Department of Laboratory Medicine, Green Cross Laboratories, Yongin, Korea.
Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Clin Lab Anal. 2022 Sep;36(9):e24525. doi: 10.1002/jcla.24525. Epub 2022 Jul 19.
Limited data are available with reference intervals of serum anti-Müllerian hormone (AMH) level in Korean women.
We retrospectively reviewed serum AMH test results performed with automated electrochemiluminescence immunoassay in Korean women who visited health promotion centers between January 2019 and December 2020. Serum AMH results by age group were compared with previously reported reference intervals.
During the 2-year study period, a total of 1953 AMH test results from Korean women (age 20-49 years) undergoing general health checkups were obtained. Serum AMH level differed significantly by age group. Peak AMH level was observed at age 25-29 years and decreased to undetectable for subjects older than 44 years. The 2.5th, 5th, and 10th percentile values of the present study were comparable with previously assessed lower limits of reference intervals. The upper limit of the reference interval defined as the 97.5th percentile value in women younger than 35 years was higher than that of Western populations. The 90th percentile value of the present study population was similar to the 95th or 97.5th percentile value of reference intervals for Western populations of women younger than 35 years.
Understanding patient populations and differences in reference intervals by age group and measurement method can help guide clinical decisions and clinical laboratory analysis.
韩国女性血清抗苗勒管激素(AMH)水平的参考区间数据有限。
我们回顾性分析了 2019 年 1 月至 2020 年 12 月期间在健康促进中心就诊的韩国女性的自动电化学发光免疫分析法检测的血清 AMH 检测结果。按年龄组比较血清 AMH 结果与先前报道的参考区间。
在 2 年的研究期间,共获得了 1953 名韩国女性(20-49 岁)进行一般健康检查的 AMH 检测结果。血清 AMH 水平随年龄组显著不同。25-29 岁年龄组 AMH 水平最高,而 44 岁以上的患者 AMH 水平降至无法检测。本研究的 2.5 百分位、5 百分位和 10 百分位值与之前评估的参考区间下限值相当。在年龄小于 35 岁的女性中,定义为 97.5 百分位值的参考区间上限高于西方人群。本研究人群的 90 百分位值与年龄小于 35 岁的西方女性参考区间的 95 百分位值或 97.5 百分位值相似。
了解患者人群和年龄组及检测方法的参考区间差异有助于指导临床决策和临床实验室分析。