On the use of regression analysis for the estimation of human biological age

The present investigation compares three linear regression procedures for the definition of human biological age (bioage). As a model system for bioage definition is used the variations with age of blood hemoglobin (B-hemoglobin) in males in the age range 50-95 years. The bioage measures compared are: 1: P-bioage; defined from regression of chronological age on B-hemoglobin results. 2: AC-bioage; obtained by indirect regression, using in reverse the equation describing the regression of B-hemoglobin on age in a reference population. 3: BC-bioage; defined by orthogonal regression on the reference regression line of B-hemoglobin on age. It is demonstrated that the P-bioage measure gives an overestimation of the bioage in the younger and an underestimation in the older individuals. This 'regression to the mean' is avoided using the indirect regression procedures. Here the relatively low SD of the BC-bioage measure results from the inclusion of individual chronological age in the orthogonal regression procedure. Observations on male blood donors illustrates the variation of the AC- and BC-bioage measures in the individual.