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Normal reference values for hematological parameters, red cell indices, HB A2 and HB F from early childhood through
1Department of Medical Biochemistry, College of Medicine, and King Khalid University Hospital, Riyadh, Saudi Arabia.
Insights
This study establishes normal hematological reference values for Saudi children aged 1-15 years. Findings reveal age-related changes in white blood cells and hemoglobin, providing crucial data for pediatric health in the region.
Area of Science:
- Pediatric Hematology
- Clinical Biochemistry
- Public Health
Background:
- Hematological parameter values are influenced by age, sex, ethnicity, and environmental factors.
- Establishing regional reference ranges is essential for accurate diagnosis and monitoring.
- Normal values for Saudi children in the Central Province were previously undetermined.
Purpose of the Study:
- To determine reference values for hematological parameters, red cell indices, and hemoglobin types (Hb A2 and Hb F) in healthy Saudi children.
- To analyze age- and sex-specific variations in these parameters.
- To compare findings with international reference data.
Main Methods:
- A cross-sectional study involving 1526 healthy children aged 1-15 years.
- Hematological parameters, red cell indices, and Hb A2/Hb F levels were measured.
- Data were analyzed by age groups (15 groups) and sex.
Main Results:
- White blood cell counts decreased with age from 2 years onward.
- Hemoglobin and hematocrit levels increased significantly between 2 and 15 years.
- Saudi children's values showed similarities to Caucasians and intermediate values between Caucasians and African children.
Conclusions:
- The study provides essential normal reference values for Saudi children and adolescents.
- These values can aid in the clinical assessment and management of pediatric hematological conditions in Saudi Arabia.
- Findings highlight the need for region-specific reference ranges.
Background:
Values of hematological parameters are affected by factors such as age, sex, ethnic background and social, nutritional and environmental factors. The objective of this study was to determine the values of hematological parameters, red cell indices and Hb A2 and Hb F levels in normal Saudi children, living in the Central Province of Saudi Arabia.
Materials And Methods:
The study was carried out on 1526 apparently healthy children, with ages ranging from 1-15 years, and selected during a household screening program. Hematological parameters, red cell indices, and hemoglobin types (Hb A2 and Hb F) were estimated, and the children were divided into 15 groups depending on the age. Male and female children were separated, and the mean and standard deviation of each parameter was calculated for each age group.
Results:
No significant differences were observed in the red cell count in the male and female children. White blood cells gradually decreased from 2 years onwards, while hemoglobin and hematocrit levels increased significantly from 2 to 15 years. Mean cell volume and mean cell hemoglobin also showed slight increases, while mean cell hemoglobin concentration remained more or less constant. Hemoglobin A2 and Hb F showed slight but nonsignificant fluctuations. Comparison of the results with those reported in the literature shows that Saudi children have some values similar to Caucasians, while others have values which are intermediate between Caucasians and African children.
Conclusion:
The values reported in this study can be used as normal reference values for Saudi children and adolescents.
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