direktni bilirubin (DBil), alanin aminotransferaza (ALT), glutamiltranspeptidaza (GGT), alkalna fosfataza (ALP), aspartat aminotransferaza (AST), laktat dehidrogenaza (LAT) kalijum, natrijum, hlor, kalcijum, ureja, glukoza, mokraćna kiselina (UA), neorganski fosfor, kreatinin (Cr), ukupni hole sterol, trigliceridi, lipoprotein holesterola visoke gustine i lipoprotein holesterola niske gustine] mereni su korišćenjem automatskog analizatora. Izvori varijacije identifikovani su višestrukom regresionom analizom. Postoci (2,5 i 97,5) su izračunati kao donja i gornja granica RI, svaki ponaosob.

Establishment of reference intervals of clinical chemistry analytes for the adult population in Saudi Arabia: a study conducted as a part of the IFCC global study on reference values

2016 ◽  
Vol 54 (5) ◽  
Author(s):  
Anwar Borai ◽  
Kiyoshi Ichihara ◽  
Abdulaziz Al Masaud ◽  
Waleed Tamimi ◽  
Suhad Bahijri ◽  
...  
Keyword(s):  
Reference Values ◽  
Clinical Chemistry ◽  
Adult Population ◽  
Parametric Method ◽  
Reference Intervals ◽  
Test Results ◽  
Upper Limits ◽  
High Prevalence ◽  
Global Study ◽  
Non Parametric

AbstractBackground:This study is a part of the IFCC-global study to derive reference intervals (RIs) for 28 chemistry analytes in Saudis.Method:Healthy individuals (n=826) aged ≥18 years were recruited using the global study protocol. All specimens were measured using an Architect analyzer. RIs were derived by both parametric and non-parametric methods for comparative purpose. The need for secondary exclusion of reference values based on latent abnormal values exclusion (LAVE) method was examined. The magnitude of variation attributable to gender, ages and regions was calculated by the standard deviation ratio (SDR). Sources of variations: age, BMI, physical exercise and smoking levels were investigated by using the multiple regression analysis.Results:SDRs for gender, age and regional differences were significant for 14, 8 and 2 analytes, respectively. BMI-related changes in test results were noted conspicuously for CRP. For some metabolic related parameters the ranges of RIs by non-parametric method were wider than by the parametric method and RIs derived using the LAVE method were significantly different than those without it. RIs were derived with and without gender partition (BMI, drugs and supplements were considered).Conclusions:RIs applicable to Saudis were established for the majority of chemistry analytes, whereas gender, regional and age RI partitioning was required for some analytes. The elevated upper limits of metabolic analytes reflects the existence of high prevalence of metabolic syndrome in Saudi population.

Effect of reagent pH on determination of high-density lipoprotein cholesterol by precipitation with sodium phosphotungstate-magnesium.

1979 ◽  
Vol 25 (4) ◽  
pp. 560-564 ◽  
Author(s):  
T H Grove
Keyword(s):  
High Density Lipoprotein ◽  
High Density Lipoprotein Cholesterol ◽  
Adult Population ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Critical Factor ◽  
High Density ◽  
Lipoprotein Cholesterol ◽  
Precipitation Method ◽  
Low Density

Abstract When determining high-density lipoprotein cholesterol by use of sodium phosphotungstate-magnesium precipitation method, I found that the pH of the sodium phosphotungstate reagent was a critical factor in the method. Unless the pH of the reagent was less than 7.6, the precipitation of low-density lipoprotein and very-low-density lipoprotein was incomplete. When the specimen pH was between 7.35 and 8.65, the pH of the serum of plasma did not influence the completeness of precipitation. Optimum concentrations of precipitation reagents, determined after the pH of the sodium phosphotungstate reagent was standardized to pH 6. 15, were 40 g/L for sodium phosphotungstate and 2 mol/L for MgCl2. The distribution of high-density lipoprotein cholesterol in a healthy adult population was skewed to the left for women (n = 34; mean = 660 mg/L) and bi-modal for men (n = 44; mean = 460 mg/mL). The central 95% reference interval was 280 to 880 mg/L for women and 250 to 750 mg/L for men.

Lipid profile in an urban healthy adult Bangladeshi population

2020 ◽  
Vol 14 (1) ◽  
pp. 13-17
Author(s):  
Taslima Akter ◽  
Elisha Khandker ◽  
Zinat Ara Polly ◽  
Fatima Khanam
Keyword(s):  
Adult Population ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Lipoprotein Cholesterol ◽  
World Health ◽  
Lipid Levels ◽  
Cross Sectional ◽  
Bangladeshi Population ◽  
Health Organization

Background and objectives: The prevalence of ischemic heart disease (IHD) has increased in most of the developing countries, including Bangladesh. An important marker of IHD is dyslipidemia which includes high levels of triglyceride (TG), total cholesterol (T-cholesterol), low density lipoprotein cholesterol (LDL-c) and low level of high density lipoprotein cholesterol (HDL-c). So it is very important to know the lipid levels of a particular population for early intervention and prevention of IHD. The present study investigated the lipid levels of healthy urban adult Bangladeshi population. Methods: The cross sectional study was carried out over a period of one year at the Department of Physiology of Ibrahim Medical College, Dhaka, Bangladesh. A total number of 286 apparently healthy individuals were included in this study. Blood sample following overnight fast was collected for determination of serum TG, T-cholesterol, LDL-c and HDL-c. For all four lipid components, 95th percentile value was calculated and compared with values recommended by World Health Organization (WHO). Results: A total number of 286 adult individuals were enrolled of which 130 (45.5%) and 156 (54.5%) were male and female respectively. The mean levels of TG (122±56 mg/dl) and T-cholesterol (178±25 mg/dl) of male participants were significantly (p=0.001, p=0.008) higher than that of females (79.3±35.6 and 170±26 mg/dl). The level of serum HDL-c was significantly (p=0.001) higher in females (46.1±7.8 mg/dl)) compared to the males (39.7±8.6 mg/dl). The 95th percentile values of TG, T-cholesterol and LDL-c were higher than that of values recommended by WHO. Of the total participants, 17.1% to 24.1% had TG, T-cholesterol and LDL-c levels higher than the WHO recommended range. Conclusion: It is concluded that a proportion of our urban healthy young adult population had lipid profiles different from that recommended by WHO. Ibrahim Med. Coll. J. 2020; 14(1): 13-17

scholarly journals Establishment of reference intervals of biochemical analytes for South African adults: a study conducted as part of the IFCC global multicentre study on reference values

2021 ◽  
pp. 8-23
Author(s):  
FC Smit ◽  
K Ichihara ◽  
J George ◽  
E Blanco-Blanco ◽  
M Hoffmann ◽  
...  
Keyword(s):  
South African ◽  
Reference Values ◽  
Clinical Chemistry ◽  
Parametric Method ◽  
Density Lipoprotein ◽  
Reference Intervals ◽  
Mixed Ancestry ◽  
Serum Samples ◽  
Age Related ◽  
Non Parametric

Objective: This study was conducted as a part of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) global study for establishing reference intervals (RIs) of common laboratory tests for the South African population considering gender, ethnicity, age and body mass index (BMI). Methods: The researchers recruited 1 143 apparently healthy volunteers aged 18–65: 551 African (Afr) and 592 non-African (NAfr) (comprising 383 Caucasian and 209 Mixed Ancestry). Serum samples were measured for 40 chemistry and immunochemistry analytes. The standard deviation ratio (SDR) guided the need for partitioning reference values according to gender, ethnicity and age using a threshold of ≥ 0.4. The latent abnormal values exclusion (LAVE) method was applied to reduce influences of latent diseases before deriving RIs using both parametric and non-parametric methods. Results: Based on SDRsex, males showed higher albumin, uric acid, creatinine, AST, CK and ferritin. Based on SDRRC, Afr compared to NAfr showed (i) higher total protein, amylase, CRP, immunoglobulin G and A and (ii) lower total bilirubin, total cholesterol, low-density lipoprotein cholesterol (LDL-C), ALT and cholinesterase. Both age-related changes in glucose and LDL-C, and BMI-related changes in ALT, ALP and LDH were more prominent in NAfr. RIs were determined according to gender, age and ethnicity. The LAVE method was effective in lowering the upper RI limits (UL) of nutritional markers such as γGT and CRP. Compared to the non-parametric method, the parametric method gave narrower confidence intervals of ULs for analytes with skewed distributions. Conclusion: Establishing RIs by considering ethnicity was essential in many analytes in South Africa. Age and BMI-related changes differed greatly between Afr and NAfr.

scholarly journals Prevalence of a combination of hypertension and dyslipidemia among the adult population of a large East Siberian region

2021 ◽  
Vol 20 (4) ◽  
pp. 2865
Author(s):  
Yu. I. Grinshtein ◽  
V. V. Shabalin ◽  
R. R. Ruf ◽  
S. A. Shalnova ◽  
O. M. Drapkina
Keyword(s):  
Adult Population ◽  
Low Density Lipoprotein ◽  
Age Groups ◽  
Density Lipoprotein ◽  
Statistical Processing ◽  
Lipoprotein Cholesterol ◽  
Krasnoyarsk Krai ◽  
Lipid Metabolism Disorders ◽  
Chi Squared ◽  
Microsoft Office

Aim. To study the prevalence of a combination of two major cardiovascular risk factors, hypertension (HTN) and lipid metabolism disorders, among the Krasnoyarsk Krai population as a whole, as well as among men and women in different age groups.Material and methods. We analyzed the data from a random representative sample of 1603 residents of the Krasnoyarsk city and Berezovsky district aged 25-64 years within the ESSE-RF epidemiological study. Statistical processing was performed using IBMSPSS 22 and Microsoft Office Excel 2007. The proportion of people with hypertension and dyslipidemia and 95% confidence intervals was calculated. The significance of differences in the prevalence of hypertension and dyslipidemia was tested using the chi-squared test with Yates’ correction. Differences were considered significant at p≤0,05.Results. The prevalence of a combination of HTN and any dyslipidemia was 40%, HTN + hypercholesterolemia — 31,6%, HTN + high low density lipoprotein cholesterol (LDL-C) — 32,3%, HTN + hypertriglyceridemia — 16,4%, HTN + reduced high density lipoprotein cholesterol (HDL-C) — 10,8%. This characteristic increased with age. The prevalence of a combination of HTN with hypercholesterolemia, with an increased LDL-C level, as well as HTN with any dyslipidemia in women aged 55-64 years was significantly higher than in men.Conclusion. The prevalence of a combination of HTN with any dyslipidemia in the Krasnoyarsk Krai among the adult population aged 25-64 years was 40% and increased with age. In women aged 55-64 years, the prevalence of a combination of HTN with hypercholesterolemia, with an increased LDL-C level, as well as HTN with any dyslipidemia was significantly higher than in men.

scholarly journals Quantifying atherogenic lipoproteins for lipid-lowering strategies: consensus-based recommendations from EAS and EFLM

2020 ◽  
Vol 58 (4) ◽  
pp. 496-517 ◽  
Author(s):  
Michel R. Langlois ◽  
Børge G. Nordestgaard ◽  
Anne Langsted ◽  
M. John Chapman ◽  
Kristin M. Aakre ◽  
...  
Keyword(s):  
Clinical Chemistry ◽  
Density Lipoprotein ◽  
Statin Treatment ◽  
Reference Intervals ◽  
Lipoprotein Cholesterol ◽  
Lipid Lowering ◽  
European Federation ◽  
Laboratory Diagnostics ◽  
Atherosclerotic Cardiovascular Disease ◽  
Lipid Panel

AbstractThe joint consensus panel of the European Atherosclerosis Society (EAS) and the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) recently addressed present and future challenges in the laboratory diagnostics of atherogenic lipoproteins. Total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDLC), LDL cholesterol (LDLC), and calculated non-HDLC (=total – HDLC) constitute the primary lipid panel for estimating risk of atherosclerotic cardiovascular disease (ASCVD) and can be measured in the nonfasting state. LDLC is the primary target of lipid-lowering therapies. For on-treatment follow-up, LDLC shall be measured or calculated by the same method to attenuate errors in treatment decisions due to marked between-method variations. Lipoprotein(a) [Lp(a)]-cholesterol is part of measured or calculated LDLC and should be estimated at least once in all patients at risk of ASCVD, especially in those whose LDLC declines poorly upon statin treatment. Residual risk of ASCVD even under optimal LDL-lowering treatment should be also assessed by non-HDLC or apolipoprotein B (apoB), especially in patients with mild-to-moderate hypertriglyceridemia (2–10 mmol/L). Non-HDLC includes the assessment of remnant lipoprotein cholesterol and shall be reported in all standard lipid panels. Additional apoB measurement can detect elevated LDL particle (LDLP) numbers often unidentified on the basis of LDLC alone. Reference intervals of lipids, lipoproteins, and apolipoproteins are reported for European men and women aged 20–100 years. However, laboratories shall flag abnormal lipid values with reference to therapeutic decision thresholds.

Effect of the SORT1 low-density lipoprotein cholesterol locus is sex-specific in a fit, Canadian young-adult population

2013 ◽  
Vol 38 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Angela Karlos ◽  
Jane Shearer ◽  
Elizabeth Gnatiuk ◽  
Chiatogu Onyewu ◽  
Gina Many ◽  
...  
Keyword(s):  
Association Studies ◽  
Adult Population ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Genetic Effect ◽  
Lipoprotein Cholesterol ◽  
Genome Wide Association Studies ◽  
Low Density ◽  
Low Density Lipoprotein Cholesterol ◽  
Male Subjects

The SORT1 locus was originally identified by genome-wide association studies of low-density lipoprotein cholesterol (LDL-C) in adults. Although the effect sizes of this locus are relatively small, we hypothesized that a younger population would show a greater genetic effect because of fewer confounding variables. As such, we investigated the association between the SORT1 locus and LDL-C in a group of healthy young adults. Subjects (n = 122, mean age = 23.2 years) were recruited from the University of Calgary. Lipid measures and genomic DNA were collected from peripheral blood after an overnight fast. Blood pressure, percent body fat (%BF), and maximal oxygen consumption were also measured. Associations between genotype and LDL-C were investigated using linear regression. Nearly one half (42.9%) of the female and 21.7% of the male subjects had a %BF that was above a healthy range. More than one quarter of the subjects had LDL-C values that were considered nonoptimal. Although the association was not significant when both sexes were combined, a significant association was observed between the SORT1 locus (GG: 2.46 ± 0.11 mmol·L−1 vs. GT–TT: 2.06 ± 0.12 mmol·L−1, p = 0.016) and LDL-C in male subjects, with genotype explaining 3.0% of the variability in LDL-C. A high prevalence of nonoptimal LDL-C exists in this young population even though it is otherwise fit and healthy. A significant association was found between LDL-C and the minor SORT1 allele in male subjects, with an effect size larger than previously reported in older populations. SORT1 is a valuable target for identifying individuals who would most benefit from early interventions to prevent cardiovascular disease.

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