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Attitudes to ageing, biomarkers of ageing and mortality: the Lothian Birth Cohort 1936

McLachlan, KJJ; Cole, JH; Harris, SE; Marioni, RE; Deary, IJ; Gale, CR; (2020) Attitudes to ageing, biomarkers of ageing and mortality: the Lothian Birth Cohort 1936. Journal of Epidemiology & Community Health 10.1136/jech-2019-213462. (In press). Green open access

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Abstract

OBJECTIVE: To investigate whether people with more positive attitudes to ageing are biologically younger as defined by leucocyte telomere length, accelerated DNA methylation GrimAge (AgeAccelGrim) and brain-predicted age difference, and whether these biomarkers explain relationships between attitudes to ageing and mortality. METHODS: We used linear regression to examine cross-sectionally attitudes to ageing (measured using the Attitudes to Ageing Questionnaire) and the three biomarkers in 758 adults, mean age 72.5 years, from the Lothian Birth Cohort 1936. We used Cox proportional hazards models to examine longitudinally attitudes to ageing and mortality and the role of the biomarkers. RESULTS: More positive attitude to physical change was associated with younger biological age, as measured by AgeAccelGrim and brain-predicted age difference in age-adjusted and sex-adjusted models: for an SD higher score, AgeAccelGrim was lower by -0.73 (95% CI -1.03 to -0.42) of a year, and brain-predicted age difference was lower by -0.87 (1.51 to 0.23) of a year. Both associations were attenuated by adjustment for covariates and not significant after simultaneous adjustment for all covariates and correction for multiple testing. More positive attitudes to physical change were associated with lower mortality: for an SD higher score the age-adjusted and sex-adjusted HR (95% CI) was 0.66 (0.56 to 0.78). Adjustment for AgeAccelGrim or brain-predicted age difference attenuated this association slightly. It remained significant after adjustment for all covariates. CONCLUSION: We found partial evidence that attitudes to ageing are linked with ageing biomarkers but they accounted for only a little of the association between attitudes and mortality.

Type: Article
Title: Attitudes to ageing, biomarkers of ageing and mortality: the Lothian Birth Cohort 1936
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/jech-2019-213462
Publisher version: http://dx.doi.org/10.1136/jech-2019-213462
Language: English
Additional information: © Author(s) (or their employer[s]) 2020. Re-use permitted under CC BY. Published by BMJ (https://creativecommons.org/licenses/by/4.0/).
Keywords: epidemiology of ageing, mortality, psychology
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/10092777
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