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基于多中心人群建立中国成年女性抗苗勒管激素的年龄特异性参考区间。

Establishing age-specific reference intervals for anti-Müllerian hormone in adult Chinese women based on a multicenter population.

机构信息

Department of Clinical Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China; Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.

Department of Clinical Laboratory, the First Affiliated Hospital of Xinjiang Medical University, Urumuqi 830054, China.

出版信息

Clin Chim Acta. 2017 Nov;474:70-75. doi: 10.1016/j.cca.2017.09.008. Epub 2017 Sep 12.

Abstract

AIM OF THIS STUDY

Anti-Müllerian hormone (AMH) is useful for the assessment of ovarian reserve and treatment of individualized in vitro fertilization (IVF). The aim of this study is to establish AMH reference interval for adult Chinese women on the Beckman Beckman DxI 800 platform.

MATERIAL AND METHODS

From May to September 2013, serum from 1169 apparently healthy adult females from five representative cities in China (Beijing, Hangzhou, Guangzhou, Dalian and Urumqi) were collected, and AMH was analyzed on the platform of Beckman DxI 800 automated chemiluminescence immunoassay. Multiple regression analysis was used to investigate the effects of region, sex, age, body mass index (BMI), systolic blood pressure (SBP), exercise on AMH. Age specific reference interval for AMH was established.

RESULTS

The main factor affecting AMH levels was age (B=-0.756, P<0.001). The AMH reference intervals for adult Chinese women aged 19-24years, 25-29years, 30-34years, 35-39years, 40-44years, 45-49years and ≥50years were 0.74-16.06, 0.67-11.64, 0.50-9.99, 0.09-8.33, 0.04-4.09, 0.01-1.46 and <0.01-0.18ng/ml, respectively. The linear, quadratic and cubic models could either provide good fit regression model to describe the decline of AMH with age (R=0.40).

CONCLUSION

This study firstly established age-specific reference intervals for AMH in Chinese women based on multicenter population.

摘要

本研究目的

抗苗勒管激素(AMH)可用于评估卵巢储备功能和指导个体化体外受精(IVF)治疗。本研究旨在建立基于贝克曼库尔特 DxI 800 全自动化学发光免疫分析平台的中国成年女性 AMH 参考区间。

材料和方法

2013 年 5 月至 9 月,采集来自中国五个代表性城市(北京、杭州、广州、大连和乌鲁木齐)的 1169 例健康成年女性血清,采用贝克曼库尔特 DxI 800 全自动化学发光免疫分析平台检测 AMH。采用多元回归分析方法探讨地区、性别、年龄、体质量指数(BMI)、收缩压(SBP)、运动对 AMH 的影响。建立 AMH 的年龄特异性参考区间。

结果

影响 AMH 水平的主要因素是年龄(B=-0.756,P<0.001)。19-24 岁、25-29 岁、30-34 岁、35-39 岁、40-44 岁、45-49 岁和≥50 岁中国成年女性 AMH 参考区间分别为 0.74-16.06、0.67-11.64、0.50-9.99、0.09-8.33、0.04-4.09、0.01-1.46 和 <0.01-0.18ng/ml。线性、二次和三次模型均能较好地拟合 AMH 随年龄下降的趋势(R=0.40)。

结论

本研究首次基于多中心人群建立了中国女性 AMH 的年龄特异性参考区间。

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