Effect of temperature and time delay in centrifugation on stability of selectbiomarkers of nutrition and non-communicable diseases in blood samples / Ransi Ann Abraham, Praween K. Agrawal, Rajib Acharya, Avina Sarna, Sowmya Ramesh, Robert Johnston, Arjan de Wagt, Nizamuddin Khan, Akash Banerjee Kurundkar, Arvind Pandey, Raghu Pullakhandam, Krishnapillai Madhavan Nair, Geeta Trilok Kumar, H. P. S. Sachdev, Umesh Kapil, Renu Saxena, Sila Deb, Ajay Khera, Lakshmy Ramakrishnan.
Sažetak

Introduction: Preanalytical conditions are critical for blood sample integrity and poses challenge in surveys involving biochemical measurements.A cross sectional study was conducted to assess the stability of select biomarkers at conditions that mimic field situations in surveys.Material and methods: Blood from 420 volunteers was exposed to 2 – 8 °C, room temperature (RT), 22 – 30 °C and >30 °C for 30 min, 6 hours, 12hours and 24 hours prior to centrifugation. After different exposures, whole blood (N = 35) was used to assess stability of haemoglobin, HbA1c anderythrocyte folate; serum (N = 35) for assessing stability of ferritin, C-reactive protein (CRP), vitamins B12, A and D, zinc, soluble transferrin receptor(sTfR), total cholesterol, high density lipoprotein cholesterol (HDL), low density lipoprotein cholesterol (LDL), tryglicerides, albumin, total proteinand creatinine; and plasma (N = 35) was used for glucose. The mean % deviation of the analytes was compared with the total change limit (TCL),computed from analytical and intra-individual imprecision. Values that were within the TCL were deemed to be stable.Result: Creatinine (mean % deviation 14.6, TCL 5.9), haemoglobin (16.4%, TCL 4.4) and folate (33.6%, TCL 22.6) were unstable after 12 hours at 22-30°C, a temperature at which other analytes were stable. Creatinine was unstable even at RT for 12 hours (mean % deviation: 10.4). Albumin, CRP,glucose, cholesterol, LDL, triglycerides, vitamins B12 and A, sTfR and HbA1c were stable at all studied conditions.Conclusion: All analytes other than creatinine, folate and haemoglobin can be reliably estimated in blood samples exposed to 22-30°C for 12 hoursin community-based studies.