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Pediatric reference intervals for lymphocyte vitamin C (ascorbic acid)
Alex Levin1, Charmaine DeSouza, Christian Zaarour
1Pediatric Ophthalmology and Ocular Genetics, Wills Eye Institute, Philadelphia, PA, USA.
Insights
New reference ranges for lymphocyte vitamin C (ascorbic acid) in children aged 0-7 years have been established. These findings provide a reliable benchmark for assessing vitamin C levels in pediatric health.
Area of Science:
- Pediatric Nutrition
- Clinical Biochemistry
- Immunology
Background:
- Vitamin C (ascorbic acid) is essential for numerous physiological functions.
- Establishing accurate reference intervals for vitamin C in pediatric populations is crucial for clinical assessment.
- Previous data on lymphocyte vitamin C levels in young children is limited.
Purpose of the Study:
- To determine pediatric reference intervals for lymphocyte vitamin C.
- To provide a reliable benchmark for assessing vitamin C status in children aged 0-7 years.
Main Methods:
- Prospective study involving 194 healthy children aged 0-7 years.
- Lymphocytes isolated from blood samples collected during elective surgery.
- Ascorbic acid levels analyzed using High-Performance Liquid Chromatography (HPLC).
- Reference intervals established following CLSI and IFCC guidelines.
Main Results:
- Pediatric reference intervals for lymphocyte vitamin C were determined to be 12.9-52.8 μg/10(8) cells.
- These reference intervals were found to be independent of age and gender.
- The established ranges are for healthy, fasted children.
Conclusions:
- Defined pediatric reference ranges for lymphocyte vitamin C in healthy children (0-7 years).
- The new reference interval facilitates more reliable assessment of vitamin C status.
- This can aid in exploring the clinical implications of vitamin C variations on bleeding and other signs.
Objective:
To establish pediatric reference intervals for lymphocyte vitamin C.
Design And Methods:
This was a prospective study of 194 well children aged 0-7 years old of mixed ethnicity who had blood drawn for the purpose of this study. Blood was collected during elective surgery under general anesthesia and lymphocytes isolated and stored as frozen ascorbic acid lymphocyte lysates for later HPLC analysis by previously described methodology. Reference intervals were established according to the Clinical and Laboratory Standards Institute (CLSI) and the International Federation of Clinical Chemistry (IFCC) guidelines (C28-A3). Horn-Pesce robust method was used to estimate the 95% confidence interval and 95% reference interval.
Results:
Reference intervals were independent of age or gender and shown to be 12.9-52.8 μg/10(8) cells (lymphocytes).
Conclusion:
We have defined pediatric reference ranges for lymphocyte vitamin C in healthy, fasted children at a relevant age group (0-7 years). The new reference interval can now be used to more reliably explore possible implications of variation of vitamin C levels on bleeding and other clinical signs.
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