Living in poverty and accelerated biological aging: evidence from population-representative sample of U.S. adults.

Autor: Dalecka A; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic., Bartoskova Polcrova A; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic., Pikhart H; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic.; Department of Epidemiology and Public Health, University College London, London, United Kingdom., Bobak M; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic.; Department of Epidemiology and Public Health, University College London, London, United Kingdom., Ksinan AJ; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic. albert.ksinan@recetox.muni.cz.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Feb 13; Vol. 24 (1), pp. 458. Date of Electronic Publication: 2024 Feb 13.
DOI: 10.1186/s12889-024-17960-w
Abstrakt: Background: Biological aging reflects a decline in the functions and integrity of the human body that is closely related to chronological aging. A variety of biomarkers have been found to predict biological age. Biological age higher than chronological age (biological age acceleration) indicates an accelerated state of biological aging and a higher risk of premature morbidity and mortality. This study investigated how socioeconomic disadvantages influence biological aging.
Methods: The data from the National Health and Nutrition Examination Survey (NHANES) IV, including 10 nationally representative cross-sectional surveys between 1999-2018, were utilized. The analytic sample consisted of N = 48,348 individuals (20-84 years). We used a total of 11 biomarkers for estimating the biological age. Our main outcome was biological age acceleration, indexed by PhenoAge acceleration (PAA) and Klemera-Doubal biological age acceleration (KDM-A). Poverty was measured as a ratio of family income to the poverty thresholds defined by the U.S. Census Bureau, adjusted annually for inflation and family size (5 categories). The PAA and KDM-A were regressed on poverty levels, age, their interaction, education, sex, race, and a data collection wave. Sample weights were used to make the estimates representative of the U.S. adult population.
Results: The results showed that higher poverty was associated with accelerated biological aging (PAA: unstandardized coefficient B = 1.38 p <.001, KDM: B = 0.96, p = .026 when comparing the highest and the lowest poverty level categories), above and beyond other covariates. The association between PAA and KDM-A and age was U-shaped. Importantly, there was an interaction between poverty levels and age (p <.001), as the effect of poverty was most pronounced in middle-aged categories while it was modest in younger and elderly groups.
Conclusion: In a nationally representative US adult population, we found that higher poverty was positively associated with the acceleration of biological age, particularly among middle-aged persons.
(© 2024. The Author(s).)
Databáze: MEDLINE
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