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Nutri Meta Lab 5 Result
Nutri Meta Lab 5 Result
Introduction
Alkaline haematin method, a new method for the economical and accurate measurement of
haemoglobin has been developed as an alternative to the conventional cyanhaemiglobin
method. This method involves the conversion of all heme, haemoglobin, and haemiglobin
species into a stable end product by an alkaline solution of a non-ionic detergent (AHD reagent)
(Zander et al. 1984). It is an obsolete colorimetric technique for estimating the blood
haemoglobin concentration based on the formation of hematin from haemoglobin, using 0.1
mol sodium hydroxide (NaOH).
One of the alkaline haematin methods is AHD-575 method. The AHD-575 reagent is non-
toxic and not photosensitive. Also, this method offers the possibility of safe and quality
haemoglobin estimation at a reduced cost (Anchinmane and Sankhe, 2016). It gives a rapid,
accurate and precise comparable haemoglobin estimation results with internationally accepted
reference HiCN (haemoglobincyanide) method. However, the Drabkin reagent used for the
HiCN measurement is more complex and a change in the composition of the reagent causes a
variation in the results of measurement.
Objectives
2
Absorbance at 520nm
y = 0.1313x + 0.0082
1.5
0.5
0
0 2 4 6 8 10 12 14 16
Haemoglobin (mg/100ml)
Figure 1 Standard curve of amount of haemoglobin and its absorbance value at 520nm.
Calculations
From the figure 1 which is the standard curve of amount of haemoglobin against its absorbance
at 520nm, we could use the equation y = 0.1313x + 0.0082 to read off the haemoglobin
concentration in the blood sample.
x = 3.76
Discussions
The normal range for haemoglobin concentration in men is 13.5 to 17.5 gm/dL whereas
the normal range for haemoglobin concentration in women is 12.0 to 15.5 gm/dL. Normal
ranges for children vary with age and sex. New born usually contain 17-22 gm/dL, however
children usually contain 11-13 gm/dL (William et al. 2019). The range for a normal
haemoglobin level may differ from one medical practice to another (Anon, 2019). From the
result we obtained, the haemoglobin concentration is very low compared to any gender and age
group. Therefore the blood sample was suspected is not taken from human but other sources.
In both men and women even with normal haemaglobin level, tertiles of haemaglobin
levels were positively associated with body mass index (BMI), total-cholesterol (TC),
triglyceride (TG), uric acid (UA), diastolic blood pressures (DBP) and fasting plasma glucose
(FPG). Increasing haemoglobin levels, even in subjects with normal level were associated with
increasing prevalence of cardiovascular risk factors, suggesting that a slightly low haemoglobin
level might be beneficial too (Lianxiang, 2014). When the haemoglobin level is low, it may
indicate that the person may have anaemia nutritional deficiency of several nutrients such as
iron, folate or vitamin B12 (Merritt, 2014)
Conclusion
Anon, 2019. Hemoglobin test - Mayo Clinic. Mayoclinic.org. [Online]. Available from:
https://www.mayoclinic.org/tests-procedures/hemoglobin-test/about/pac-20385075.
[Accessed 26 June 2019].
Anchinmane, V., Sankhe, S., 2016. Evaluation of hemoglobin estimation with non-cyanide
alkaline haematin D- 575 method. International Journal of Research in Medical Sciences,
4(10), 4297-4299.
Clegg J., and King E., 1942. Estimation of haemoglobin by the alkaline haematin method. BMJ,
2(4263), 329-333.
Lianxiang R., Bing Gu, Yixing D., Xin Wu, Xinjian L., Hui Wang, Li Jiang, Yan Guo, and
Junhong W., 2014. Hemoglobin in normal range, the lower the better?—Evidence from
a study from Chinese community-dwelling participants. Journal of thoracic disease, 6(5),
477-482.
William C., Shiel Jr., 2019. Definition of Hemoglobin normal values. [Online]. Available from:
https://www.medicinenet.com/script/main/art.asp?articlekey=15737. [Accessed 26 June
2019].
Zander, R., Lang, W. and Wolf, H. 1984. Alkaline haematin D-575, a new tool for the
determination of haemoglobin as an alternative to the cyanhaemiglobin method. I.
description of the method. Clinica Chimica Acta, 136(1), 83-93.