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. 2022 Nov 2;17(11):e0276825. doi: 10.1371/journal.pone.0276825

Table 3. Comparison of clinical chemistry reference intervals obtained in this study with other African studies and these of the United States.

Parameters Sex Present study Kenya [11] Tanzania [14] Nigeria [27] Ghana [13] Uganda [10] Textbook [25, 26] USA [24]
ALT (U/L) C 11–48 9.6–52 8–48 NA 7–51 6.6–42.8 0–35
M 14–49 10.8–53.9 9–55 17.3–48.4 8–54 7.2–43.3 0–45 NA
F 7.9–48 8.6–47 7–45 19–38 6–51 5.3–39.9 0–34 NA
AST (U/L) C 16–60 13.8–42.3 14–48 NA 14–51 12.3–34.8 0–35
M 19–63 14.9–45.3 15–53 26–49.4 17–60 13.2–35.9 0–35 NA
F 16–59 13.1–38.1 14–35 22–58.4 13–48 11.4–28.8 0–31 NA
ALP (U/L) C 53–342 NA 45–158 NA 85–241 44–151 30–120
M 55–343 NA 45–170 NA 101–355 42–159 53–128 NA
F 50–326 NA 45–155 NA 82–293 47–160 42–98 NA
Total protein (g/dl) C 5.4–8.9 NA 6.6–8.7 NA 5.1–8.7 6.6–8.9 6.3–8.3 5.5–8.0
M 5.5–8.1 NA 6.7–8.5 NA 4.7–8.6 6.5–8.9 NA
F 5.2–9.0 NA 6.6–8.6 NA 5.5–8.7 6.8–9.0 NA
Total bilirubin (mg/dl) C 0.1–1.23 0.29–2.33 0.3–2.48 NA 0.17–1.51 0.4–2.5 0.2–1.0 0.3–1.0
M 0.1–1.3 0.33–2.51 0.35–2.44 0.2–1.0 0.22–1.87 0.4–2.6 NA
F 0.1–1.2 0.26–1.57 0.26–1.83 0.02–0.62 0.16–1.56 0.3–1.9 NA
Glucose (mg/dl) C 60–125 NA 52.6–94.1 NA 64.8–115.2 NA 74–106 75.6–115.2
M 65–126 NA 51.8–95.4 66.6–142.2 63.0–113.4 NA NA
F 60–119 NA 54.0–91.1 79.2–172.9 66.6–118.0 NA NA
Total cholesterol (mg/dl) C 69–213 NA 95.5–213.8 NA 77.3–208.1 91–233 140–200 <200
M 97–208 NA 89.7–219.3 123.7–205 69.6–193.3 90–235 NA
F 69–216 NA 109–212.7 120–216.6 81.2–216.6 100–230 NA
Triglycerides (mg/dl) C 46–207 NA 34.5–255.1 NA 35.4–194.9 39–281 65–157 <160
M 44–220 NA 34.5–266.6 62–194.9 35.4–194.9 39–299 NA
F 46–207 NA 33.7–193.1 53.1–186 35.4–186 34–206 NA
Creatinine (mg/dl) C 0.3–1.2 NA 0.47–1.02 NA 0.55–1.33 0.5–1.2 <1.5
M 0.4–1.3 0.7–1.2 0.54–1.09 0.86–1.26 0.63–1.35 0.6–1.2 0.9–1.3 NA
F 0.3–1.11 0.58–1.03 0.45–0.92 0.71–1.33 0.53–1.24 0.5–0.9 0.6–1.1 NA
Urea (mg/dl) C 9.5–46.3 NA 9.1–29.5 NA 5.4–34.2 9.9–33.2 12.6–42.6 21.4–42.9
M 13.0–47.1 NA 9.3–29.8 13.2–28.8 5.4–37.2 10.1–33.9 NA
F 8.0–41.5 NA 8.8–27.4 15.0–34.8 5.4–32.4 9.4–30.2 NA

ALT: alanine aminotransferase; ALP: alkaline phosphatase; AST: aspartate aminotransferase; C: combined for both males and females; F: females; M: males; mg/dl: milligram per deciliter; NA: not available; U/L: units per liter