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transthyretin (prealbumin) in serum/plasma
Reference interval:
- 20-36 mg/dL
Clinical significance:
- used as marker for nutritional assessment*
- low levels associated with malnutrition
- low levels also associated with inflammatory state
- 1/2life is 48 hours, thus changes in serum levels respond faster to successful intervention than serum albumin (1/2life of 18-20 days) [4]
- levels respond faster than serum albumin to nutrition reconstitution
* not sufficiently sensitive or specific to determine adequacy of nutrient intake [4]
Decreases:
- malnutrition
Related
transthyretin; ATTR; prealbumin; TBPA (TTR PALB)
General
transthyretin (prealbumin) in body fluid
References
- Interpretation of Diagnostic tests, 8th edition, Wallach J,
Lippincott, Williams & Wilkens, Philadelphia, 2007, pg 15
- Prealbumin
Laboratory Test Directory ARUP: 50435
- Shenkin A
Serum prealbumin: Is it a marker of nutritional status or of
risk of malnutrition?
Clin Chem. 2006 Dec;52(12):2177-9.
PMID: 17138848
- Geriatric Review Syllabus, 8th edition (GRS8)
Durso SC and Sullivan GN (eds)
American Geriatrics Society, 2013
- Geriatric Review Syllabus, 9th edition (GRS9)
Medinal-Walpole A, Pacala JT, Porter JF (eds)
American Geriatrics Society, 2016
Component-of
enteral/parenteral nutrition management panel
ovarian cancer 5 protein panel