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Reference Intervals of and Relationships among Essential Trace Elements in Whole Blood of Children Aged 0-14 years
Rongrong Zhai1, Meichun Zhang1, Jie Liu1
1Clinical Laboratory Center, Lu'an People's Hospital, The Lu'an Affiliated Hospital of Anhui Medical University, Lu'an, China.
Insights
Reference intervals for essential trace elements calcium (Ca), iron (Fe), copper (Cu), magnesium (Mg), and zinc (Zn) were established in children. Complex correlations were found among these elements, highlighting the need for further research into their health impacts.
Area of Science:
- Pediatric Nutrition
- Trace Element Metabolism
- Biochemistry
Background:
- Essential trace elements are critical for children's health.
- Establishing reference intervals is crucial for assessing nutritional status.
- Understanding inter-element relationships aids in interpreting biomarker data.
Purpose of the Study:
- To establish gender- and age-specific reference intervals for calcium (Ca), iron (Fe), copper (Cu), magnesium (Mg), and zinc (Zn) in children.
- To investigate the correlations among these essential trace elements in pediatric populations.
Main Methods:
- Blood samples were collected from 3210 children aged 0-14 years in Lu'an, China.
- Atomic absorption spectrophotometry was used to determine element concentrations.
- Nonparametric methods were employed to establish reference intervals.
Main Results:
- Gender differences were not significant for most elements, except for iron (Fe).
- Age showed significant positive correlations with Fe and Zn, and negative correlations with Ca and Cu.
- Strongest correlations were observed between Ca-Mg, Fe-Mg, and Fe-Zn.
- Multivariable regression indicated significant associations between Zn-Fe and Mg-Fe.
Conclusions:
- Gender- and age-based reference intervals for Ca, Fe, Cu, Mg, and Zn in children were successfully established.
- The relationships among these trace elements are complex and warrant further investigation.
- Additional research is needed to elucidate the health implications of these inter-element correlations in children.
Background:
Essential trace elements are vital to human health. In this study, our aim was to establish reference intervals of and to evaluate relationships among Ca, Fe, Cu, Mg, and Zn for children.
Methods:
We collected blood samples of 3210 children aged 0-14 years from Lu'an, China, and concentrations of the above elements were determined by atomizer absorption spectrophotometer. A nonparametric method was used to establish the reference intervals.
Results:
Gender-related differences in concentrations were not statistically significant for the elements, except for Fe. There were strong positive and negative correlations between age and Fe (R = 0.305, P < 0.001), Zn (R = 0.573, P < 0.001); and age and Ca (R = -0.372, P < 0.001), Cu (R = -0.127, P < 0.001), respectively. Correlations between Ca-Mg (r = 0.222~0.384, P < 0.001), Fe-Mg (r = 0.495~0.614, P < 0.001), and Fe-Zn (r = 0.239~0.471, P < 0.001) were the strongest compared with others. In multivariable linear regression, after adjusted for confounding factors, the associations between Zn-Fe and Mg-Fe were the strongest with per concentration quintile increase of Fe caused Zn and Mg increasing by 4.19% (β = 0.041; 95% CI: 0.037, 0.045; P < 0.001) and 3.87% (β = 0.038; 95% CI: 0.036, 0.040; P < 0.001), respectively.
Conclusions:
Gender- and age-based reference intervals of Ca, Fe, Cu, Mg, and Zn for children were established, and correlations between them were quite complex. More works are needed to illuminate these relationships and their impacts on children's health.
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