The temporal reliability of serum estrogens, progesterone, gonadotropins, SHBG and urinary estrogen and progesterone metabolites in premenopausal women

Andrew E Williams^*¹ , Gertraud Maskarinec^*¹ , Adrian A Franke^*¹ and Frank Z Stanczyk^*²

¹Cancer Research Center of Hawaii, Honolulu, HI, USA

²Department of Obstetrics and Gynecology, and Preventive Medicine, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA

author email corresponding author email* Contributed equally

BMC Women's Health 2002, 2:13doi:10.1186/1472-6874-2-13


Published:	23 December 2002

Abstract

Background

There is little existing research to guide researchers in estimating the minimum number of measurement occasions required to obtain reliable estimates of serum estrogens, progesterone, gonadotropins, sex hormone-binding globulin (SHBG), and urinary estrogen and progesterone metabolites in premenopausal women.

Methods

Using data from a longitudinal study of 34 women with a mean age of 42.3 years (SD = 2.6), we calculated the minimum number of measurement occasions required to obtain reliable estimates of 12 analytes (8 in blood, 4 in urine). Five samples were obtained over 1 year: at baseline, and after 1, 3, 6, and 12 months. We also calculated the percent of true variance accounted for by a single measurement and intraclass correlation coefficients (ICC) between measurement occasions.

Results

Only 2 of the 12 analytes we examined, SHBG and estrone sulfate (E₁S), could be adequately estimated by a single measurement using a minimum reliability standard of having the potential to account for 64% of true variance. Other analytes required from 2 to 12 occasions to account for 81% of the true variance, and 2 to 5 occasions to account for 64% of true variance. ICCs ranged from 0.33 for estradiol (E₂) to 0.88 for SHBG. Percent of true variance accounted for by single measurements ranged from 29% for luteinizing hormone (LH) to 92% for SHBG.

Conclusions

Experimental designs that take the natural variability of these analytes into account by obtaining measurements on a sufficient number of occasions will be rewarded with increased power and accuracy.