从6个月到65岁的年龄定义贫血的血红蛋白值:来自国际数据源的估计
Sabine Braat1, Katherine L Fielding2, Jiru Han3
1Population Health and Immunity Division, The Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia; Methods and Implementation Support for Clinical and Health research Hub, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
The Lancet. Haematology
|March 3, 2024
概括
这项研究为贫血检测建立了新的全球血红蛋白值,更新了临床和公共卫生指南. 调查结果显示,基于性别的差异在青春期出现,但血统并不一定需要不同的门.
科学领域:
- 全球健康 全球健康
- 血液学 血液学 血液学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 准确的贫血检测对全球健康至关重要.
- 目前世界卫生组织 (WHO) 的贫血定义依赖于过时的门值.
- 这项研究的目的是建立基于证据的,适用于全球的血红蛋白贫血值.
研究的目的:
- 为了确定贫血诊断的最新统计血红蛋白值.
- 为通报经过修订的世卫组织和临床贫血指南.
- 为贫血提供全球统一的诊断标准.
主要方法:
- 对1998-2020年国际人口数据 (美国,英国,澳大利亚,中国,荷兰,加拿大,厄瓜多尔,孟加拉国) 的分析.
- 排除患有影响血红蛋白的疾病的个人.
- 包括怀孕在内的各个年龄组 (从6个月到65岁) 的血红蛋白第五百分比估计,并对遗传数据进行对比.
主要成果:
- 儿童 (6个月-11岁) 和青少年 (12-17岁) 的确定的血红蛋白第五百分位数,按性别划分.
- 确定成人 (18-65岁) 血红蛋白第五百分位数,男性的值高于女性.
- 确定了第一个和第二个三个月的妊娠特异性值;第三个三个月和65岁以上的成年人数据不足.
结论:
- 该研究为全球贫血诊断提供了协调的血红蛋白值.
- 在青春期后,血红蛋白值因性别而异.
- 没有证据支持祖先特定的血红蛋白值用于诊断贫血.
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