Volume 43, Issue 5 pp. 948-958
ORIGINAL ARTICLE

Reference intervals of white blood cell parameters for healthy adults in japan

Akiyoshi Takami

Corresponding Author

Akiyoshi Takami

Aichi Medical University, Nagakute, Japan

Correspondence

Akiyoshi Takami, Department of Internal Medicine, Division of Hematology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute 480-1195, Japan.

Email: [email protected]

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Shinichiro Watanabe

Shinichiro Watanabe

Fujisawa City Hospital, Fujisawa, Japan

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Yoshikazu Yamamoto

Yoshikazu Yamamoto

Tenri Health Care University, Tenri, Japan

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Hayato Miyachi

Hayato Miyachi

Tokai University, Isehara, Japan

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Yukiharu Bamba

Yukiharu Bamba

BML, Inc. BML General Laboratory, Kawagoe, Japan

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Masahiko Ohata

Masahiko Ohata

Shizuoka Red Cross Hospital, Shizuoka, Japan

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Seiji Mishima

Seiji Mishima

Sanyo Women's College, Hatsukaichi, Japan

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Hiroshi Kubota

Hiroshi Kubota

Clinical Laboratory, Osaka City University Hospital, Osaka, Japan

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Akihiko Nishiura

Akihiko Nishiura

National Hospital Organization Kyushu Medical Center, Fukuoka, Japan

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Tohru Inaba

Tohru Inaba

Kyoto Prefectural University of Medicine, Kyoto, Japan

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Megumi Enomoto

Megumi Enomoto

Aichi Medical University, Nagakute, Japan

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Takayuki Mitsuhashi

Takayuki Mitsuhashi

Keio University, Tokyo, Japan

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Kayoko Nakanishi

Kayoko Nakanishi

Kyoto University, Kyoto, Japan

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Reiko Miura

Reiko Miura

Sapporo Hokuyu Hospital, Sapporo, Japan

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Emi Nonaka

Emi Nonaka

Oita Sanai Medical Center, Oita, Japan

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Kei Shimbo

Kei Shimbo

Dokkyo Medical University Hospital, Mibu, Japan

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Yutaka Yatomi

Yutaka Yatomi

Department of Clinical Laboratory Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

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Kaoru Tohyama

Kaoru Tohyama

Kawasaki Medical School Hospital, Kurashiki, Japan

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On behalf of The Japanese Society for Laboratory Hematology subcommittee on Standardization of Blood Cell Morphology (JSLH-SBCM)

The Japanese Society for Laboratory Hematology subcommittee on Standardization of Blood Cell Morphology (JSLH-SBCM)

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First published: 15 February 2021
Citations: 3

Funding information

AT: Ministry of Education, Culture, Sports and Technology of Japan (#18K08343); Ministry of Health, Labour and Welfare of Japan.

Role of the Funder/Sponsor: The funders played no role in the study design, data collection, and analysis, the decision to publish or the preparation of the manuscript.

Abstract

Introduction

While white blood cell (WBC) parameters have been suggested to depend on ethnicity and gender, reference intervals in healthy Asian populations are limited. The present study established reference intervals of WBC parameters for healthy adults in Japan.

Methods

A total of 750 healthy adults (447 women and 303 men; 18-67 years old, median 40 years old) at 7 Japanese centers who participated in regular medical checkups entered this study. The WBC parameters were measured using automated hematocytometers and blood film reviews by a manual microscopic examination.

Results

The reference intervals of the WBC parameters according to gender in healthy adults were determined. Age-specific decreases in WBC counts of both gender groups and in neutrophil counts of women were noted. Favorable correlations between the hematocytometer and microscopic methods were found in neutrophils, lymphocytes, and eosinophils but not in monocytes or basophils.

Conclusion

This study suggests the need to consider gender and age in the clinical use of reference intervals of WBC parameters.

CONFLICT OF INTEREST

The authors declare no conflicts of interest in association with the present study. JSLH declares that the Society itself was supported for funding partly by Sysmex Corporation, Siemens, Abbott Laboratories, Beckman Coulter Inc., Nihon Kohden and HORIBA Medical.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.