Long-term within- and between-subject biological variation of 29 routine laboratory measurands in athletes. 2022

Jorge Diaz-Garzon, and Pilar Fernandez-Calle, and Aasne K Aarsand, and Sverre Sandberg, and Abdurrahaman Coskun, and Anna Carobene, and Niels Jonker, and Outi Itkonen, and William A Bartlett, and Antonio Buno, and
Laboratory Medicine Department, La Paz University Hospital, Madrid, Spain.

Within- and between-subject biological variation (BV) estimates have many applications in laboratory medicine. However, robust high-quality BV estimates are lacking for many populations, such as athletes. This study aimed to deliver BV estimates of 29 routine laboratory measurands derived from a Biological Variation Data Critical Appraisal Checklist compliant design in a population of high-endurance athletes. Eleven samples per subject were drawn from 30 triathletes monthly, during a whole sport season. Serum samples were measured in duplicate for proteins, liver enzymes, lipids and kidney-related measurands on an Advia2400 (Siemens Healthineers). After outlier and homogeneity analysis, within-subject (CVI) and between-subject (CVG) biological variation estimates were delivered (CV-ANOVA and log-ANOVA, respectively) and a linear mixed model was applied to analyze the effect of exercise and health related variables. Most CVI estimates were similar or only slightly higher in athletes compared to those reported for the general population, whereas two- to three-fold increases were observed for amylase, ALT, AST and ALP. No effect of exercise and health related variables were observed on the CVI estimates. For seven measurands, data were not homogeneously distributed and BV estimates were therefore not reported. The observation of higher CVI estimates in athletes than what has been reported for the general population may be related to physiological stress over time caused by the continuous practice of exercise. The BV estimates derived from this study could be applied to athlete populations from disciplines in which they exercise under similar conditions of intensity and duration.

UI MeSH Term Description Entries
D011506 Proteins Linear POLYPEPTIDES that are synthesized on RIBOSOMES and may be further modified, crosslinked, cleaved, or assembled into complex proteins with several subunits. The specific sequence of AMINO ACIDS determines the shape the polypeptide will take, during PROTEIN FOLDING, and the function of the protein. Gene Products, Protein,Gene Proteins,Protein,Protein Gene Products,Proteins, Gene
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000073537 Biological Variation, Population Differences in measurable biological values, characteristics, or traits, among individuals of a population or between population groups. Between-Individual Biological Variation,Between-Person Biological Variation,Between-Person Variation,Between-Subject Biological Variation,Between-Subject Variation,Biologic Variability, Population,Inter-Individual Biological Variation,Phenotypic Variability,Phenotypic Variation,Between Individual Biological Variation,Between Person Biological Variation,Between Person Variation,Between Subject Biological Variation,Between Subject Variation,Between-Individual Biological Variations,Between-Person Biological Variations,Between-Person Variations,Between-Subject Biological Variations,Between-Subject Variations,Biologic Variabilities, Population,Biological Variation, Between-Individual,Biological Variation, Between-Person,Biological Variation, Between-Subject,Biological Variation, Inter-Individual,Biological Variations, Between-Individual,Biological Variations, Between-Person,Biological Variations, Between-Subject,Biological Variations, Inter-Individual,Biological Variations, Population,Inter Individual Biological Variation,Inter-Individual Biological Variations,Phenotypic Variabilities,Phenotypic Variations,Population Biologic Variabilities,Population Biologic Variability,Population Biological Variation,Population Biological Variations,Variabilities, Phenotypic,Variabilities, Population Biologic,Variability, Phenotypic,Variability, Population Biologic,Variation, Between-Individual Biological,Variation, Between-Person,Variation, Between-Person Biological,Variation, Between-Subject,Variation, Between-Subject Biological,Variation, Inter-Individual Biological,Variation, Phenotypic,Variation, Population Biological,Variations, Between-Individual Biological,Variations, Between-Person,Variations, Between-Person Biological,Variations, Between-Subject,Variations, Between-Subject Biological,Variations, Inter-Individual Biological,Variations, Phenotypic,Variations, Population Biological
D000681 Amylases A group of amylolytic enzymes that cleave starch, glycogen, and related alpha-1,4-glucans. (Stedman, 25th ed) EC 3.2.1.-. Diastase,Amylase
D056352 Athletes Individuals who have developed skills, physical stamina and strength or participants in SPORTS or other physical activities. College Athletes,Elite Athletes,Professional Athletes,Athlete,Athlete, College,Athlete, Elite,Athlete, Professional,Athletes, College,Athletes, Elite,Athletes, Professional,College Athlete,Elite Athlete,Professional Athlete

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