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Blutwerte · Marker

Albumin

Serum Albumin · ALB

Leberwerte
Einheit:
g/dL
Abbreviation
ALB

Albumin measures the concentration of serum albumin, a protein synthesized by the liver, in the blood.

Reference Ranges

Reference
3.55g/dL
3.5
4
4.5
5
LowNormalHigh
Reference
Optimal
Unit · g/dL

Reference ranges may vary slightly based on laboratory standards.

Overview

Übersicht

Albumin, also known as serum albumin, is the most abundant protein in human blood plasma. It is primarily synthesized in the liver and plays a crucial role in maintaining oncotic pressure, which is essential for the distribution of body fluids between body compartments. Albumin also serves as a carrier protein for hormones, vitamins, and drugs, and acts as a major antioxidant in the extracellular space. Clinically, albumin levels are indicative of liver function, nutritional status, and systemic inflammation. Hypoalbuminemia, or low serum albumin levels, can reflect conditions such as liver disease, kidney disease, malnutrition, and chronic inflammation. It is associated with poor outcomes in critically ill patients and may predict cardiovascular events and cognitive impairment. For athletes and biohackers, maintaining optimal albumin levels is important for recovery and overall health, as it influences fluid balance and nutrient transport. However, albumin levels can be affected by various factors, including hydration status, acute illness, and protein intake. Researchers found that albumin infusion does not necessarily improve outcomes in hypoalbuminemic patients, suggesting that addressing underlying causes of inflammation is more effective. Time-of-day and fasting status do not significantly affect albumin levels, but acute illness and hydration status can confound results. Therefore, interpreting albumin levels requires consideration of the clinical context and potential confounding factors.

Klinische Bedeutung

Reduced albumin levels indicate potential liver dysfunction, malnutrition, or systemic inflammation. Elevated levels are less common and may indicate dehydration or high protein intake.

Dynamics

Trend Interpretation

Rising Values

Progressively rising albumin levels may suggest dehydration or high protein intake. Re-test if levels exceed the upper reference range.

Falling Values

Falling albumin levels may indicate worsening liver function or increased inflammation.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Dehydration
  • High protein intake
  • Anabolic steroid use
  • Acute stress response
Cause

Low Levels

  • Liver disease
  • Kidney disease
  • Malnutrition
  • Chronic inflammation
Protocol

How to Optimize

Lever

Lifestyle

  • Regular physical activity
  • Adequate hydration
  • Stress management
Lever

Nutrition

  • Adequate protein intake
  • Balanced diet with essential nutrients
  • Avoid excessive alcohol consumption
Lever

Supplementation

  • Whey protein
  • Branched-chain amino acids
  • Omega-3 supplements

Note:

Consult a healthcare provider for personalized advice, especially if underlying conditions are suspected.

Testing Guidelines

Fasting Not Required
Not Time-Sensitive

Testing Frequency

Annually for general health monitoring, more frequently if managing chronic conditions.

Interfering Factors

  • Acute illness
  • Hydration status
  • Recent surgery

Open Research Questions

Current research suggests that reference ranges for serum albumin in specific populations, such as pregnant women, remain poorly defined, and the optimal targets for albumin levels in critically ill patients are debated. Researchers have not yet established the mechanistic role of serum albumin in cognitive impairment related to white matter hyperintensities. Additionally, clinical questions regarding the impact of serum albumin's redox state on patient outcomes and the appropriateness of routine albumin level monitoring in various settings remain unanswered.

26 Research Publications

2,104

Total Citations

16

Human/RCT

6.7

Avg. Influence

2025

Latest

Sort
Filter
#01

Hypoalbuminemia: Pathogenesis and Clinical Significance.

ReviewInfluence35.0
1217
Researchers found that hypoalbuminemia is linked to inflammation and reflects the inflammatory state, which can negatively impact recovery from surgeries and chemotherapy. They observed that managing hypoalbuminemia should focus on addressing the underlying causes of inflammation rather than simply infusing albumin. Additionally, they noted that muscle mass loss after age 30 is associated with decreasing serum albumin levels.
View on PubMed
#02

Review: Glycation of human serum albumin.

ReviewInfluence12.0
361
This review discussed the process of glycation of human serum albumin and its implications in diabetes. Researchers highlighted the potential of glycated albumin as a marker for glycemic control and examined its effects on drug binding and clinical significance.
View on PubMed
#03

Serum Albumin Levels: A Biomarker to Be Repurposed in Different Disease Settings in Clinical Practice.

ReviewInfluence4.0
157
Researchers reviewed the prognostic significance of serum albumin levels across various clinical settings. They found that low serum albumin levels are associated with poor outcomes in conditions such as liver disease and COVID-19, suggesting that serum albumin can be a valuable biomarker for assessing patient prognosis.
View on PubMed
#04

Serum Albumin Redox States: More Than Oxidative Stress Biomarker.

ReviewInfluence7.0
109
Researchers explored the redox states of serum albumin and its implications for health. They found that the redox state of albumin serves as a biomarker for systemic oxidative stress and can shift in response to various diseases. The study suggests that oxidized albumin may exacerbate pathological conditions, highlighting the need for further investigation.
View on PubMed
#05

Serum albumin, inflammation, and nutrition in end-stage renal disease: C-reactive protein is needed for optimal assessment.

HumanInfluence1.0
53
This study found that low serum albumin levels in end-stage renal disease patients are linked to increased mortality risk, particularly in the presence of systemic inflammation. Researchers concluded that serum albumin should not be used alone to assess nutritional status in these patients.
View on PubMed
#06

Glycated albumin: from biochemistry and laboratory medicine to clinical practice.

ReviewInfluence3.0
52
Researchers reviewed the biochemical changes induced by glycation of albumin and its implications for diabetes management. They found that high levels of glycated albumin are associated with long-term complications of diabetes and discussed its potential as a complementary biomarker for diabetes diagnosis and monitoring.
View on PubMed
#07

Prognostic Significance of Serum Albumin Level and Albumin-Based Mono- and Combination Biomarkers in Patients with Hepatocellular Carcinoma.

ReviewInfluence1.0
37
Researchers reviewed the prognostic significance of serum albumin levels in patients with hepatocellular carcinoma (HCC). They found that low serum albumin levels are significant independent biomarkers for poor prognosis in HCC patients. The study emphasized the need for reliable biomarkers to improve treatment outcomes for these patients.
View on PubMed
#08

Serum Albumin Levels: Who Needs Them?

Review
35
Researchers reviewed the common indications for ordering serum albumin levels in critically ill patients and evaluated the supporting literature. They found that serum albumin is a general marker of illness severity and that hypoalbuminemia is associated with poor outcomes. However, they concluded that there is limited justification for routinely ordering serum albumin levels in ICU settings.
View on PubMed
#09

Serum albumin and cardiovascular disease: a Mendelian randomization study.

Human
17
Researchers used Mendelian randomization to investigate the causal relationship between serum albumin levels and cardiovascular diseases. They found that lower serum albumin levels are linked to increased risks of conditions like pulmonary heart disease and stroke. The study underscores the importance of serum albumin as a predictive factor for cardiovascular health.
View on PubMed
#10

Association between red cell distribution width/serum albumin ratio and Parkinson's disease.

HumanInfluence1.0
14
This study investigated the association between the red cell distribution width/serum albumin ratio and Parkinson's disease. Researchers found that higher ratios were significantly associated with Parkinson's disease and suggested that this ratio could serve as a potential screening tool for increased risk of the condition.
View on PubMed

Clinical Trials (1)

1

Total Trials

150

Total Enrolled

Effects of Neutrophil/Lymphocyte, Platelet/Lymphocyte, CRP/Albumin and Lactate on Mortality in Trauma Patients Admitted to Intensive Care

NCT06667310COMPLETED
Sponsor

Harran University

Enrollment

150

Started

2024

Primary outcome

Primary outcome

Intensive Care

Publication Trend

Research publications about Albumin over time

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