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What Information Do You Need to Use a Science-Based Biological Age Calculator?

Article ID 01-BA-LI-00073

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You want to calculate your biological age. What information do you actually need?

The answer depends on the scientific method behind the calculator.

Some online tools ask only for your chronological age and lifestyle information. Science-based biological age calculators can go further by using measurable biological or clinical information and a defined method developed in scientific research.

Some Calculators Use Routine Blood Tests

Several established biological-age methods can be calculated using information available from routine clinical testing.

Phenotypic Age, or PhenoAge, for example, uses chronological age together with nine laboratory measurements:

  • albumin
  • creatinine
  • glucose
  • C-reactive protein (CRP)
  • lymphocyte percentage
  • mean cell volume (MCV)
  • red cell distribution width (RDW)
  • alkaline phosphatase
  • white blood cell count

These measurements contain information related to different aspects of physiology, including metabolic, inflammatory, kidney, liver and hematological function.

Why these particular biomarkers?

They were not selected simply because researchers considered them the most important markers of aging. The method was developed from a much larger set of clinical measurements. Statistical modeling identified nine biomarkers that, together with chronological age, provided information about mortality risk. The resulting risk is then converted into an age-related value called Phenotypic Age.

The calculator does not interpret each result independently. The measurements are combined according to the published PhenoAge method to produce an age-related estimate.

Other clinical biological-age methods may require a different set of biomarkers.

Why Does the Exact Information Matter?

A science-based calculator cannot simply replace a missing measurement with an unrelated one.

The method was developed using specific variables, definitions and calculations. To reproduce that method correctly, the calculator needs the information required by the original model.

The units matter too.

Laboratory results may be reported in different units in different countries. A calculator must either request the correct units or convert them accurately before applying the calculation.

This is particularly important when using calculators developed from research conducted in the United States, where some laboratory units differ from those routinely used in Europe.

Do You Always Need Blood Tests?

No. Biological aging can be assessed using many types of biological information.

Some approaches use clinical measurements and organ-function data. Epigenetic aging clocks use DNA methylation and therefore require a biological sample and specialized laboratory analysis. Other research approaches use imaging, proteins, metabolites or combinations of different biological measurements.

This means that there is no universal list of information required for every Biological Age Calculator. The data you need are determined by the method you want to use.

Does More Information Make a Better Calculator?

Not necessarily.

A calculator using dozens of questions or measurements is not automatically more scientifically meaningful than one using a smaller, clearly defined set of biomarkers.

What matters is whether the measurements belong to a published and appropriately validated method, whether they are entered correctly and whether the resulting estimate is interpreted according to what that method was designed to measure.

A calculator using nine carefully defined biomarkers according to an established scientific model may therefore have a stronger basis than a calculator using many more inputs without explaining how they contribute to the result.

Before You Start

Before using a science-based Biological Age Calculator, check:

  • Which method does the calculator use?
  • Which measurements does that method require?
  • Do you have the correct laboratory results and units?
  • Are any measurements missing?
  • Does the calculator explain what the resulting biological age represents?

If these questions can be answered clearly, the number produced by the calculator becomes much easier to understand - and much more useful to interpret.

Author

Monika Mikulicz-Pasler, MD, PhD

Monika Mikulicz-Pasler, MD, PhD

Specialist in Cardiology and Internal Medicine

KCM Longevity Clinic

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