학술논문

Association of cardiovascular health and epigenetic age acceleration
Document Type
article
Source
Clinical Epigenetics. 13(1)
Subject
Aging
Genetics
Cardiovascular
Good Health and Well Being
Acceleration
Aged
American Heart Association
Cardiovascular Diseases
Cohort Studies
CpG Islands
Cross-Sectional Studies
DNA Methylation
Epigenesis
Genetic
Female
Health Status
Humans
Longevity
Middle Aged
Postmenopause
United States
Women's Health
Cardiovascular health
Epigenetic age acceleration
Women's health initiative
DNA methylation
Simple seven
Women’s health initiative
Clinical Sciences
Paediatrics and Reproductive Medicine
Language
Abstract
BackgroundCardiovascular health (CVH) has been defined by the American Heart Association (AHA) as the presence of the "Life's Simple 7" ideal lifestyle and clinical factors. CVH is known to predict longevity and freedom from cardiovascular disease, the leading cause of death for women in the United States. DNA methylation markers of aging have been aggregated into a composite epigenetic age score, which is associated with cardiovascular morbidity and mortality. However, it is unknown whether poor CVH is associated with acceleration of aging as measured by DNA methylation markers in epigenetic age.Methods and resultsWe performed a cross-sectional analysis of racially/ethnically diverse post-menopausal women enrolled in the Women's Health Initiative cohort recruited between 1993 and 1998. Epigenetic age acceleration (EAA) was calculated using DNA methylation data on a subset of participants and the published Horvath and Hannum methods for intrinsic and extrinsic EAA. CVH was calculated using the AHA measures of CVH contributing to a 7-point score. We examined the association between CVH score and EAA using linear regression modeling adjusting for self-reported race/ethnicity and education. Among the 2,170 participants analyzed, 50% were white and mean age was 64 (7 SD) years. Higher or more favorable CVH scores were associated with lower extrinsic EAA (~ 6 months younger age per 1 point higher CVH score, p