Abstract

BackgroundDNA methylation (DNAm) age acceleration (AgeAccel) has been shown to be predictive of all-cause mortality but it is unclear what functional aspect(s) of aging it captures. We examine associations between four measures of AgeAccel in adults aged 45–87 years and physical and cognitive performance and their age-related decline.MethodsAgeAccelHannum, AgeAccelHorvath, AgeAccelPheno, and AgeAccelGrim were calculated in the Medical Research Council National Survey of Health and Development (NSHD), National Child Development Study (NCDS) and TwinsUK. Three measures of physical (grip strength, chair rise speed, and forced expiratory volume in one second [FEV1]) and two measures of cognitive (episodic memory and mental speed) performance were assessed.ResultsAgeAccelPheno and AgeAccelGrim, but not AgeAccelHannum and AgeAccelHorvath were related to performance in random effects meta-analyses (n = 1,388–1,685). For example, a 1-year increase in AgeAccelPheno or AgeAccelGrim was associated with a 0.01 mL (95% confidence interval [CI]: 0.01, 0.02) or 0.03 mL (95% CI: 0.01, 0.05) lower mean FEV1 respectively. In NSHD, AgeAccelPheno and AgeAccelGrim at 53 years were associated with age-related decline in performance between 53 and 69 years as tested by linear mixed models (p < .05). In a subset of NSHD participants (n = 482), there was little evidence that change in any AgeAccel measure was associated with change in performance conditional on baseline performance.ConclusionsWe found little evidence to support associations between the first generation of DNAm-based biomarkers of aging and age-related physical or cognitive performance in midlife to early old age. However, there was evidence that the second generation biomarkers, AgeAccelPheno and AgeAccelGrim, could act as makers of an individual’s healthspan as proposed.

Highlights

  • The worldwide demographic shift towards an ageing population is accompanied by an increase in life expectancy; the quality of these extra years remains unclear[1,2,3]

  • A measure of biological age that can capture the ageing process beyond c what is represented by chronological age (CA) may identify people at risk of functional impairment, providing an s insight into their health-related quality of life. nu Numerous biomarkers of ageing have been proposed including epigenetic biomarkers based a on DNA methylation (DNAm)[6,7,8,9,10]

  • Second generation DNAm-based biomarkers of ageing have been developed with the specific aim of p identifying CpGs that capture lifespan and healthspan in addition to those displaying changes ce with chronological time

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Summary

Conclusions

We found little evidence to support associations between the first generation of DNAm-based biomarkers of ageing and age-related physical or cognitive performance in midlife to early old age. There was evidence that the second generation biomarkers, AgeAccelPheno and AgeAccelGrim, could act as makers of an individual’s health-span as proposed

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