{"title":"The interplay between biological aging and volunteering engagement in predicting cognitive performance: Evidence from the Harmonized Cognitive Assessment Protocol study","authors":"Seoyoun Kim, Xi Pan","doi":"10.1093/gerona/glaf097","DOIUrl":"https://doi.org/10.1093/gerona/glaf097","url":null,"abstract":"Background Promoting cognitive health and preventing deficits is crucial for improving the population level health and reducing economic burdens. Biological aging, influenced by DNA methylation (DNAm), plays a key role in predicting cognitive performance and brain aging. A more recent body of literature shows that social engagement, and volunteering in particular, may play an important role in modifying the relationship between epigenetic age acceleration and cognitive performance. Methods Using the Harmonized Cognitive Assessment Protocol in the Health and Retirement Study, the current project tests the association between five epigenetic clocks (Horvath, Hannum, PhenoAge, GrimAge, DunedinPoAm) and cognitive performance. It also examines whether the relationship between epigenetic clocks and cognitive performance differs by volunteering frequency (i.e., effect modification). Results Any level of volunteering was associated with better cognitive performance when compared to no volunteering. All DNAm clocks were associated with cognitive performance, except for PhenoAge. Evidence of effect modification was present for Horvath, PhenoAge, GrimAge, and DunedinPoAm. For PhenoAge and GrimAge, 1-100 hours of volunteering per year mitigated the influenced of accelerated biological age on cognitive performance. For Horvath and DunedinPoAm, the links between epigenetic age acceleration and cognitive performance were less steep for highly engaged volunteers (101+ hours per year). Conclusions The findings underscore the cognitive benefits of engagement in volunteer activities. They further elucidate the interplay between volunteering frequency and epigenetic aging on cognitive performance. The relationship between epigenetic age and cognitive performance also varies based on the level of volunteering engagement.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143940268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Te-Rina J King-Hudson,Andree G Pearson,Caitlin Dunstan-Harrison,Mathew T Powell,Nicholas J Magon,Teagan S Edwards,Louise N Paton,Jeffry S Tang,Anthony J Kettle,John F Pearson,Jesse Kokaua,Hayley Guiney,Reremoana Theodore,Sandhya Ramrakha,Richie Poulton,Terrie E Moffitt,Elizabeth C Ledgerwood,Mark B Hampton
{"title":"Biomarkers of oxidative and mitochondrial stress are associated with accelerated pace of aging at midlife in a birth cohort.","authors":"Te-Rina J King-Hudson,Andree G Pearson,Caitlin Dunstan-Harrison,Mathew T Powell,Nicholas J Magon,Teagan S Edwards,Louise N Paton,Jeffry S Tang,Anthony J Kettle,John F Pearson,Jesse Kokaua,Hayley Guiney,Reremoana Theodore,Sandhya Ramrakha,Richie Poulton,Terrie E Moffitt,Elizabeth C Ledgerwood,Mark B Hampton","doi":"10.1093/gerona/glaf105","DOIUrl":"https://doi.org/10.1093/gerona/glaf105","url":null,"abstract":"Oxidative stress and mitochondrial dysfunction are proposed to play prominent roles in the biology of aging. Human studies are limited and confounded by metabolic disturbances associated with age-related diseases. In this study we have measured biomarkers of oxidative and mitochondrial stress in blood samples from up to 864 participants in the longitudinal Dunedin Multidisciplinary Health and Development Study at age 45. We then determined the correlation between these cross-sectional biomarkers and the longitudinal Pace of Aging, a composite score that represents whole-organism functional decline in each participant from 26 to 45 years old, and facial age at 45 years old. Protein carbonyls and allantoin were selected as biomarkers for oxidative stress, and GDF-15 as a marker of mitochondrial stress. Mid-life levels of these biomarkers were low but varied across the population. GDF-15 showed the strongest associations with the Pace of Aging (β = 0.26, p < 0.0001) and facial age (β = 0.12, p =0.001) in sex and smoking adjusted models. The Pace of Aging was also significantly associated with allantoin (β = 0.14, p < 0.0001) and protein carbonyls (β = 0.09, p = 0.005), and allantoin was also associated with facial age (β = 0.08, p = 0.02). These associations remained when the limited number of participants with age-related disease were removed from the analyses. Our results provide evidence of increased oxidative stress and mitochondrial stress in faster aging humans at midlife, well before the onset of age-related disease.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara E Grineski, Ethan Siu Leung Cheung, Austin S Clark, David S Curtis
{"title":"Fine particulate matter is associated with lower executive functioning in middle-aged and older adults: Cardiometabolic disease as a mediator","authors":"Sara E Grineski, Ethan Siu Leung Cheung, Austin S Clark, David S Curtis","doi":"10.1093/gerona/glaf104","DOIUrl":"https://doi.org/10.1093/gerona/glaf104","url":null,"abstract":"Background PM2.5 pollution is expected to worsen in many places due to climate change, as a result of hotter temperatures, less precipitation, and increases in wind speed. PM2.5 exposure has adverse effects on humans that may accelerate the aging process, such as worsening cognitive functioning and cardiometabolic disease. Less is known about whether physical and mental health conditions mediate the relationship between PM2.5 exposure and aging-related cognitive and functional limitations. Methods Longitudinal data from the Midlife in the United States study (MIDUS 2: 2004-05; MIDUS 3: 2013-14) were used, with a sample of approximately 5000 individuals aged 32 to 84. Based on individuals’ residential addresses at each wave, we identified census tract-level PM2.5 exposure as defined by five-year annual averages. Missing data were handled using multiple imputation by chained equations. We examined cross-sectional and longitudinal associations between PM2.5 exposure and aging-related limitations (i.e., executive functioning and functional limitations), and tested cardiometabolic disease and depressive symptoms as mediators. Results Higher PM2.5 exposure was associated with lower executive functioning cross-sectionally and longitudinally, but not with functional limitations. The cross-sectional association between PM2.5 and executive functioning was partially mediated by cardiometabolic disease, accounting for 8.1% of the estimate. Depressive symptoms were not a significant mediator. Conclusions Findings suggest the importance of considering the indirect ways in which climate change may impact health of middle-aged and older adults.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joe Verghese, Kelly Cotton, Sanish Sathyan, Emmeline Ayers, Jeannette R Mahoney, Pierfilippo De Sanctis, Cuiling Wang, Ying Jin, Helena M Blumen, Oshadi Jayakody
{"title":"Super movers: epidemiology and biology of a novel exceptional aging phenotype","authors":"Joe Verghese, Kelly Cotton, Sanish Sathyan, Emmeline Ayers, Jeannette R Mahoney, Pierfilippo De Sanctis, Cuiling Wang, Ying Jin, Helena M Blumen, Oshadi Jayakody","doi":"10.1093/gerona/glaf107","DOIUrl":"https://doi.org/10.1093/gerona/glaf107","url":null,"abstract":"Background Although gait speed typically declines with age, some individuals manage to maintain higher walking speeds well into older age. To better understand healthy longevity, we propose a novel exceptional aging phenotype of super movers, individuals 80 years or older with walking speeds comparable to individuals three decades younger. Methods We conducted a retrospective cohort study to examine the epidemiology and determinants of super mover status as well as mortality, biological aging and gait speed trajectories of super movers compared to age peers identified from 15 aging cohort studies across 24 countries. Results In a pooled cohort of data from multi-country population-based surveys, prevalence of super movers ranged from 4.9% to 11.1% in individuals 80 and older, with an average overall prevalence of 7.3%. Compared to age peers, super movers exhibited lower disease prevalence, healthier lifestyles and had lower mortality rates (HR 0.38, 95% CI 0.09 - 0.66). In two smaller samples with gait and biological aging data and longitudinal gait assessments, compared age-matched peers, super movers had younger biological age and showed faster gait speed from their seventh to tenth decades, respectively. Conclusion Super movers are an exceptional aging phenotype enriched with unique biological and clinical profiles that can provide valuable insights into healthy longevity.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"163 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sun Jae Park,Jihun Song,Hye Jun Kim,Jaewon Kim,Seogsong Jeong,Young Jun Park,Jaewon Lee,Minseo Kim,Ji Yoon Nam,Yun Hwan Oh,Yoosun Cho,In Sun Ryou,Sanghyuk Bae,Sang Min Park
{"title":"Combined effects of statin medication adherence and fine particulate air pollution on cardiovascular disease among older adults.","authors":"Sun Jae Park,Jihun Song,Hye Jun Kim,Jaewon Kim,Seogsong Jeong,Young Jun Park,Jaewon Lee,Minseo Kim,Ji Yoon Nam,Yun Hwan Oh,Yoosun Cho,In Sun Ryou,Sanghyuk Bae,Sang Min Park","doi":"10.1093/gerona/glaf079","DOIUrl":"https://doi.org/10.1093/gerona/glaf079","url":null,"abstract":"BACKGROUNDEmerging research suggests the potential combined effects of statin medication and fine particulate matter exposure on cardiovascular disease (CVD) risk among older adults. These findings underscore the need for further detailed investigations. This cohort study aims to examine the combined effects of adherence to statins and particulate matter with aerodynamic diameter ≤2.5 μm (PM2.5) exposure on CVD among older adults in South Korea.METHODSThis nationwide study included 791,244 individuals aged 65 years or older diagnosed with dyslipidemia. Statin medication adherence was estimated using the medication possession ratio (MPR) over a two-year period. Fine particulate matter levels were measured based on participants' residential locations. The primary outcome was CVD, defined as a diagnosis requiring at least two days of hospitalization. Multivariable Cox proportional hazard models were performed to assess the combined effects of statin MPR and PM2.5 exposure on CVD risk.RESULTSIntermediate-to-high statin adherence (MPR≥0.5) was associated with a reduced risk of CVD, regardless of PM2.5 concentrations. Individuals with the lowest statin adherence (MPR<0.5) and the highest PM2.5 concentrations had an elevated risk of CVD (adjusted hazard ratio [aHR], 1.05; 95% confidence interval [CI], 1.02-1.07). Conversely, individuals with the highest statin adherence (MPR≥0.8) and the highest PM2.5 concentrations showed a lower risk of CVD (aHR, 0.88; 95% CI, 0.85-0.91).CONCLUSIONSLow statin adherence may contribute to an elevated CVD risk in older adults exposed to high PM2.5 concentrations, while moderate-to-high statin adherence may reduce the risk of CVD regardless of PM2.5 levels.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah Schmid, Valentin Max Vetter, Jan Homann, Vivien Bahr, Christina M Lill, Vera Regitz-Zagrosek, Lars Bertram, Ilja Demuth
{"title":"Cross-sectional and Longitudinal Relationship between Sex Hormones and Six Epigenetic Clocks in Older Adults: Results of the Berlin Aging Study II (BASE-II)","authors":"Hannah Schmid, Valentin Max Vetter, Jan Homann, Vivien Bahr, Christina M Lill, Vera Regitz-Zagrosek, Lars Bertram, Ilja Demuth","doi":"10.1093/gerona/glaf106","DOIUrl":"https://doi.org/10.1093/gerona/glaf106","url":null,"abstract":"Beyond their essential roles in regulating reproduction and development, sex hormones play a crucial role in the aging processes. Observational studies have indicated that low sex hormone concentrations in older age are associated with adverse health events. DNA methylation age acceleration (DNAmAA) estimated from epigenetic clocks quantifies differences in biological aging. DNAmAA was previously shown to be associated with age at menopause, ovariectomy, hormone replacement therapy and testosterone level. We analysed the relationship between estradiol, dehydroepiandrosterone sulfate (DHEAS) and the Free Androgen Index (FAI) with DNAmAA estimators from six epigenetic clocks (Horvath’s, Hannum’s, 7-CpG clock, PhenoAge, GrimAge, DunedinPACE) in 1,404 participants of the Berlin Aging Study II (BASE-II, mean age at baseline 68.7 ±3.7 years, 48% women). The relationship was investigated in multiple linear regression models cross-sectionally at two time points and longitudinally over on average 7.3 years of follow-up. We did not observe any consistent associations between the sex hormones and DNAmAA estimators investigated. However, we found several nominal associations (alpha=0.05) of unclear relevance. For instance, we identified an inverse association between DHEAS and Horvath’s DNAmAA, i.e. a reduced biological age with higher DHEAS levels in men at baseline. In women we found an inverse association between estradiol and DunedinPACE (baseline) and a positive association with GrimAge (follow-up). In longitudinal analyses, ΔDHEAS and ΔDunedinPACE were inversely associated in both sexes. Our results suggest that sex hormones play at best a minor role with respect to biological aging in the older population studied here.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physical resilience may offset mortality risks associated with genetic predisposition to shorter survival: A population-based cohort study","authors":"Lea Stark, Federico Triolo, Davide Liborio Vetrano, Debora Rizzuto, Israel Contador, Amaia Calderón-Larrañaga, Serhiy Dekhtyar","doi":"10.1093/gerona/glaf101","DOIUrl":"https://doi.org/10.1093/gerona/glaf101","url":null,"abstract":"Background Physical resilience (PR), the ability to recover from health adversities, is thought to buffer health challenges during aging. However, PR’s association with mortality and its ability to offset the negative effects of genetic susceptibility to shorter lifespan remain unknown. Methods Data on 3,041 individuals (age: 60+) from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K) were analyzed. PR was assessed at baseline (2001-2004) using residual gait speed for a given level of chronic diseases, medications, and sociodemographics, categorized as low (residual SD’s ≤ -1), moderate (-1 &lt; SD &lt; 1), or high resilience (SD ≥ 1). A genetic risk score (GRS) was derived from four SNPs linked to longevity (hTERT, APOE, TOMM40, IGF-1R). Cox proportional hazard models and Laplace regression examined 18-year mortality and median survival, respectively. PR was assessed as the moderator of the GRS-mortality association in stratified analysis. Results Compared to individuals with moderate PR, those with low resilience had higher mortality risk (HR: 1.28; 95% CI [1.09, 1.51]), with the opposite pattern in those with high PR (HR: 0.71; 95% CI [0.60, 0.84]). Above-median levels of GRS were associated with increased mortality risk (HR: 1.34; 95% CI [1.18, 1.52]). Stratified by PR, mortality risk associated with higher GRS was elevated among those with low and moderate resilience but not among older adults with high resilience. Conclusion PR appears to partly modify mortality risk associated with genetic predisposition to shorter survival. Fostering PR could benefit personalized therapeutic strategies to support healthy aging.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kacey Chae,Amie F Bettencourt,Denise K Houston,Eleanor M Simonsick,Luigi Ferrucci,Rita R Kalyani,Nancy Schoenborn,Jeanne M Clark,Kimberly A Gudzune
{"title":"Association between changes in body composition and physical function after intensive behavioral weight-loss intervention: a Look AHEAD trial subgroup analysis.","authors":"Kacey Chae,Amie F Bettencourt,Denise K Houston,Eleanor M Simonsick,Luigi Ferrucci,Rita R Kalyani,Nancy Schoenborn,Jeanne M Clark,Kimberly A Gudzune","doi":"10.1093/gerona/glaf103","DOIUrl":"https://doi.org/10.1093/gerona/glaf103","url":null,"abstract":"BACKGROUNDIntentional weight-loss improves physical function among older adults with obesity, despite the associated lean mass loss. However, prior studies have not assessed impacts of weight-loss on physical function and body composition among older adults with type 2 diabetes mellitus (T2DM) and obesity, a population at high-risk for sarcopenia and functional decline. Our objective was to examine differences in body composition changes by physical function status among middle-aged and older adults with T2DM and overweight/obesity participating in an intensive weight-loss intervention of diet and exercise over 12 months.METHODSWe conducted a secondary analysis of 12-month data from the Look AHEAD dual-energy X-ray absorptiometry (DXA) substudy among participants randomized to intervention (n=603). Independent variables included DXA-derived percent change in appendicular lean mass (ALM) and fat mass (FM). The dependent variable was SF-36 physical function subscale change categorized as worsened (decrease ≥5), stable (change ±4), or improved (increase ≥5). We examined the associations using ANOVA.RESULTSOverall, participants had a mean age of 58.3 (SD 6.7) and 63% were women - 8% had worsened, 69% stable, and 22% improved physical function. Differences in mean percent ALM change between physical function groups were non-significant (worsened -3.7%; stable -4.8%; improved -5.6% (p=0.05)). Mean percent FM change was significantly different across physical function groups (worsened -9.3%; stable -14.6%; improved -17.9% (p<0.01)).CONCLUSIONSLean mass loss associated with lifestyle weight-loss intervention does not negatively impact physical function, rather the intervention appears to improve physical function by reducing adiposity among adults with T2DM and overweight/obesity.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peter Martin,Leonard W Poon,Gina Lee,Hardeep K Obhi,Bradley J Willcox,Kamal H Masaki
{"title":"From 70 to 100: The Kuakini Hawaii Centenarian Study.","authors":"Peter Martin,Leonard W Poon,Gina Lee,Hardeep K Obhi,Bradley J Willcox,Kamal H Masaki","doi":"10.1093/gerona/glaf078","DOIUrl":"https://doi.org/10.1093/gerona/glaf078","url":null,"abstract":"BACKGROUNDPast research has highlighted the association of family longevity, support, functioning, and health and well-being factors in predicting longevity. Based on the Georgia Adaptation Model that examined the impact of clusters of bio-psycho-social predictors on extreme longevity and adaptation, the current study aimed to employ seven clusters of behavioral and social predictors on longevity of Japanese-American men from Hawaii.METHODSA sample of 3,734 men (Mage = 77.82 years) from the Kuakini Honolulu Heart Program was included in this research. We focused on three research questions. One, WHO survived to their 70s, 80s, 90s, and 100s? Two, WHAT behavioral and social predictors were found to predict survivors of the different ages? Three, are the survival predictors the same or different for the Japanese-American men compared to extant findings in the literature?RESULTSOur results demonstrated four distinct groups of survivors (70s, 80s, 90s, and 100+) and highlighted differentiating characteristics among groups. Moreover, regression analyses suggested that cognition, ADL functioning, health behaviors, diabetes, and father's age at death were significantly associated with longevity. Finally, survival characteristics found among the Japanese-American men replicated many findings reported in the literature.CONCLUSIONSThe results indicate that there are individual differences for survivors in the Kuakini Honolulu Study, as this sample reaches 70, 80, 90, or 100 years of life.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dental checkups and all-cause mortality in older adults aged ≥75 years: a large retrospective cohort study.","authors":"Naoko Otsuki,Tomoaki Mameno,Yuya Kanie,Maki Shinzawa,Kazunori Ikebe,Ryohei Yamamoto","doi":"10.1093/gerona/glaf100","DOIUrl":"https://doi.org/10.1093/gerona/glaf100","url":null,"abstract":"BACKGROUNDAlthough regular visits to dentists improve oral health status, few studies have reported an association between dental checkups and all-cause mortality in older adults. This 3-year retrospective cohort study aimed to clarify an association between dental checkups and all-cause mortality in older adults.METHODSA total of 946,709 older adults aged ≥75 years, community-based residents in Japan, who were eligible for the public dental checkup program between April 2018 and March 2019. Exposure was dental checkup history stratified by dental visits at dental facilities. An association between dental checkups and the incidence of all-cause mortality was assessed using the Cox proportional hazards model adjusted for clinically relevant factors and the propensity score-matching analysis.RESULTSDuring the median observational period of 35 months, all-cause mortality was observed in 76,566 (20.5%) men and 84,423 (14.7%) women. The multivariable-adjusted Cox proportional hazards model showed that the No checkup groups were at significantly higher risk of all-cause mortality in both men and women, respectively. Propensity score-matching analysis ascertained that the No checkup/No visit group was at significantly higher risk of all-cause mortality than the Checkup/No visit group.CONCLUSIONSThe present large retrospective cohort study of 946,709 older adults showed that dental checkups predicted the risk of all-cause mortality as clinically useful information. The findings of the present study suggest that municipal healthcare planning should recommend dental checkups in older adults.","PeriodicalId":22892,"journal":{"name":"The Journals of Gerontology Series A: Biological Sciences and Medical Sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}