The investigation of the positive rate of intrinsic factor antibody and deficiency rate of vitamin B12 in normal physical examination population
10.3760/cma.j.issn.0253-2727.2018.11.009
- VernacularTitle: 健康查体人群内因子抗体阳性率和血清维生素B12缺乏率调查
- Author:
Xuehui GAO
1
;
Quexuan CUI
;
Qiangxing ZHANG
;
Xinqi CHENG
;
Jun LU
;
Ling QIU
;
Bing HAN
1
Author Information
1. Department of Hematology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China
- Publication Type:Journal Article
- Keywords:
Intrinsic factor antibody;
Vitamin B12;
Physical examination population
- From:
Chinese Journal of Hematology
2018;39(11):917-920
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the positive rate of intrinsic factor antibody (IFAb) and level of vitamin B12 (VitB12) in normal physical examination population and the possible relation between IFAb, VitB12 and sex, age, number of RBC, HGB and MCV.
Methods:A total of 1 427 people who came to Peking Union Medical Colleague Hospital (PUMCH) for physical examination were enrolled. There were 758 males with average age of (52.5±14.5) years-old and 669 females with average age of (50.3±14.3) year-old. Beckman DxI800 automatic biochemical-immune analyzer and corollary reagents were used to analyze the level of serum IFAb and VitB12. The results in different sex, age were documented and their correlation with the value of whole blood cell count was tested later on.
Results:Among the 1 427 normal subjects, 66 (4.63%) were positive for IFAb. The positive rate for IFAb in the population≥40 years-old was higher than those<40 years-old (5.66% vs 1.48%, χ2=7.46, P=0.006). The deficiency rate of VitB12 in the population<40 years-old, 40-59 years-old and ≥60 years-old was 2.22%, 2.51% and 5.50%, respectively (χ2=8.55, P=0.014). There were no difference between people with different sex in the positive rate of IFAb (5.15% for males and 4.04% for females, χ2=0.99, P=0.320) or in the deficiency rate of VitB12 (3.83% for males and 2.69% for females, χ2=1.44, P=0.230). The results of multiple linear regression showed that HGB level of IFAb positive subjects was 3.05 g/L lower on average than those of IFAb negative, but IFAb had no effect on both RBC and MCV. There was no correlation between VitB12 deficiency and HGB, RBC and MCV.
Conclusion:The positive rate of IFAb and deficiency rate of VitB12 increase as age increases. But the presence of VitB12 deficiency is later than the positive findings of IFAb. IFAb showed some effects on the level of HGB, which may compensate the limitations of VitB12 detection to some extent. It is necessary to check the IFAb and level of VitB12 in people with middle or old ages.
