BioAge 是否能识别双相情感障碍患者的加速衰老?在 FACE-BD 队列中进行的一项探索性研究。

IF 5 2区 医学 Q1 CLINICAL NEUROLOGY
Bruno Etain, Cynthia Marie-Claire, Luana Spano, Frank Bellivier, Marion Leboyer, Sébastien Gard, Antoine Lefrere, Raoul Belzeaux, Philippe Courtet, Caroline Dubertret, Raymund Schwan, Valerie Aubin, Paul Roux, Mircea Polosan, Ludovic Samalin, Emmanuel Haffen, Emilie Olié, Ophelia Godin, FondaMental Advanced Centers of Expertise in Bipolar Disorders (FACE-BD) Collaborators
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引用次数: 0

摘要

背景:据估计,双相情感障碍(BD)患者的预期寿命大约会缩短 10-15 年。目前已有几种实验室测量的加速衰老生物标志物(如端粒长度),但这些标志物能否应用于临床还存在疑问。因此,我们需要像 BioAge 这样易于测量、价格低廉、可用于日常实践的衰老标志物:我们计算了 2220 例门诊 BD 患者的 BioAge,该指标根据常规血液化验和体格检查估算生物年龄。我们研究了作为加速衰老指标的生物年龄加速度(BioAgeAccel)与社会人口变量、临床变量和当前精神药物使用之间的关联:平均实际年龄为 40.2 (±12.9)岁。平均生物年龄为 39.1(±12.4)岁。生物年龄平均值为 0.08 (±1.8)。少数人(15%)的 BioAgeAccel 超过 2 岁。多变量分析表明,较高的 BioAgeAccel 与年龄较小、男性、超重和睡眠障碍之间存在密切联系。关于目前精神药物的使用情况,单变量分析和多变量分析之间存在差异:结论:根据 BioAge 测量,少数 BD 患者的衰老速度加快。我们发现了一些潜在的可改变因素,如较高的体重指数和睡眠障碍,但这些因素与 BD 无关。这些结果需要在独立的 BD 患者样本中进行复制,并与年龄和性别匹配的对照组进行比较。此外,还需要进行纵向研究,以检验新陈代谢健康或睡眠方面的任何变化是否会降低BioAgeAccel。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does BioAge identify accelerated aging in individuals with bipolar disorder? An exploratory study in the FACE-BD cohort

Background

Individuals with bipolar disorders (BD) have an estimated loss of life expectancy around 10–15 years. Several laboratory-measured biomarkers of accelerated aging exist (e.g., telomere length), however with a questionable transferability to bedside. There is a need for easily and inexpensively measurable markers of aging, usable in routine practice, such as BioAge.

Methods

We calculated BioAge that estimates biological age based on routine blood tests and a physical exam, in a sample of 2220 outpatients with BD. We investigated associations between BioAge Acceleration (BioAgeAccel), which is an indicator of accelerated aging, and sociodemographic variables, clinical variables, and current psychotropic medication use.

Results

Mean chronological age was 40.2 (±12.9). Mean BioAge was 39.1 (±12.4). Mean BioAgeAccel was 0.08 (±1.8). A minority of individuals (15%) had a BioAgeAccel above 2 years. Multivariable analyses suggested strong associations between a higher BioAgeAccel and younger age, male sex, overweight and sleep disturbances. Regarding current psychotropic medication use, discrepancies between univariate and multivariate analyses were observed.

Conclusions

A minority of individuals with BD had an accelerated aging as measured by BioAge. We identified associations with potentially modifiable factors, such as higher body mass index and sleep disturbances, that are however nonspecific to BD. These results require replications in independent samples of individuals with BD, and comparisons with a control group matched for age and gender. Longitudinal studies are also required to test whether any change in metabolic health, or sleep might decrease BioAgeAccel.

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来源期刊
Bipolar Disorders
Bipolar Disorders 医学-精神病学
CiteScore
8.20
自引率
7.40%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Bipolar Disorders is an international journal that publishes all research of relevance for the basic mechanisms, clinical aspects, or treatment of bipolar disorders and related illnesses. It intends to provide a single international outlet for new research in this area and covers research in the following areas: biochemistry physiology neuropsychopharmacology neuroanatomy neuropathology genetics brain imaging epidemiology phenomenology clinical aspects and therapeutics of bipolar disorders Bipolar Disorders also contains papers that form the development of new therapeutic strategies for these disorders as well as papers on the topics of schizoaffective disorders, and depressive disorders as these can be cyclic disorders with areas of overlap with bipolar disorders. The journal will consider for publication submissions within the domain of: Perspectives, Research Articles, Correspondence, Clinical Corner, and Reflections. Within these there are a number of types of articles: invited editorials, debates, review articles, original articles, commentaries, letters to the editors, clinical conundrums, clinical curiosities, clinical care, and musings.
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