PMID- 17997337 OWN - NLM STAT- MEDLINE DCOM- 20080729 LR - 20080414 IS - 1096-6374 (Print) IS - 1096-6374 (Linking) VI - 18 IP - 3 DP - 2008 Jun TI - Reference ranges of serum IGF-1 and IGFBP-3 levels in a general adult population: results of the Study of Health in Pomerania (SHIP). PG - 228-37 AB - OBJECTIVE: Insulin-like growth factor I (IGF-1), which is mostly carried by IGF binding protein 3 (IGFBP-3), mediates endocrine actions of growth hormone and represents an important prognostic factor for systemic diseases. The main objectives of the present study were (1) to calculate age- and sex-specific reference values for serum IGF-1 and IGFBP-3 levels using the Gaussian mean+/-1.96 *standard deviation method and the quantile regression method and (2) to perform a comparison of the results from both statistical methods. DESIGN: Cross-sectional study (Study of Health in Pomerania). The study population included 2499 men and women aged 20-79 years. METHODS: Serum IGF-1 and IGFBP-3 levels were determined by chemiluminescence immunoassays. Linear and quantile regressions were performed to calculate age- and sex-related reference ranges. RESULTS: Both statistical methods generated different results: The reference ranges based on linear regression identified 43 (1.7%) subjects with serum IGF-1 levels and 99 (4.0%) subjects with serum IGFBP-3 levels outside the reference range. Using quantile regression, 117 (4.7%) or 118 subjects (4.7%) with serum IGF-1 or IGFBP-3 levels outside the range were detected, respectively. CONCLUSION: The present study established age- and sex-specific reference ranges for serum IGF-1 and IGFBP-3 levels. Quantile regression should be preferred to calculate reference ranges because a better concordance to original data is possible due to no distribution assumption are required and the robustness against outliers is given. FAU - Friedrich, Nele AU - Friedrich N AD - Institute for Community Medicine, Ernst Moritz Arndt University, Walther-Rathenau-Strasse 48, D-17487 Greifswald, Germany. nele.friedrich@uni-greifswald.de FAU - Alte, Dietrich AU - Alte D FAU - Volzke, Henry AU - Volzke H FAU - Spilcke-Liss, Elisabeth AU - Spilcke-Liss E FAU - Ludemann, Jan AU - Ludemann J FAU - Lerch, Markus M AU - Lerch MM FAU - Kohlmann, Thomas AU - Kohlmann T FAU - Nauck, Matthias AU - Nauck M FAU - Wallaschofski, Henri AU - Wallaschofski H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071107 PL - Scotland TA - Growth Horm IGF Res JT - Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society JID - 9814320 RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Adult MH - Aged MH - Aging/blood MH - Female MH - Germany MH - Humans MH - Insulin-Like Growth Factor Binding Protein 3/*blood MH - Insulin-Like Growth Factor I/*analysis MH - Male MH - Middle Aged MH - Reference Values MH - Regression Analysis MH - Sex Characteristics EDAT- 2007/11/13 09:00 MHDA- 2008/07/30 09:00 CRDT- 2007/11/13 09:00 PHST- 2007/04/24 00:00 [received] PHST- 2007/09/25 00:00 [revised] PHST- 2007/09/27 00:00 [accepted] PHST- 2007/11/13 09:00 [pubmed] PHST- 2008/07/30 09:00 [medline] PHST- 2007/11/13 09:00 [entrez] AID - S1096-6374(07)00133-5 [pii] AID - 10.1016/j.ghir.2007.09.005 [doi] PST - ppublish SO - Growth Horm IGF Res. 2008 Jun;18(3):228-37. doi: 10.1016/j.ghir.2007.09.005. Epub 2007 Nov 7.