Red Cell Distribution Width (RDW)

A measure of variation in red cell size, useful in anaemia work-up.

Last reviewedJune 16, 2026
Whole blood
sample type
~3 mL
blood needed
~7 days
results in app
Any time of day
best timing
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In short

Red cell distribution width, or RDW, measures how much your red blood cells vary in size. A higher RDW means a wider mix of small and large cells, while a lower RDW means cells are more uniform.

It is a calculated index from the complete blood count.

Blood Health (CBC & Iron)
Reviewed against DGKL reference practice.
Why it matters

Why test this?

RDW adds depth to the other red cell indices. A high RDW can be an early sign of iron, vitamin B12, or folate deficiency, sometimes before the average cell size changes. It also helps tell iron deficiency apart from a thalassaemia trait, since iron deficiency usually raises RDW while thalassaemia trait often does not.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Typical adult range, automated count (RDW-CV):

MeasureTypical range
RDW-CV11.5 to 14.5 %

Ranges are guidance only and vary by laboratory and analyser. Read against your lab's own reference range, aligned to German practice (DGKL).

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

Your result shows how even your red cells are in size. Read with MCV and haemoglobin, it helps catch an early or mixed anaemia and points toward the most likely cause.

What affects your level

What can affect this result?

What can skew the result

A recent blood transfusion, recent bleeding, or a mix of two anaemia types can raise RDW. Some analysers report RDW-CV and others RDW-SD, which use different scales. Delays before analysis can affect the result.

Best interpreted with

Best read with MCV and haemoglobin, and with iron studies, vitamin B12, and folate when an anaemia is suspected.

How testing works

How is this tested?

Sample
Whole blood
Blood needed
~3 mL
Method
Impedance
Best timing
Any time of day
FAQ

Common questions

Related biomarkers

Markers usually read alongside this one

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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