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54 protocols using liaison 25 oh vitamin d total assay

1

Vitamin D Measurement and Classification

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Blood samples collected in HUNT2 were stored at −70°C until analysis. The level of 25(OH)D in serum was measured in the years 2010 and in 2014/2015 by chemiluminescent immunoassay methodology, using Liaison 25-OH Vitamin D Total Assay (DiaSorin, Saluggia, Italy). The method has an intra-assay coefficient of variation of 4% and an interassay coefficient of variation of 8%. Another kit from DiaSorin was used from 2014. A total of 118 samples with measurements available from 2010 were reanalysed in 2015 with the new kit. After exclusion of two outliers, a conversion factor for measurements from 2010 to new values from 2014/2015 was established by Passing and Bablok regression.28 (link)
Serum 25(OH)D levels were classified into three groups, <50.0 nmol/L, 50.0–74.9 nmol/L and ≥75.0 nmol/L, which are widely used categories in studies of vitamin D levels. Values <50.0 nmol/L are usually regarded as representing vitamin D deficiency.29 (link)
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2

Serum 25-Hydroxyvitamin D Quantification

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Vitamin D level was determined in serum samples with the LIAISON 25 OH vitamin D total assay (DiaSorin, Saluggia, Italy) and was performed on the LIAISON® chemiluminescent analyzer by using a method manufacturer introduced. The final concentration was indicated by ng/ml.
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3

Measuring Serum Vitamin D Levels

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Serum vitamin D was measured as previously described31 (link) from blood collected at baseline and at 12 months, after 12 hours fasting, 24 hours without exercise, and 48 hours without alcohol. Blood was processed within 1 hour and serum stored at −70°C until analysis. Assays were performed using DiaSorin LIAISON 25-OH Vitamin D Total assay.41 (link), 42 (link) The inter- and intra-assay coefficients of variability (CVs) for this assay were 11.2 % and 8.1%, respectively.
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4

Vitamin D Measurement Validation

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Plasma 25(OH)D levels were measured from December 2009 through April 2012 using the DiaSorin Liaison 25 OH Vitamin D TOTAL Assay (Stillwater, MN). Plasma samples from the CCHS were collected in 1981 to 1983 and stored at 220°C until time of measurement; plasma samples from the CGPS were collected in 2004 to 2005 and stored at 280°C until time of measurement or were collected in 2009 to 2011, in which case measurements were done on fresh samples. Thus, different storage conditions and delays in measurements existed; however, we do not believe this influenced our measurements for several reasons, as reported previously (18) . First, we found the expected seasonal variation of 25(OH)D levels; second, the median concentrations of 25(OH)D across plasma samples from three different examinations in the CCHS on the same healthy participants with storage times of 10, 20, and 30 years were similar; third, previous studies have shown high stability during storage (23) (24) (25) ; and fourth, the median concentrations observed in our studies are similar to those in comparable populations (26, 27) . Assay precision was tested daily with interassay coefficients of variance between 10% and 11%.
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5

Serum 25(OH)D Measurement Protocol

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Fasting blood samples were collected between September 2002 and January 2006 and kept frozen at –80°C until analysis. Measurement of total serum 25(OH)D, including both vitamins D2 and D3, was processed on-site at the Icelandic Heart Association by means of a direct, competitive chemiluminescence immunoassay using the LIAISON 25 OH Vitamin D total assay (Diasorin, Inc.), hereafter referred to as vitamin D. The interassay CV was <6·5 % when using a frozen serum pool as a control sample and <12·7 % when using Liaison quality controls.
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6

Quantifying Serum 25(OH)D Levels

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Blood was collected during the first clinic visit to AGES-study, from September 2002 to January 2006, and fasting serum samples were kept frozen at −80°C on-site in the IHA laboratory. Quantitative determination of total 25(OH) D (D2 and D3) was conducted by means of a direct, competitive chemiluminescence immunoassay (CLIA), using the LIAISON 25 OH Vitamin D Total assay (DiaSorin, Inc., Stillwater, Minnesota). The inter assay coefficient of variation was <6.5%, using a previously frozen serum pool as the control sample and <12.7% when the calculated data were from measurements using Liaison quality controls.
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7

Serum 25(OH)D Measurement Protocol

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Blood samples were taken at HUNT2 and sampling followed a strict quality protocol [17] . Serum was separated and immediately cooled and stored the same day or within two to three days (due to weekends and public holidays) at -70 °C until serum 25(OH)D levels were measured. Serum 25(OH)D was measured using the DiaSorin LIAISON 25-OH Vitamin D TOTAL assay (DiaSorin, Saluggia, Italy), a fully automated antibody-based chemiluminescence assay with a detection rang of 10-375 nmol/L. The intra-assay coefficient of variation and the inter-assay coefficient of variation of our samples were low, 4% and 8%, respectively. We categorized serum 25(OH)D as < 50, 50-74.9 and ≥ 75 nmol/L, and as per 25 nmol/L decrease based on previous literature [20] [21] [22] [23] .
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8

Vitamin D Levels and BMI Associations

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Vitamin D levels were tested by the LIAISON 25-OH vitamin D TOTAL assay (DiaSorin USA, Stillwater, Minn), a competitive 2-step chemiluminescence assay (67). The measuring range of this assay is 10 to 350 nmol/L; analytical sensitivity is < 2.5 nmol/L, and functional sensitivity is < 10.0 nmol/L. The intra-assay precision is up to 5%, and the inter-assay precision is up to 15%. The specificity is 104% for 25-OH vitamin D2 and 100% for 25-OH vitamin D3. For patients with multiple vitamin D tests we used the last measured level during the study period. According to the measured levels, patients were assigned to four predefined vitamin D ranges (more than 75 nmol/L—normal levels; 50–75 nmol/L—insufficiency; 30–50 nmol/L—deficiency, and less than 30 nmol/L—severe deficiency).
For each patient, we used the last BMI measurement documented in the EHR during patient encounters who took place before February 29, 2020. Patients were assigned to four predefined BMI categories (less than 25, 25–30, 30–35, and more than 35 kg/m2) according to their last BMI measurement.
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9

Deseasonalizing Vitamin D Levels

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During the study period, serum 25(OH)D levels were measured by routine clinical analysis. Before 2008 (n = 196 samples), both a chemiluminescence immunoassay (CLIA) (Nichols Institute Diagnostics, California, USA) and a radioimmunoassay (Immunodiagnostics Systems, Boldon, UK) were used, due to a change in clinical diagnostic operating procedures. Both methods had a good inter-assay correlation.[8 (link)] After 2008 (n = 358 samples), a CLIA (LIAISON® 25 OH Vitamin D TOTAL Assay, Diasorin, Saluggia, Italy) was used.
In accordance with other studies, 25(OH)D data were deseasonalized to corrrect for seasonal variation of 25(OH)D levels.[17 (link), 31 (link), 32 (link)] The total of all consecutive 25(OH)D levels from all patients were used to model seasonal variation in our cohort according to the sinusoidal model described by van der Mei et al.[17 (link)] yt = β0 + β1sin(2πt/365)+ β2cos(2πt/365), where yt denotes serum 25(OH)D concentration, t denotes the day of the year when the sample was collected, and βj (j = 0,1,2) are estimated regression coefficients. The adjusted 25(OH)D value was calculated by applying the deviation of an individual from the population mean at a time-point measured, on the population mean at T = 0. The seasonal corrected 25(OH)D levels are referred to as vitamin D status.
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10

Neonate Vitamin D and Metabolic Biomarkers

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Blood samples from neonates were obtained from the cord blood and drawn into BD Vacutainer® SST (BD) tubes. At 28 days of life and at 4 months, the blood samples of the PTs were obtained from a peripheral vein as part of the routine protocol followed in the unit to monitor metabolic status. No extra blood volume was required. Maternal blood samples were obtained from a peripheral vein in the delivery room after the mothers had given informed written consent. The blood collected into these tubes was allowed to clot in the cold for 30 min prior to centrifugation at 1500 x g for 10 min at 4 °C. Once centrifugated, the samples were separated into aliquots and frozen at − 80 °C until analysis. Serum levels of 25(OH) D were measured by Radioimmunoassay (RIA), using an immunological test kit (LIAISON® 25 OH Vitamin D TOTAL Assay; DiaSorin), following the manufacturers’ instructions with the PACKARD Copper II E5005 gamma counter analyzer.
Parathyroid hormone (PTH) was measured by immunoradiometric assay by our CAS. MMP-8 were quantified by a semi-automated TRITURUS®-200 open-configuration kit that uses Xmap technology as a basis, designed for determinations by the sandwich ELISA (enzyme-linked immunosorbent assay) technique, using a 450-nm microplate reader with capacity for automatic dispensing of samples/reagents and reading of results directed by computer.
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