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Which laboratory test result most accurately reflects a patients nutritional status?

1) Albumin
2) Prealbumin
3) Transferrin
4) Hemoglobin

1 Answer

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Final answer:

Prealbumin is the laboratory test result that most accurately reflects a patient's nutritional status due to its shorter half-life, which allows it to respond more quickly to changes in protein intake than albumin or other proteins like hemoglobin and transferrin.

Step-by-step explanation:

The laboratory test result that most accurately reflects a patient's nutritional status is prealbumin. Prealbumin, also known as transthyretin, is a protein that is synthesized in the liver. It has a shorter half-life than albumin, making it a more sensitive marker for detecting changes in nutritional status. Unlike albumin, which has a half-life of approximately 20 days, prealbumin has a half-life of just 2-3 days, so it responds more quickly to changes in protein intake. Therefore, while albumin is important and reflects long-term nutritional status, prealbumin serves as a better indicator of recent dietary intake and current nutritional status.

Hemoglobin and transferrin are also related to nutritional status; however, they are influenced by other factors like iron status and anemia. Hemoglobin is the protein in red blood cells that carries oxygen and is not an immediate indicator of overall protein nutrition. Transferrin, which is involved in iron transport, can also indicate nutritional status but is more susceptible to changes from iron metabolism rather than protein intake alone.

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