Department of Diagnostic Radiology, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, 173-0015, Japan.
Department of Biomedical Laboratory Sciences, Faculty of Life Sciences, Kumamoto University, Kumamoto, 862-0976, Japan.
Sci Rep. 2021 Jan 13;11(1):986. doi: 10.1038/s41598-020-80024-7.
In a previous study, a method of obtaining mean erythrocyte age ([Formula: see text]) from HbA1c and average plasma glucose (AG) was proposed. However, the true value of the hemoglobin glycation constant ([Formula: see text] dL/mg/day), required for this model has yet to be well characterized. Another study also proposed a method of deriving [Formula: see text] from erythrocyte creatine (EC). Utilizing these formulae, this study aimed to determine a more accurate estimate of [Formula: see text]. One hundred and seven subjects including 31 patients with hemolytic anemia and 76 subjects without anemia were included in this study. EC and HbA1c data were analyzed, and [Formula: see text] using HbA1c, AG and the newly-derived constant, [Formula: see text] were compared to [Formula: see text] using traditional [Formula: see text] in three patients whose data were taken from previous case studies. A value of [Formula: see text] dL/mg/day was determined for [Formula: see text]. [Formula: see text] using HbA1c, AG and [Formula: see text] were found to no be significantly different (paired t-test, [Formula: see text]) to [Formula: see text] using traditional [Formula: see text]. [Formula: see text] enables the estimation of [Formula: see text] from HbA1c and AG.
在之前的研究中,提出了一种从 HbA1c 和平均血浆葡萄糖 (AG) 中获得平均红细胞年龄 ([Formula: see text]) 的方法。然而,该模型所需的血红蛋白糖化常数 ([Formula: see text] dL/mg/day) 的真实值尚未得到很好的描述。另一项研究还提出了一种从红细胞肌酸 (EC) 中推导出 [Formula: see text] 的方法。利用这些公式,本研究旨在更准确地估计 [Formula: see text]。本研究共纳入 107 例受试者,包括 31 例溶血性贫血患者和 76 例非贫血患者。分析了 EC 和 HbA1c 数据,并将使用 HbA1c、AG 和新推导的常数 [Formula: see text] 计算出的 [Formula: see text] 与使用传统 [Formula: see text] 在 3 名来自先前病例研究的数据患者中计算出的 [Formula: see text] 进行了比较。确定了 [Formula: see text] 的值为 [Formula: see text] dL/mg/day。使用 HbA1c、AG 和 [Formula: see text] 计算出的 [Formula: see text] 与使用传统 [Formula: see text] 计算出的 [Formula: see text] 无显著差异(配对 t 检验, [Formula: see text])。[Formula: see text] 可用于从 HbA1c 和 AG 估算 [Formula: see text]。