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SERUM
ALBUMIN
LEVELS
DEFICIENT
(HIGH RISK)
0-11
LOW (MEDIUM
RISK)
ACCEPTABLE
(LOW RISK)
<2.5
>2.5
1-5YRS
<2.8
<3.0
>3.0
6-17YRS
2.8
2.8-3.4
>3.5
ADULTS
<2.8
2.8-3.4
>3.5
PREGNANT (Ist
TRIMESTER)
<3.0
3.0-3.9
>4.0
PREGNANT (2nd
AND 3rd
TRIMESTER)
<3.0
3.0-3.4
>3.5
FUNCTIONAL ROLES
PRECURSORS OF EICOSANOIDS; PROSTAGLANDINS
POTENT REGULATORS OF METABOLIC AND
PHYSIOLOGICAL FUNCTIONS
of Triene/ Tetraenes
VITAMIN A
ACCEPTABLE (LOW
RISK)
<20 g/dl
20-30g/dl
30g/dl
VITAMIN A
RELATIVE DOSE RESPONSE METHOD
BETTER
VITAMIN A
VITAMIN A
Modified version
Dehydro retinol (Vitamin A2) is administered
instead of Vitamin A
100g/Kg body weight children
2.5mg Adults
Only one post dose blood sample is required
Levels of vitamin A and A2 are measured
Ratio of A2/A>0.06= suggestive of Vitamin A
deficiency
VITAMIN D
INDICATOR OF VITAMIN D- 25-HYDROXY
CHOLECALCIFEROL (25HCC)
GUIDELINES
Acceptable
= >10ng/ml
Medium risk= 5-10ng/ml
Deficient, high risk= <5ng/ml
VITAMIN E
VITAMIN K
methods
THIAMIN
Urinary thiamin
Thiochrome
method
HPLC
Microbiological
Assay
24 hour collection for 2 days
Early morning voided samples
Influenced by dietary intake
100g/24hoursor 65g/g creatinine
THIAMIN
Erythrocyte Transketolase (ETK) activity
coefficient
Xylulose -5 Phosphate+ Ribose-5-Phosphate
Sedoheptulose-7-Phosphate+
Glyceraldehyde -3-Phosphate
Xylulose -5 Phosphate +Erythrose-4-Phosphate
Fructose-6 Phosphate +
Glyceraldehyde -3-Phosphate
THIAMIN
ETK-AC=
ETK stimulated activity (+TPP)
ETK Basal activity (-TPP)
In B1 Deficiency-Basal activity Decreases and
Activity Coefficient Increases
Guidelines
Acceptable= <1.15
Medium Risk= 1.15-1.25
High Risk=>1.25
RIBOFLAVIN
Urinary riboflavin
Blood riboflavin
Erythrocyte Glutathione Reductase
(EGR)Test
GSSG+NADPH+H+
2GSH+ NADP+
EGR-AC=
EGR stimulated activity (+TPP)
EGR Basal activity (-TPP)
In B2 Deficiency-Basal activity Decreases and
Activity Coefficient Increases
RIBOFLAVIN
Guidelines
Acceptable= <1.5
Medium Risk= 1.5-1.7
High Risk=>1.7
NIACIN
Ratio of niacin metabolites
N-METHYL-2-PYRIDONE = <1= DEFICIENT
N1-METHYLNOCOTINAMIDE
Normal Range- 1-4
PYRIDOXIN
Range= 5-26ng/ml
URINARY VITAMIN B6
<20g/g
creatinine
PYRIDOXIC ACID- 0.5mg/day
PYRIDOXIN
ERYTHROCYTE TRANSAMINASES
L-Alanine+ - Ketoglutarate
L- glutamate
L-Aspartate+ - Ketoglutarate
Oxaloacetate+ L- glutamate
AC= Stimulated activity (+PLP)
Basal Activity (-PLP)
Guidelines
AspAT-AC<1.7-2.0
EAlaT-AC<1.25
Pyruvate+
PYRIDOXIN
PYRIDOXIN
FOLIC ACID
BLOOD FOLATE
SERUM FOLATE
RBC FOLATE
ACCEPTABLE
MEDIUM
HIGH RISK
>6
3-5.9
<3
>160
140-159
<140
FOLIC ACID
(FIGLU)
FIGLU- METABOLITE OF HISTIDINE
THF
FIGLU
GLUTAMIC ACID
NORMAL ADULTS- 20MG FIGLU IN 8HRS AFTER
HISTIDINE LOAD 0.26G/KG BODY WEIGHT
FOLIC ACID DEFICIENCY- FIGLU EXCRETIONINCREASES 5-10 TIMES
VITAMIN B12
BLOOD LEVELS
NORMAL ADULTS-200-900pg/ml
Deficient
SCHILLING TEST
MALABSORPTION
VITAMIN B12
METHYL MELONIC ACID EXCRETION
VIT.B12 DEFICIENCY- URINARY EXCRETION OF
METHYL MELONIC ACID (MMA) INCREASES
METHYL MELONYL CO.A METHYL MELONYL CO.A ISOMERASE B12
SUCCINYL CO.A
ORAL LOAD VALINE (5-10 g)
VALINE- PRECURSOR OF MMA
PANTOTHENIC ACID
Urinary Pantothenic Acid Excretion
NORMAL ADULTS-2mg/g
creatinine
ASCORBIC ACID
MEDIUM RISK
HIGH RISK
PLASMA
ASCORBIC ACID
(mg/dl)
0.3
0.2-0.29
<0.2
LEUCOCYTE
ASCORBIC ACID
(mg/dl)
15
8-15
<8
MINERALS
Calcium
Iron- Hb=13g/dl-Men; 12g/dl- Women
Iodine
Zinc
Copper
Selinium