Abstract:
BACKGROUND:Vitamin D (25-OHD) physiological functions have been expanded beyond traditional bone health, increasing the importance of its estimation in Laboratory Medicine, which renders validation of available methods mandatory. AIMS AND METHODS:We evaluated some preanalytical and analytical aspects of 25-OHD determination and the effects of potentially confounding clinical variables by using the DiaSorin "LIAISON 25-OH Vitamin D TOTAL". RESULTS:25-OHD samples were extremely stable, at least in the short term, without requiring special transport or storage. Precision intervals (CV%) were: within run (7-11%) and total precision (8-11.5%). Mean (SD) recovery was 96 (2)%. The assay was linear on dilution. Comparison with radioimmunoassay (RIA) yielded acceptable correlation (Inter-rater agreement/kappa coefficient=0.94) and clinical equivalence in the interval from 6 to 55 ng/mL. The assay was evaluated on a general population (N=476, age: 60±14 years, 65 males). The status of 25-OHD resulted inversely related to parathyroid hormone levels (r=-0.21, p<0.001), and aging (r=-0.17, p<0.001), but not to sex. Levels of 25-OHD were found to be sufficient (≥30 ng/mL) only in 54 samples (12%). Marked seasonal 25-OHD variations were observed in 13 subjects (p<0.05). Moreover, a marked seasonal fluctuation was seen in samples collected during the period of February 2010-October 2011 (p≤0.01). Lower 25-OHD concentration was observed in subjects with diabetes (19±9 vs 14±7 ng/mL, p<0.01) and hypertension (20±9 vs 17±9 ng/mL, p<0.01). Moreover, 25-OHD inversely correlated with BMI (r=-0.25, p<0.001). Conversely, no difference in 25-OHD levels was observed between subjects due to smoking habits and dyslipidemia. In multiple logistic regression models, aging is the only significant independent risk factor for low 25-OHD levels (Odds ratio, 95% confidence intervals: 3.1, 1.3-7.3; p≤0.01). CONCLUSIONS:Results confirm the LIAISON 25-OHD assay as a useful tool for 25-OHD estimation in the clinical practice. Lack of vitamin D is common among Italian adults, and appears associated with several cardiovascular risk factors.
journal_name
Clin Biochemjournal_title
Clinical biochemistryauthors
Bianchi S,Maffei S,Prontera C,Battaglia D,Vassalle Cdoi
10.1016/j.clinbiochem.2012.08.003subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1652-7issue
18eissn
0009-9120issn
1873-2933pii
S0009-9120(12)00461-4journal_volume
45pub_type
杂志文章abstract::Ischemic heart disease is the primary cause of death worldwide. The pathophysiological process of cardiovascular diseases is linked to atheromatous plaque formation, while plaque rupture releases thrombogenic elements, which lead to activation of platelets, blood clotting and formation of thrombi. Platelet inhibitors ...
journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
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更新日期:2014-05-01 00:00:00
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journal_title:Clinical biochemistry
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doi:10.1016/j.clinbiochem.2016.10.005
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journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
doi:10.1016/j.clinbiochem.2017.04.016
更新日期:2017-09-01 00:00:00
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doi:10.1016/j.clinbiochem.2007.05.011
更新日期:2007-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2017.07.005
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/s0009-9120(78)90641-0
更新日期:1978-04-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
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journal_title:Clinical biochemistry
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doi:10.1016/j.clinbiochem.2010.04.069
更新日期:2010-07-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2009.03.019
更新日期:2009-07-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
doi:10.1016/0009-9120(88)90001-x
更新日期:1988-06-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/s0009-9120(76)80072-0
更新日期:1976-12-01 00:00:00
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journal_title:Clinical biochemistry
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doi:10.1016/j.clinbiochem.2010.01.014
更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2006.08.009
更新日期:2006-11-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2017.05.003
更新日期:2017-10-01 00:00:00
abstract::Fluoride is a potent therapeutic agent that increases spinal bone density in osteoporotic subjects. Based on work with animal cells previously, we proposed fluoride acts by inhibiting phosphotyrosyl protein phosphatase (EC 3.1.3.48) activity in bone cells. The presence of fluoride sensitive acid phosphatase (EC 3.1.3....
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pub_type: 杂志文章
doi:10.1016/0009-9120(92)80045-i
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journal_title:Clinical biochemistry
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doi:10.1016/j.clinbiochem.2009.07.023
更新日期:2009-11-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/s0009-9120(80)90735-3
更新日期:1980-06-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
doi:10.1016/0009-9120(91)90147-7
更新日期:1991-02-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2006.08.013
更新日期:2006-12-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/0009-9120(93)90127-r
更新日期:1993-08-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2015.03.020
更新日期:2015-07-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2006.01.014
更新日期:2006-03-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2013.04.031
更新日期:2013-10-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2015.06.004
更新日期:2015-11-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/s0009-9120(84)90710-0
更新日期:1984-12-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2018.03.008
更新日期:2018-12-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/s0009-9120(96)00165-8
更新日期:1997-03-01 00:00:00
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journal_title:Clinical biochemistry
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doi:10.1016/j.clinbiochem.2006.03.017
更新日期:2006-06-01 00:00:00