Introduction: Fructosamine is a stable ketoamine, formed by the reaction between glucose and the amino group of proteins (mainly albumin, but also globulins and lipoproteins). It indicates average blood glucose concentrations of 2 to 3 weeks for monitoring and controlling diabetes. However, studies on fructosamine based on the characteristics of Burkinabè are still rarely documented. With this in mind, the aim of this study was to investigate the fructosamine profile in regular blood donors from the town of Bobo-Dioulasso (Burkina Faso). Material and methods: This was a descriptive and analytical cross-sectional study with a collection period from 10 August 2024 to 10 September 2024. The study population consisted of fasting adult regular blood donors from Burkina Faso residing in the city of Bobo-Dioulasso, collected at the Bobo-Dioulasso Regional Blood Transfusion Centre. Fructosamine was determined by the colorimetric method using the Cobas® 6000 analyser. The data were analysed using R studio 4.3.3 software so that medians were calculated and reference values were determined at the 2.5 thand 97.5 thpercentile. Results-discussion: A total of 60 regular blood donors, equally distributed by gender, were selected. The mean age of the regular blood donors was 28.28±7.72 years (min = 19 years and max=52 years) while the mean number of donations was 6.97±8.50 (min=2 and max=61). Median fructosamine values were 272.5 µmol/L while the 2.5 thand 97.5 thpercentiles were 247.9 µmol/L and 314.77 µmol/L. The fructosamine ranges in our study population were higher than the reference values proposed by the reagent kit manufacturer and those proposed in the literature. There was no significant difference between the mean fructosamine concentrations according to sex, according to the age groups 19 to 36 and 37 to 55 and according to BMI (normal, overweight, obese). Conclusion: In a context of limited resources, this study contributes to providing reference ranges with a view to improving the control and monitoring of diabetes mellitus in Burkinabe subjects.
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Diabetes mellitus, particularly type 2 diabetes mellitus (T2DM), remains a major global health problem, particularly in Africa, where its prevalence is increasing rapidly. According to the World Health Organisation (WHO), the number of people with diabetes rose from 200 million in 1990 to 830 million in 2022, with prevalence increasing more rapidly in low- and middle-income countries than in high-income countries
Chronic hyperglycaemia is a common effect of uncontrolled diabetes. In the monitoring and control of diabetes, the biochemical marker commonly used to assess glycaemic control is glycated haemoglobin (HbA1c). Although glycated haemoglobin is an indicator of the average concentration of glucose in the blood over a period of around 90 to 120 days, several studies have highlighted a number of limitations in pregnant women and patients with disorders of red cell synthesis (anaemia, haemoglobinopathy)
[2]
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
. Haemoglobinopathies are very common, particularly sickle cell anaemia (HbSS) and HbSC variants, the prevalence of which in Black Africa can be as high as 10-40%
[4]
Traore MS, Zohoncon TM, Ouedraogo P, Ouattara AK, Obiri-Yeboah D, Tao I, et al. Hemoglobin AE, AO-Arab and SO-Arab Genotypes in Burkina Faso: Hematological Parameters, Genotypic and Allelic Frequencies of Hemoglobinopathies. Journal of Human and Clinical Genetics 2020; 2.
[5]
Thiam L, Dramé A, Coly IZ, Diouf FN, Seck N, Boiro D, et al. Profils épidemiologiques, cliniques et hématologiques de la drépanocytose homozygote SS en phase inter critique chez l’enfant à Ziguinchor, Sénégal. Pan Afr Med J 2017; 28: 208.
. As a result, monitoring type 2 diabetes in patients with haemoglobinopathies remains a challenge in our context, as HbA1c is not appropriate in this case. To overcome these limitations, fructosamine has been proposed by several authors
[6]
Juraschek SP, Steffes MW, Selvin E. Associations of alternative markers of glycemia with hemoglobin A(1c) and fasting glucose. Clin Chem 2012; 58: 1648-55.
Fructosamine (1-amino-1-deoxy fructose) is a stable ketoamine formed by the reaction between glucose and the amino group of protein (mainly albumin, but also globulins and lipoproteins)
[7]
Verena Gounden, Michael Ngu, Catherine Anastasopoulou, Ishwarlal Jiala. Fructosamine. Université Du Kwazulu Natal École de Médecine de l’Université de Heidelberg (Allemagne), Centre Médical Jefferson Einstein, CENTRE MÉDICAL VA, MATHER, CA: 2023.
[7]
.
Binding of the aldehyde group of the carbohydrate with the N-terminal amino acid of the protein forms the reversible product known as Schiff base (aldimine intermediate). The Schiff base product can be converted back into glucose and protein, or undergo the Amadori rearrangement to form the stable fructosamine
[7]
Verena Gounden, Michael Ngu, Catherine Anastasopoulou, Ishwarlal Jiala. Fructosamine. Université Du Kwazulu Natal École de Médecine de l’Université de Heidelberg (Allemagne), Centre Médical Jefferson Einstein, CENTRE MÉDICAL VA, MATHER, CA: 2023.
[7]
. This process is known as non-enzymatic glycation and is also known as the Maillard reaction
[7]
Verena Gounden, Michael Ngu, Catherine Anastasopoulou, Ishwarlal Jiala. Fructosamine. Université Du Kwazulu Natal École de Médecine de l’Université de Heidelberg (Allemagne), Centre Médical Jefferson Einstein, CENTRE MÉDICAL VA, MATHER, CA: 2023.
[7]
.
However, in Burkina Faso, as in most African countries, few studies have been carried out on fructosamine and particularly on its reference values. In addition, the country is part of the Lehmann sickle belt, with more than 10% of the Burkinabè population suffering from sickle cell disease, which could result in limitations in the interpretation of HbA1c, demonstrating the value of fructosamine in this context
[8]
Nacoulma EWC, Sakande J, Kafando E, Kpowbié ED, Guissou IP. Profil hematologique et biochimique des drepanocytaires ss et SC en phase stationnaire au Centre Hospitalier National Yalgado Ouedraogo de Ouagadougou. 2006.
[8]
. Also, the reference values for fructosamine defined in reagent kits and in the literature come from studies carried out on American, European or Asian populations
[2]
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
. In addition, because of genetic variability, lifestyle, nutritional habits and the geographical environment of Burkina Faso's people, the reference values proposed by Americans, Europeans and Asians may not be applicable to Burkina Faso's people
[9]
Sakande J, Coulibaly J-L, Njikeutchi F-N, Bouabre A, Boukary A, Guissou I-P. Établissement des valeurs de référence de 15 constituants biochimiques sanguins chez l‘adulte burkinabé à Ouagadougou (Burkina Faso). Annales de Biologie Clinique 2004; 62: 229-34.
[9]
. With this in mind, we conducted this study to investigate the fructosamine profile in regular blood donors at the Bobo-Dioulasso Regional Blood Transfusion Centre (Burkina Faso).
2. Material and Methods
2.1. Framework and Period of Study
This was a cross-sectional study with descriptive and analytical aims. Data collection took place from 10 August 2024 to 10 September 2024 at the Bobo-Dioulasso Regional Blood Transfusion Centre (RBTC) and at the biochemistry department of the Souro SANOU Teaching Hospital Centre (SS-TH) in Bobo-Dioulasso (Burkina Faso).
2.2. Patients
Our study population consisted of regular blood donors who had completed the pre-donation interview, biological qualification and blood bag validation stages at the RBTC. Demographic and anthropometric variables (age, sex, weight, height, BMI, rhesus blood group, number of blood donations, haemoglobin electrophoresis and occupation) were collected during the pre- donation interview and supplemented by an interview with the donors. Exclusion criteria were considered by the RBTC medical team and included diabetes mellitus, glucose intolerance, cardiovascular disease, endocrine disorders, liver disease, infections (HIV, viral hepatitis, syphilis), anaemia and pregnant or breast-feeding women. Then, depending on the availability of our reagents, our sampling was exhaustive, taking into account gender matching (male and female).
2.3. Sample Preparation and Analysis
For each donor, a blood sample in a red-capped tube was collected in the satellite bag at the time of donation. This tube was centrifuged at 5,000 rpm for 5 min to collect the serum, which was aliquoted and then stored at -80°C for 2 weeks before analysis.
For biochemical analysis, the Roche systems Cobas® 6000 (Roche/Hitachi) multiparameter automated system was used. The FRA reagent kit, calibrator (PRECIMAT FRU) and controls (PRECONORM FRU and PRECIPATH FRU) were used for the fructosamine assay. In accordance with the internal procedures of the SS-TH Biochemistry Laboratory, the internal quality controls were validated before the samples were analysed. Thus, the colorimetric method based on the ability of ketoamines to reduce Nitrobleutetrazolium (NBT) in an alkaline medium was used for the determination of fructosamine.
Figure 1. QQ Plot of fructosamine concentrations in regular blood donors.
Table 1. General characteristics of the study population.
Characteristics
Blood donors (n=60)
Ages
Ages, m ±ET (years)
28.28±7.72
Min (years)
19
Max (years)
52
Average number of years donated, m±SD
4.08±2.98
Average number of donations, m±SD
6.97±8.50
Anthropometric parameters
Weight, m±SD (kg)
74.22±14.47
Height, m±SD (m)
1.72±0.08
BMI, m±SD
25.09±4.30
Haemoglobin level, m±SD (g/dl)
14.26±1.48
Blood glucose, m±SD, (mmol/l)
4.85±0.49
Fructosamine, m±SD, (µmol/l)
276.42±20.75
Table 2. Correlation of fructosamine with anthropometric variables, age and biochemical markers.
Parameters
r
t
95% confidence interval
p-value
Min
Max
Anthropometric variables and ages
Age of patients, (years)
0.005
0.039
-0.249
0.258
0.968
Number of years donated (years)
-0.055
-0.426
-0.305
0.200
0.671
Number of donations, m±SD
0.151
1.165
-0.106
0.390
0.248
Weight (kg)
-0.145
-1.155
-0.389
0.108
0.252
Height, (m)
0.046
0.352
-0.210
0.296
0.725
BMI, (kg/m2)
-0.204
-1.587
-0.435
0.052
0.117
Markers
Glucose, (mmol/L)
0.037
0.287
-0.218
0.288
0.774
Haemoglobin, (g/dl)
0.141
1.086
-0.116
0.381
0.281
*p<0.05
Table 3. Transthyretin profile of hemodialysis CKD patients at CHU-SS.
Characteristic
Values
Effectif
Median, (µmol/L)
2.5th Percentile, (µmol/L)
97.5thPercentile, (µmol/L)
Age group (years)
[19 - 36]
52
273.5
247.3
305.4
[37 - 55]
08
271
251.22
335.67
Sexe
Female
30
274.5
244.35
306.82
Male
30
269.5
251.72
325.22
Profession
Student
33
280
250
306.6
Non-formal sector
15
261
245.25
303.3
Government official
08
278
254.92
335.67
Housewife
04
272.5
251.5
303.67
BMI (kg/m2)
Normal (BMI ≤25)
35
281
252.7
310.65
Overweigh (BMI 25.1-29.9)
16
270
242
299.2
Obese (>30)
09
269
248
326.62
Rh Blood Group
O+
25
270
251.8
321
O-
2
270
255.75
284.25
B+
16
269.5
247.87
313.25
A+
12
281.5
244.4
299.25
AB+
05
292
260.5
302.8
Hb electrophoretic phenotype
AA
48
270
250.17
318.07
AC
11
281
248.25
301.75
AS
1
253
253
253
Number of blood donations
0-3
30
274.5
248.9
317.25
4-10
17
270
244.8
301.6
>11
13
272
251.6
314.9
Published reference values
Fructosamine (µmol/L) (our study in Burkina Faso)
60
272.5
247.9
314.77
Xun Chen et al.
[2]
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
Kruse-Jarres JD, Jarausch J, Lehmann P, Vogt BW, Rietz P. A new colorimetric method for the determination of fructosamine. LaboratoriumsMedizin / Journal of Laboratory Medicine 1989; 13: 245-53.
Selvin E, Warren B, He X, Sacks DB, Saenger AK. Establishment of community-based reference intervals for fructosamine, glycated albumin and 1,5-anhydroglucitol. Clin Chem 2018; 64: 843-50.
Pedrosa W, Sander Diniz M de FH, Barreto SM, Vidigal PG. Establishing a blood fructosamine reference range for the Brazilian population based on data from ELSA - Brasil. Practical Laboratory Medicine 2019; 13: e00111.
Zhou Q, Shi D-B, Lv L-Y. The establishment of biological reference intervals of nontraditional glycemic markers in a Chinese population. Journal of Clinical Laboratory Analysis 2017; 31: e22097.
This study was approved by the Comité Interne de Revue Scientifique (CIRS) of the Centre National de Transfusion Sanguine (CNTS) (N°2024/000515/MSHP/SG/CNTS/DG/DCSISS). Confidentiality of donor results was maintained throughout the study by assigning a unique identifier to samples.
2.5. Data Analysis and Processing
Data were collected using Excel 2016 and statistical analysis was performed using R Studio version 4.3.3. The distribution of the data was assessed using the QQ plot (Figure 1) and the Shapiro Wilk normality test which was found to be non-Gaussian. Non-parametric methods were used to calculate the reference ranges. Reference ranges were determined in accordance with Clinical and Laboratory Standards Institute (CLSI) guidelines C28-A2
[10]
NCCLS consensus process. C28-A2 - How to Define and Determine Reference Intervals in the Clinical Laboratory; Approved Guideline - Second Edition n. d.
Sasse EA. How to define and determine reference intervals in the clinical laboratory: approved guideline. Villanova, PA: NCCLS; 1995.
[10, 11]
. Medians were calculated and reference values determined at the 2.5th and 97.5th percentiles. Mann-Whitney and ANOVA tests were used for data comparisons. Probability levels below 0.05 were considered significant.
3. Results
3.1. General Characteristics of the Patients Studied
A total of 60 regular blood donors were recruited in our study. The characteristics of the study population are presented in Table 1. The mean age of the donors was 28.28±7.72 years, with extremes ranging from 19 to 52 years. The average number of years donated was 4.08±2.98 years, while the average number of donations was 6.97±8.50 donations, with a maximum of 61 donations. For anthropometric parameters, the mean BMI was 25.09±4.30 kg/m2.
3.2. Correlation Tests of Fructosamine with Anthropometric Variables
Correlation tests of fructosamine with anthropometric variables, age, blood glucose and haemoglobin levels showed no significant association (Table 2).
3.3. Distribution of Fructosamine in Our Study Population
Table 3 presents fructosamine concentrations according to the median and the 2.5th and 97.5th percentiles.
4. Discussion
The main objective of this study was to investigate the fructosamine profile in regular blood donors at the Bobo-Dioulasso CRTS (Burkina Faso). According to the strict eligibility criteria established by the CRTS, regular blood donors give blood regularly several times a year. This makes them a presumably healthy population. Knowledge of the fructosamine profile of this population could contribute to better monitoring of glycaemic control by defining reference ranges for a subject in apparent good health. In our study, the proposed ranges indicate higher fructosamine concentrations in Burkinabe subjects compared with those established in other studies. In fact, Table 3 shows the variability of this reference range, both in the reagent manufacturers' leaflets and in the literature on various populations (American, European and Asian). Several authors have identified significant differences in fructosamine levels according to race (skin colour)
[13]
Selvin E, Warren B, He X, Sacks DB, Saenger AK. Establishment of community-based reference intervals for fructosamine, glycated albumin and 1,5-anhydroglucitol. Clin Chem 2018; 64: 843-50.
Pedrosa W, Sander Diniz M de FH, Barreto SM, Vidigal PG. Establishing a blood fructosamine reference range for the Brazilian population based on data from ELSA - Brasil. Practical Laboratory Medicine 2019; 13: e00111.
Fructosamine is formed by the reaction between glucose and the amino group of proteins (mainly albumin, but also globulins and lipoproteins). The high reference ranges in our study compared with other studies on American, European and Asian populations could be explained by the fact that Black African subjects have higher total protein concentrations. In fact, a diffuse hypergammaglobulinemia resulting from perpetual infectious attacks (bacterial and parasitic) has been observed by several authors
[9]
Sakande J, Coulibaly J-L, Njikeutchi F-N, Bouabre A, Boukary A, Guissou I-P. Établissement des valeurs de référence de 15 constituants biochimiques sanguins chez l‘adulte burkinabé à Ouagadougou (Burkina Faso). Annales de Biologie Clinique 2004; 62: 229-34.
[16]
Daynou Françoise Nathalie Njikeutchi. Contribution à l’établissement des valeurs de référence de paramètres biologiques chez le burkinabé adulte : évaluation de cinq constituants biochimiques au service de chimie biologie du Centre Hospitalier National Yalgado Ouédraogo (CHN-YO) à Ouagadougou [Thèse]. Université de Ouagadougou, 2003.
[17]
Diéneba MKB, Luc MKK, Gisèle MK-S, KlaAnglade MM, Ignace MME, Dagui MM, et al. Etat des lieux des valeurs de référence biochimiques ivoiriennes chez l’adulte présumé sain [Thèse]. Université Felix HOUPHOUET-BOIGNI.
[9, 16, 17]
. Glycation of gamma globulins in black subjects could therefore increase serum fructosamine concentrations.
In our cohort, no significant effect of sex on fructosamine concentrations was found. Several authors have also found differences that were not statistically significant according to sex
[2]
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
Selvin E, Warren B, He X, Sacks DB, Saenger AK. Establishment of community-based reference intervals for fructosamine, glycated albumin and 1,5-anhydroglucitol. Clin Chem 2018; 64: 843-50.
Zhou Q, Shi D-B, Lv L-Y. The establishment of biological reference intervals of nontraditional glycemic markers in a Chinese population. Journal of Clinical Laboratory Analysis 2017; 31: e22097.
. However, the team of Pedrosa et al. found in a Brazilian population, 186-248 µmol/L of fructosamine for women and 196-269 µmol/L for men with statistically significant differences
[14]
Pedrosa W, Sander Diniz M de FH, Barreto SM, Vidigal PG. Establishing a blood fructosamine reference range for the Brazilian population based on data from ELSA - Brasil. Practical Laboratory Medicine 2019; 13: e00111.
Our study shows average fructosamine concentrations increased with age, with no statistically significant difference. These concentrations were higher in the 37-55 age group. Several studies have also found that the reference ranges for fructosamine were higher in patients aged over 65
[2]
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
Pedrosa W, Sander Diniz M de FH, Barreto SM, Vidigal PG. Establishing a blood fructosamine reference range for the Brazilian population based on data from ELSA - Brasil. Practical Laboratory Medicine 2019; 13: e00111.
. Chen et al. suggested in their Beijing study that the reference ranges published by fructosamine assay kit manufacturers were not applicable to elderly Beijing residents because they were lower
[2]
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
Our study shows a negative correlation between BMI and fructosamine concentrations with no significant difference, suggesting low fructosamine concentrations in people with a high BMI. Pedrosa et al. and Selvin et al. also found low fructosamine concentrations in people with a high BMI
[13]
Selvin E, Warren B, He X, Sacks DB, Saenger AK. Establishment of community-based reference intervals for fructosamine, glycated albumin and 1,5-anhydroglucitol. Clin Chem 2018; 64: 843-50.
Pedrosa W, Sander Diniz M de FH, Barreto SM, Vidigal PG. Establishing a blood fructosamine reference range for the Brazilian population based on data from ELSA - Brasil. Practical Laboratory Medicine 2019; 13: e00111.
. Thus, dyslipidaemia in obesity could be characterised by high concentrations of triglyceride-rich lipoproteins and low levels of high-density lipoprotein cholesterol (HDL-c)
[19]
Woudberg NJ, Lecour S, Goedecke JH. HDL Subclass Distribution Shifts with Increasing Central Adiposity. Journal of Obesity 2019; 2019: 2107178.
Koumaré ATCRK, Sakandé LPL, Kabré E, Sondé I, Simporé J, Sakandé J. Reference Ranges of Cholesterol Sub-Fractions in Random Healthy Adults in Ouagadougou, Burkina Faso. PLOS ONE 2015; 10: e0116420.
. In addition to genetic predisposition and environmental influence, lifestyle, stress and minor physical activity may also be of particular importance in establishing reference values.
This study had its limitations. The fructosamine assay was quick and easy to perform on the COBAS® 6000 automated system, but problems with reagent availability prevented us from recruiting a larger number of regular Burkina Faso blood donors. Hence the difficulty in extrapolating our results to the general population. In addition, due to a lack of reagents, serum albumin and lipid profiles were not available. Low concentrations of albumin and lipoproteins are known to affect the concentration of fructosamine
[2]
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
Zhou Q, Shi D-B, Lv L-Y. The establishment of biological reference intervals of nontraditional glycemic markers in a Chinese population. Journal of Clinical Laboratory Analysis 2017; 31: e22097.
. Furthermore, the regular blood donors chosen for this study were free of liver infection and in apparent good health. Some authors describe a minor effect of lower albumin on fructosamine in healthy individuals
[13]
Selvin E, Warren B, He X, Sacks DB, Saenger AK. Establishment of community-based reference intervals for fructosamine, glycated albumin and 1,5-anhydroglucitol. Clin Chem 2018; 64: 843-50.
Zhou Q, Shi D-B, Lv L-Y. The establishment of biological reference intervals of nontraditional glycemic markers in a Chinese population. Journal of Clinical Laboratory Analysis 2017; 31: e22097.
Given the difficulties in using glycated haemoglobin (sickle cell anaemia, anaemia, pregnant women, etc.), the results of our study could be of interest in monitoring glycaemic control in Burkina Faso. In fact, it provides an estimated overview of blood glucose control in the 2 weeks preceding the test. Finally, our study shows that fructosamine concentrations in black Burkinabe subjects are higher than those reported in the literature. Further studies are needed to extrapolate the results to the general population.
Abbreviations
BMI
Body Mass Index
CIRS
Comité Interne de Revue Scientifique
CLSI
Clinical and Laboratory Standards Institute
CNTS
Centre National de Transfusion Sanguine
RBTC
Regional Blood Transfusion Centre
SS-TH
Souro Sanou Teaching Hospital
Author Contributions
Arnaud Kouraogo: Conceptualisation, Data curation, Formal analysis, Fundraising, Survey, Methodology, Resources, Writing - original version
Marie Fabienne Soudre: Conceptualisation, Formal analysis, Survey, Methodology, Writing - original version
Raoul Karfo: Writing - revision and editing
Alice Kiba-Koumare: Data curation, formal analysis
Ollo Da: Visualization, formal analysis
Zida Abibata: formal analysis
Elie Kabre: Supervision, writing - revision and editing
Jean Sakande: Conceptualisation, data curation, formal analysis, fundraising, research, methodology, resources, writing - original version, supervision
Funding
This work is not supported by any external funding.
Data Availability Statement
The data are available from the corresponding author upon reasonable request.
Chen X, Wu J, Li R, Wang Q, Tang Y, Shang X. The Establishment of Adult Reference Intervals on Fructosamine in Beijing. J Clin Lab Anal 2016; 30: 1051-5.
Traore MS, Zohoncon TM, Ouedraogo P, Ouattara AK, Obiri-Yeboah D, Tao I, et al. Hemoglobin AE, AO-Arab and SO-Arab Genotypes in Burkina Faso: Hematological Parameters, Genotypic and Allelic Frequencies of Hemoglobinopathies. Journal of Human and Clinical Genetics 2020; 2.
[5]
Thiam L, Dramé A, Coly IZ, Diouf FN, Seck N, Boiro D, et al. Profils épidemiologiques, cliniques et hématologiques de la drépanocytose homozygote SS en phase inter critique chez l’enfant à Ziguinchor, Sénégal. Pan Afr Med J 2017; 28: 208.
Juraschek SP, Steffes MW, Selvin E. Associations of alternative markers of glycemia with hemoglobin A(1c) and fasting glucose. Clin Chem 2012; 58: 1648-55.
Verena Gounden, Michael Ngu, Catherine Anastasopoulou, Ishwarlal Jiala. Fructosamine. Université Du Kwazulu Natal École de Médecine de l’Université de Heidelberg (Allemagne), Centre Médical Jefferson Einstein, CENTRE MÉDICAL VA, MATHER, CA: 2023.
[8]
Nacoulma EWC, Sakande J, Kafando E, Kpowbié ED, Guissou IP. Profil hematologique et biochimique des drepanocytaires ss et SC en phase stationnaire au Centre Hospitalier National Yalgado Ouedraogo de Ouagadougou. 2006.
[9]
Sakande J, Coulibaly J-L, Njikeutchi F-N, Bouabre A, Boukary A, Guissou I-P. Établissement des valeurs de référence de 15 constituants biochimiques sanguins chez l‘adulte burkinabé à Ouagadougou (Burkina Faso). Annales de Biologie Clinique 2004; 62: 229-34.
[10]
NCCLS consensus process. C28-A2 - How to Define and Determine Reference Intervals in the Clinical Laboratory; Approved Guideline - Second Edition n. d.
Sasse EA. How to define and determine reference intervals in the clinical laboratory: approved guideline. Villanova, PA: NCCLS; 1995.
[12]
Kruse-Jarres JD, Jarausch J, Lehmann P, Vogt BW, Rietz P. A new colorimetric method for the determination of fructosamine. LaboratoriumsMedizin / Journal of Laboratory Medicine 1989; 13: 245-53.
Selvin E, Warren B, He X, Sacks DB, Saenger AK. Establishment of community-based reference intervals for fructosamine, glycated albumin and 1,5-anhydroglucitol. Clin Chem 2018; 64: 843-50.
Pedrosa W, Sander Diniz M de FH, Barreto SM, Vidigal PG. Establishing a blood fructosamine reference range for the Brazilian population based on data from ELSA - Brasil. Practical Laboratory Medicine 2019; 13: e00111.
Zhou Q, Shi D-B, Lv L-Y. The establishment of biological reference intervals of nontraditional glycemic markers in a Chinese population. Journal of Clinical Laboratory Analysis 2017; 31: e22097.
Daynou Françoise Nathalie Njikeutchi. Contribution à l’établissement des valeurs de référence de paramètres biologiques chez le burkinabé adulte : évaluation de cinq constituants biochimiques au service de chimie biologie du Centre Hospitalier National Yalgado Ouédraogo (CHN-YO) à Ouagadougou [Thèse]. Université de Ouagadougou, 2003.
[17]
Diéneba MKB, Luc MKK, Gisèle MK-S, KlaAnglade MM, Ignace MME, Dagui MM, et al. Etat des lieux des valeurs de référence biochimiques ivoiriennes chez l’adulte présumé sain [Thèse]. Université Felix HOUPHOUET-BOIGNI.
[18]
Stadler JT, Marsche G. Obesity-Related Changes in High-Density Lipoprotein Metabolism and Function. Int J Mol Sci 2020; 21: 8985.
Koumaré ATCRK, Sakandé LPL, Kabré E, Sondé I, Simporé J, Sakandé J. Reference Ranges of Cholesterol Sub-Fractions in Random Healthy Adults in Ouagadougou, Burkina Faso. PLOS ONE 2015; 10: e0116420.
Kouraogo, A., Soudre, F. M., Karfo, R., Da, O., Kiba-Koumare, A., et al. (2025). Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso. Advances in Biochemistry, 13(3), 93-99. https://doi.org/10.11648/j.ab.20251303.14
Kouraogo, A.; Soudre, F. M.; Karfo, R.; Da, O.; Kiba-Koumare, A., et al. Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso. Adv. Biochem.2025, 13(3), 93-99. doi: 10.11648/j.ab.20251303.14
Kouraogo A, Soudre FM, Karfo R, Da O, Kiba-Koumare A, et al. Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso. Adv Biochem. 2025;13(3):93-99. doi: 10.11648/j.ab.20251303.14
@article{10.11648/j.ab.20251303.14,
author = {Arnaud Kouraogo and Fabienne Marie Soudre and Raoul Karfo and Ollo Da and Alice Kiba-Koumare and Zida Abibata and Elie Kabre and Jean Sakande},
title = {Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso},
journal = {Advances in Biochemistry},
volume = {13},
number = {3},
pages = {93-99},
doi = {10.11648/j.ab.20251303.14},
url = {https://doi.org/10.11648/j.ab.20251303.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ab.20251303.14},
abstract = {Introduction: Fructosamine is a stable ketoamine, formed by the reaction between glucose and the amino group of proteins (mainly albumin, but also globulins and lipoproteins). It indicates average blood glucose concentrations of 2 to 3 weeks for monitoring and controlling diabetes. However, studies on fructosamine based on the characteristics of Burkinabè are still rarely documented. With this in mind, the aim of this study was to investigate the fructosamine profile in regular blood donors from the town of Bobo-Dioulasso (Burkina Faso). Material and methods: This was a descriptive and analytical cross-sectional study with a collection period from 10 August 2024 to 10 September 2024. The study population consisted of fasting adult regular blood donors from Burkina Faso residing in the city of Bobo-Dioulasso, collected at the Bobo-Dioulasso Regional Blood Transfusion Centre. Fructosamine was determined by the colorimetric method using the Cobas® 6000 analyser. The data were analysed using R studio 4.3.3 software so that medians were calculated and reference values were determined at the 2.5 thand 97.5 thpercentile. Results-discussion: A total of 60 regular blood donors, equally distributed by gender, were selected. The mean age of the regular blood donors was 28.28±7.72 years (min = 19 years and max=52 years) while the mean number of donations was 6.97±8.50 (min=2 and max=61). Median fructosamine values were 272.5 µmol/L while the 2.5 thand 97.5 thpercentiles were 247.9 µmol/L and 314.77 µmol/L. The fructosamine ranges in our study population were higher than the reference values proposed by the reagent kit manufacturer and those proposed in the literature. There was no significant difference between the mean fructosamine concentrations according to sex, according to the age groups 19 to 36 and 37 to 55 and according to BMI (normal, overweight, obese). Conclusion: In a context of limited resources, this study contributes to providing reference ranges with a view to improving the control and monitoring of diabetes mellitus in Burkinabe subjects.},
year = {2025}
}
TY - JOUR
T1 - Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso
AU - Arnaud Kouraogo
AU - Fabienne Marie Soudre
AU - Raoul Karfo
AU - Ollo Da
AU - Alice Kiba-Koumare
AU - Zida Abibata
AU - Elie Kabre
AU - Jean Sakande
Y1 - 2025/07/30
PY - 2025
N1 - https://doi.org/10.11648/j.ab.20251303.14
DO - 10.11648/j.ab.20251303.14
T2 - Advances in Biochemistry
JF - Advances in Biochemistry
JO - Advances in Biochemistry
SP - 93
EP - 99
PB - Science Publishing Group
SN - 2329-0862
UR - https://doi.org/10.11648/j.ab.20251303.14
AB - Introduction: Fructosamine is a stable ketoamine, formed by the reaction between glucose and the amino group of proteins (mainly albumin, but also globulins and lipoproteins). It indicates average blood glucose concentrations of 2 to 3 weeks for monitoring and controlling diabetes. However, studies on fructosamine based on the characteristics of Burkinabè are still rarely documented. With this in mind, the aim of this study was to investigate the fructosamine profile in regular blood donors from the town of Bobo-Dioulasso (Burkina Faso). Material and methods: This was a descriptive and analytical cross-sectional study with a collection period from 10 August 2024 to 10 September 2024. The study population consisted of fasting adult regular blood donors from Burkina Faso residing in the city of Bobo-Dioulasso, collected at the Bobo-Dioulasso Regional Blood Transfusion Centre. Fructosamine was determined by the colorimetric method using the Cobas® 6000 analyser. The data were analysed using R studio 4.3.3 software so that medians were calculated and reference values were determined at the 2.5 thand 97.5 thpercentile. Results-discussion: A total of 60 regular blood donors, equally distributed by gender, were selected. The mean age of the regular blood donors was 28.28±7.72 years (min = 19 years and max=52 years) while the mean number of donations was 6.97±8.50 (min=2 and max=61). Median fructosamine values were 272.5 µmol/L while the 2.5 thand 97.5 thpercentiles were 247.9 µmol/L and 314.77 µmol/L. The fructosamine ranges in our study population were higher than the reference values proposed by the reagent kit manufacturer and those proposed in the literature. There was no significant difference between the mean fructosamine concentrations according to sex, according to the age groups 19 to 36 and 37 to 55 and according to BMI (normal, overweight, obese). Conclusion: In a context of limited resources, this study contributes to providing reference ranges with a view to improving the control and monitoring of diabetes mellitus in Burkinabe subjects.
VL - 13
IS - 3
ER -
Kouraogo, A., Soudre, F. M., Karfo, R., Da, O., Kiba-Koumare, A., et al. (2025). Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso. Advances in Biochemistry, 13(3), 93-99. https://doi.org/10.11648/j.ab.20251303.14
Kouraogo, A.; Soudre, F. M.; Karfo, R.; Da, O.; Kiba-Koumare, A., et al. Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso. Adv. Biochem.2025, 13(3), 93-99. doi: 10.11648/j.ab.20251303.14
Kouraogo A, Soudre FM, Karfo R, Da O, Kiba-Koumare A, et al. Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso. Adv Biochem. 2025;13(3):93-99. doi: 10.11648/j.ab.20251303.14
@article{10.11648/j.ab.20251303.14,
author = {Arnaud Kouraogo and Fabienne Marie Soudre and Raoul Karfo and Ollo Da and Alice Kiba-Koumare and Zida Abibata and Elie Kabre and Jean Sakande},
title = {Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso},
journal = {Advances in Biochemistry},
volume = {13},
number = {3},
pages = {93-99},
doi = {10.11648/j.ab.20251303.14},
url = {https://doi.org/10.11648/j.ab.20251303.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ab.20251303.14},
abstract = {Introduction: Fructosamine is a stable ketoamine, formed by the reaction between glucose and the amino group of proteins (mainly albumin, but also globulins and lipoproteins). It indicates average blood glucose concentrations of 2 to 3 weeks for monitoring and controlling diabetes. However, studies on fructosamine based on the characteristics of Burkinabè are still rarely documented. With this in mind, the aim of this study was to investigate the fructosamine profile in regular blood donors from the town of Bobo-Dioulasso (Burkina Faso). Material and methods: This was a descriptive and analytical cross-sectional study with a collection period from 10 August 2024 to 10 September 2024. The study population consisted of fasting adult regular blood donors from Burkina Faso residing in the city of Bobo-Dioulasso, collected at the Bobo-Dioulasso Regional Blood Transfusion Centre. Fructosamine was determined by the colorimetric method using the Cobas® 6000 analyser. The data were analysed using R studio 4.3.3 software so that medians were calculated and reference values were determined at the 2.5 thand 97.5 thpercentile. Results-discussion: A total of 60 regular blood donors, equally distributed by gender, were selected. The mean age of the regular blood donors was 28.28±7.72 years (min = 19 years and max=52 years) while the mean number of donations was 6.97±8.50 (min=2 and max=61). Median fructosamine values were 272.5 µmol/L while the 2.5 thand 97.5 thpercentiles were 247.9 µmol/L and 314.77 µmol/L. The fructosamine ranges in our study population were higher than the reference values proposed by the reagent kit manufacturer and those proposed in the literature. There was no significant difference between the mean fructosamine concentrations according to sex, according to the age groups 19 to 36 and 37 to 55 and according to BMI (normal, overweight, obese). Conclusion: In a context of limited resources, this study contributes to providing reference ranges with a view to improving the control and monitoring of diabetes mellitus in Burkinabe subjects.},
year = {2025}
}
TY - JOUR
T1 - Fructosamine Profile in Regular Blood Donors at the Bobo-Dioulasso Regional Blood Transfusion Centre, Burkina Faso
AU - Arnaud Kouraogo
AU - Fabienne Marie Soudre
AU - Raoul Karfo
AU - Ollo Da
AU - Alice Kiba-Koumare
AU - Zida Abibata
AU - Elie Kabre
AU - Jean Sakande
Y1 - 2025/07/30
PY - 2025
N1 - https://doi.org/10.11648/j.ab.20251303.14
DO - 10.11648/j.ab.20251303.14
T2 - Advances in Biochemistry
JF - Advances in Biochemistry
JO - Advances in Biochemistry
SP - 93
EP - 99
PB - Science Publishing Group
SN - 2329-0862
UR - https://doi.org/10.11648/j.ab.20251303.14
AB - Introduction: Fructosamine is a stable ketoamine, formed by the reaction between glucose and the amino group of proteins (mainly albumin, but also globulins and lipoproteins). It indicates average blood glucose concentrations of 2 to 3 weeks for monitoring and controlling diabetes. However, studies on fructosamine based on the characteristics of Burkinabè are still rarely documented. With this in mind, the aim of this study was to investigate the fructosamine profile in regular blood donors from the town of Bobo-Dioulasso (Burkina Faso). Material and methods: This was a descriptive and analytical cross-sectional study with a collection period from 10 August 2024 to 10 September 2024. The study population consisted of fasting adult regular blood donors from Burkina Faso residing in the city of Bobo-Dioulasso, collected at the Bobo-Dioulasso Regional Blood Transfusion Centre. Fructosamine was determined by the colorimetric method using the Cobas® 6000 analyser. The data were analysed using R studio 4.3.3 software so that medians were calculated and reference values were determined at the 2.5 thand 97.5 thpercentile. Results-discussion: A total of 60 regular blood donors, equally distributed by gender, were selected. The mean age of the regular blood donors was 28.28±7.72 years (min = 19 years and max=52 years) while the mean number of donations was 6.97±8.50 (min=2 and max=61). Median fructosamine values were 272.5 µmol/L while the 2.5 thand 97.5 thpercentiles were 247.9 µmol/L and 314.77 µmol/L. The fructosamine ranges in our study population were higher than the reference values proposed by the reagent kit manufacturer and those proposed in the literature. There was no significant difference between the mean fructosamine concentrations according to sex, according to the age groups 19 to 36 and 37 to 55 and according to BMI (normal, overweight, obese). Conclusion: In a context of limited resources, this study contributes to providing reference ranges with a view to improving the control and monitoring of diabetes mellitus in Burkinabe subjects.
VL - 13
IS - 3
ER -