Cited by 390Frailty in Older AdultsGenetics, Aging, and Longevity in Model OrganismsEpigenetics and DNA Methylation

Longitudinal trajectories, correlations and mortality associations of nine biological ages across 20-years follow-up

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Li, Xia, Ploner, Alexander, Wang, Yunzhang, Magnusson, Patrik KE, Reynolds, Chandra, Finkel, Deborah, Pedersen, Nancy L, Jylhävä, Juulia +1 more·2020·eLife

Abstract

Biological age measurements (BAs) assess aging-related physiological change and predict health risks among individuals of the same chronological age (CA). Multiple BAs have been proposed and are well studied individually but not jointly. We included 845 individuals and 3973 repeated measurements from a Swedish population-based cohort and examined longitudinal trajectories, correlations, and mortality associations of nine BAs across 20 years follow-up. We found the longitudinal growth of functional BAs accelerated around age 70; average levels of BA curves differed by sex across the age span (50–90 years). All BAs were correlated to varying degrees; correlations were mostly explained by CA. Individually, all BAs except for telomere length were associated with mortality risk independently of CA. The largest effects were seen for methylation age estimators (GrimAge) and the frailty index (FI). In joint models, two methylation age estimators (Horvath and GrimAge) and FI remained predictive, suggesting they are complementary in predicting mortality.

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  • Age gaps in second-generation mortality-optimized clocks (Zhang, PhenoAge, GrimAge) also correlate only mildly with each other.

    “Age gaps in second-generation mortality-optimized clocks (Zhang, PhenoAge, GrimAge) also correlate only mildly with each other69,151.”

    From Measuring biological age using omics data (2022) · cites this paper as [151]

  • Age gaps from first-generation epigenetic clocks (Hannum, Horvath, Lin, Weidner, Vidal-Bralo) only mildly correlate with each other (r = 0.1-0.5).

    “Despite all being modelled and trained on the chronological age of individuals, mostly from blood cells, age gaps from first-generation epigenetic clocks (Hannum, Horvath, Lin, Weidner, Vidal-Bralo) seem to only mildly correlate with each other (r = 0.1–0.5)69,151.”

    From Measuring biological age using omics data (2022) · cites this paper as [151]

  • Li et al. found that the age gaps for the different clocks tested are largely uncorrelated.

    “this study found that the age gaps for the different clocks tested are largely uncorrelated.”

    From Measuring biological age using omics data (2022) · cites this paper as [151]

  • Li et al. is one of the few current papers that compares multiple omics ageing-clock measurements longitudinally.

    “One of the few current papers that compares multiple omics ageing-clock measurements longitudinally”

    From Measuring biological age using omics data (2022) · cites this paper as [151]

  • Inflection points in DNA methylation indicative of non-monotonous changes were observed in a 20-year follow-up Swedish aging cohort of 845 individuals around ages 70 and 85.

    “Inflection points in DNA methylation indicative of non-monotonous changes were also observed in a 20-year follow-up Swedish aging cohort of 845 individuals around ages 70 and 85.35”

    From Asynchronous, contagious and digital aging (2021) · cites this paper as [35]

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References 36 · Cited by 390

Authors
Li, X., Ploner, A., Wang, Y., Magnusson, P. K., Reynolds, C., Finkel, D., Pedersen, N. L., Jylhävä, J., & Hägg, S.
Affiliations
  • Karolinska Institutet (SE)
  • University of California, Riverside (US)
  • Indiana University Southeast (US)
  • University of Michigan (US)
Corresponding author
Hägg, Sara
Venue
eLife
Published
2020-02-11
Volume
9
ISSN
2050-084X (ISSN-L)
OpenAlex
W3004434362
Cited by
390
References
36
Citations by year
2026: 48 · 2025: 74 · 2024: 72 · 2023: 62 · 2022: 53 · 2021: 56 · 2020: 25
FWCI
25.80
Type
journal article
Language
en
Open access
Locations
  • eLife (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Tampere University Institutional Repository (Tampere University) (submittedVersion, cc-by)
Funders
  • National Institutes of Health (R01 AG04563, R01 AG10175, R01 AG028555)
  • MacArthur Foundation (Research Network on Successful Aging)
  • Swedish Research Council for Health, Working Life and Welfare (97:0147:1B, 2009-0795, 2013-2292)
  • Swedish Research Council (825-2007-7460, 2015-03255, 2017-00641, 2018-02077, 825-2009-6141, 521-2013-8689, 2019-01272)
  • Karolinska Institutet (Foundation for Geriatric Diseases, Strategic Research Program in Epidemiology)
  • Magnus Bergvall Foundation
  • King Gustaf V and Queen Victoria's Foundation of Freemasons
  • China Scholarship Council
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
Keywords
biological age, mortality risk, longitudinal trajectories, GrimAge, frailty index, telomere length, chronological age, sex differences, aging
MeSH terms
Frailty, Aged, Aged, 80 and over, Aging, Cognition, Female, Follow-Up Studies, Humans, Male, Middle Aged, Sweden, DNA Methylation, Telomere Homeostasis

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