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Table 2 Factors associated with ZPP (μmol/mol haem) measured in whole blood a

From: Diagnostic utility of zinc protoporphyrin to detect iron deficiency in Kenyan pregnant women

 

Univariate analysis

Multivariate analysis b

Δ c

(95% CI)

P

Δ c

(95% CI)

P

Gravidity

  

0.68

  

0.04

Primigravida

[Reference]

 

[Reference]

 

Secundigravida

–2.3%

(–15.6% to 13.1%)

 

0.5%

(–9.6% to 11.8%)

 

Multigravida

2.7%

(–8.9% to 15.7%)

 

9.4%

(0.1% to 19.6%)

 

Gestational age

  

0.87

  

0.008

13–14 weeks

[Reference]

 

[Reference]

 

15–16 weeks

5.4%

(–11.3% to 25.3%)

 

6.7%

(–5.6% to 20.7%)

 

16–18 weeks

6.1%

(–10.4% to 25.7%)

 

–4.0%

(–14.9% to 8.3%)

 

19–21 weeks

2.0%

(–14.3% to 21.3%)

 

–7.3%

(–18.2% to 5.1%)

 

22–25 weeks

–1.0%

(–19.0% to 20.9%)

 

–11.0%

(–23.0% to –2.8%)

 

Anaemia

64%

(51.2% to 77.8%)

<0.001

33.5%

(23.9% to 43.9%)

<0.001

Iron deficiencyd

26.3%

(15.8% to 37.8%)

<0.001

16.6%

(9.1% to 24.6%)

<0.001

Plasma sTfR concentration, mg/L

31.9%

(28.1% to 35.9%)

<0.001

24.5%

(20.6% to 28.5%)

<0.001

Plasma transferrin concentration, g/L

30.9%

(21.4% to 41.2%)

<0.001

  

Plasma folate concentration, 10 μg/L

6.1%

(–7.2% to 21.4%)

0.39

12.8%

(2.9% to 22.7%)

0.01

Plasma vitamin B12 concentration, 100 pmol/L

–1.8%

(–3.4% to –0.2%)

0.03

  

Plasma total bilirubin concentration, μmol/L

0.7%

(–0.4% to 1.8%)

0.20

  

Plasma LDH concentration, 10 IU/L

1.5%

(0.6% to 2.5%)

0.001

  

α +-thalassaemia genotype

  

0.67

   

Normal

[Reference]

 

  

Heterozygote

–3.8%

(–16.1% to 10.2%)

 

  

Homozygote

–10.0%

(–30.2% to 16.1%)

 

  

Plasmodium infection

      

Any Plasmodium spp., by any dipstick or PCR

8.0%

(–1.6% to 18.4%)

0.10

  

Current or recent P. falciparum infectione

5.1%

(–6.2% to 17.8%)

0.39

  

P. falciparum, by dipsticke or PCR

8.1%

(–1.4% to 18.6%)

0.10

  

P. falciparum, by PCR

9.9%

(0.1% to 20.7%)

0.05

  

HIV infection

5.2%

(–14.9% to 6.2%)

0.37

  

Plasma CRP concentration, mg/L

0.2%

(–0.1% to 0.5%)

0.27

  

Plasma AGP concentration, g/L

21.5%

(3.2% to 43.0%)

0.02

  

Inflammationf

      

Plasma CRP concentration ≥10 mg/L

5.0%

(–5.1% to 16.1%)

0.34

  

Plasma AGP concentration ≥1.0 g/L

14.0%

(–1.5% to 27.9%)

0.03

  

Plasma CRP concentration ≥10 mg/L, or AGP ≥1.0 g/L

6.6%

(–3.1% to 17.2%)

0.19

  
  1. AGP, α 1-acid glycoprotein; CRP, C-reactive protein; sTfR, Soluble transferrin receptor; ZPP, Zinc protoporphyrin.
  2. aZPP values were normalised by log transformation; exponentiation of results yielded associations being expressed as percentage differences; bThe table shows only results for factors that were independently associated with whole blood ZPP and erythrocyte ZPP; because these final (parsimonious) models were obtained with backward elimination procedures, this resulted in different sets of factors being included for whole blood ZPP and erythrocyte ZPP; cDifference; dPlasma ferritin concentration <15 μg/L; eEither HRP2- or pLDH-based dipstick; fPlasma concentrations of CRP >10 mg/L and/or AGP >1 g/L.