BACKGROUND: Environmental conditions during sample processing, shipping, and storage are often suboptimal, particularly in less developed countries. We used samples from US volunteers to investigate the effects of delayed whole blood (WB) processing and delayed freezing of serum on selected nutritional indicators. METHODS: WB tubes (n = 35) were either stored at 32 degrees C for up to 3 days before serum separation or centrifuged within 2 h of collection; serum samples were stored at 11 degrees C for up to 14 days to simulate delayed shipping. We assessed analyte stability by comparing results with data from optimally prepared/stored serum samples (<2 h on the clot, frozen at -70 degrees C) and by using clinical-acceptability criteria based on combined analytical imprecision and intraindividual biologic variability. RESULTS: Clinically acceptable changes in concentration varied from 3%-15%. Delayed WB processing did not unacceptably affect concentrations of carotenoids and vitamins B(12), D, and E; however, we obtained clinically unacceptable changes for ferritin (+9%), soluble transferrin receptor (sTfR) (+5%), and folate (-30%) after 1 day, and for vitamin A (-10%) after 3 days. Delayed freezing of serum did not affect concentrations of ferritin, sTfR, carotenoids, and vitamins A, B(12), and E; however, we obtained clinically unacceptable changes for vitamins C (-20%) and D (+7%) after 7 days and for folate after 14 days (-22%). CONCLUSIONS: Despite substantial delays in WB processing or in the freezing of serum samples, most nutritional indicators showed remarkable stability. This information is important for both the design of field studies and the use of residual samples subjected to suboptimal preanalytical factors.
BACKGROUND: Environmental conditions during sample processing, shipping, and storage are often suboptimal, particularly in less developed countries. We used samples from US volunteers to investigate the effects of delayed whole blood (WB) processing and delayed freezing of serum on selected nutritional indicators. METHODS: WB tubes (n = 35) were either stored at 32 degrees C for up to 3 days before serum separation or centrifuged within 2 h of collection; serum samples were stored at 11 degrees C for up to 14 days to simulate delayed shipping. We assessed analyte stability by comparing results with data from optimally prepared/stored serum samples (<2 h on the clot, frozen at -70 degrees C) and by using clinical-acceptability criteria based on combined analytical imprecision and intraindividual biologic variability. RESULTS: Clinically acceptable changes in concentration varied from 3%-15%. Delayed WB processing did not unacceptably affect concentrations of carotenoids and vitamins B(12), D, and E; however, we obtained clinically unacceptable changes for ferritin (+9%), soluble transferrin receptor (sTfR) (+5%), and folate (-30%) after 1 day, and for vitamin A (-10%) after 3 days. Delayed freezing of serum did not affect concentrations of ferritin, sTfR, carotenoids, and vitamins A, B(12), and E; however, we obtained clinically unacceptable changes for vitamins C (-20%) and D (+7%) after 7 days and for folate after 14 days (-22%). CONCLUSIONS: Despite substantial delays in WB processing or in the freezing of serum samples, most nutritional indicators showed remarkable stability. This information is important for both the design of field studies and the use of residual samples subjected to suboptimal preanalytical factors.
Authors: Lindsay H Allen; Joshua W Miller; Lisette de Groot; Irwin H Rosenberg; A David Smith; Helga Refsum; Daniel J Raiten Journal: J Nutr Date: 2018-12-01 Impact factor: 4.798
Authors: Hyun Ju Kang; Soon Young Jeon; Jae-Sun Park; Ji Young Yun; Han Na Kil; Won Kyung Hong; Mee-Hee Lee; Jun-Woo Kim; Jae-Pil Jeon; Bok Ghee Han Journal: Biopreserv Biobank Date: 2013-04 Impact factor: 2.300
Authors: Sant-Rayn Pasricha; Varalaxmi Vijaykumar; N S Prashanth; H Sudarshan; Beverley-Ann Biggs; Jim Black; Arun Shet Journal: BMC Public Health Date: 2009-02-17 Impact factor: 3.295