Savin Micah J, Wang Haoyang, Pei Heming, Aiello Allison E, Assuras Stephanie, Caspi Avshalom, Moffitt Terrie E, Muenning Peter A, Ryan Calen P, Shi Baoyi, Stern Yaakov, Sugden Karen, Valeri Linda, Belsky Daniel W
Robert N. Butler Columbia Aging Center Mailman School of Public Health Columbia University Irving Medical Center New York New York USA.
Department of Biostatistics MSPH Columbia University Irving Medical Center New York New York USA.
Alzheimers Dement (Amst). 2024 Nov 23;16(4):e70038. doi: 10.1002/dad2.70038. eCollection 2024 Oct-Dec.
The geroscience hypothesis proposes systemic biological aging is a root cause of cognitive decline.
We analyzed Framingham Heart Study Offspring Cohort data ( = 2296; 46% male; baseline age = 62, SD = 9, range = 25-101 y). We measured cognitive decline across two decades of neuropsychological-testing follow-up. We measured pace of aging using the DunedinPACE epigenetic clock. Analysis tested if participants with faster DunedinPACE values experienced more rapid cognitive decline compared with those with slower DunedinPACE values.
Participants with faster DunedinPACE had poorer cognitive functioning at baseline and experienced more rapid cognitive decline over follow-up. Results were robust to confounders and consistent across population strata. Findings were similar for the PhenoAge and GrimAge epigenetic clocks.
Faster pace of aging is a risk factor for preclinical cognitive decline. Metrics of biological aging may inform risk stratification in clinical trials and prognosis in patient care.
Faster DunedinPACE is associated with preclinical cognitive aging.Higher baseline cognition was protective of DunedinPACE-associated cognitive decline.The DunedinPACE association with cognitive decline explained a fourth of dementia risk.
老年科学假说提出,系统性生物衰老为认知衰退的根本原因。
我们分析了弗雷明汉心脏研究后代队列数据(n = 2296;46%为男性;基线年龄 = 62岁,标准差 = 9,范围 = 25 - 101岁)。我们在长达二十年的神经心理学测试随访中测量了认知衰退情况。我们使用达尼丁PACE表观遗传时钟来测量衰老速度。分析测试了与达尼丁PACE值较慢的参与者相比,达尼丁PACE值较快的参与者是否经历了更快的认知衰退。
达尼丁PACE值较快的参与者在基线时认知功能较差,且在随访期间经历了更快的认知衰退。结果不受混杂因素影响,且在各人群分层中保持一致。对于PhenoAge和GrimAge表观遗传时钟,研究结果相似。
衰老速度较快是临床前认知衰退的一个风险因素。生物衰老指标可能为临床试验中的风险分层及患者护理中的预后提供信息。
达尼丁PACE值较快与临床前认知衰老相关。较高的基线认知对达尼丁PACE相关的认知衰退具有保护作用。达尼丁PACE与认知衰退的关联解释了四分之一的痴呆风险。