Biological variations of thirteen plasma biochemical indicators

Clin Chim Acta. 2016 Jan 15:452:87-91. doi: 10.1016/j.cca.2015.11.008. Epub 2015 Nov 10.

Abstract

Background: Reports on biological variation of plasma biochemical indicators are limited. We evaluated biological variations of 13 plasma biochemical indicators.

Methods: Plasma samples were collected from 40 healthy individuals over 5days. Intra-individual coefficient of variation (CVI), inter-individual coefficient of variation (CVG), index of individuality (II), reference change value (RCV), and analytical goal parameters were calculated.

Results: Albumin (Alb) showed the lowest CVI (2.50%) and the lowest CVG (5.08%), while C-reactive protein (hsCRP) presented the highest CVI (26.87%) and CVG (61.73%). II values were all less than 1.0. Alb presented the lowest 95% RCV (7.67), while hsCRP showed the highest 95% RCV (74.61). Alb, urea, creatinine (Cr), creatine kinase (CK), and creatine kinase isoenzyme MB (CKMBmass) CVI differed with gender (P<0.05). The CVG of the 13 indicators presented a significant gender difference (P<0.0001). Alb showed the lowest desirable imprecision CV (1.3%), the lowest desirable bias (1.4%), and the lowest desirable total error (3.5%), while hsCRP presented the highest desirable imprecision (13.4%), the highest desirable bias (16.8%), and the highest desirable total error (39.0%).

Conclusion: Our findings add to the database of biological variations of plasma indicators.

Keywords: Analytical goal; Biological variation; Index of individuality; Plasma biochemical indicator; Reference change value.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Albumins / analysis*
  • Biomarkers / blood
  • C-Reactive Protein / analysis*
  • Creatine Kinase / blood*
  • Creatinine / blood*
  • Female
  • Healthy Volunteers
  • Humans
  • Isoenzymes / blood
  • Male
  • Middle Aged
  • Reference Values
  • Urea / blood*
  • Young Adult

Substances

  • Albumins
  • Biomarkers
  • Isoenzymes
  • Urea
  • C-Reactive Protein
  • Creatinine
  • Creatine Kinase