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Longitudinal associations between use of antihypertensive, antidiabetic, and lipid-lowering medications and biological aging
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, 171 77, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, 171 77, Sweden.
Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Solna, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, 171 77, Sweden.
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2023 (English)In: GeroScience, ISSN 2509-2715, Vol. 45, p. 2065-2078Article in journal (Refereed) Published
Abstract [en]

Aging is a major risk factor for many chronic diseases. This study aimed to examine the effects of antihypertensive, lipid-lowering, and antidiabetic drugs on biological aging. We included 672 participants and 2746 repeated measurements from the Swedish Adoption/Twin Study of Aging. Self-reported medicine uses were categorized into antidiabetic, antihypertensive, and lipid-lowering drugs. A total of 12 biomarkers for biological aging (BA biomarkers) were included as outcomes. Conditional generalized estimating equations were applied conditioning on individuals to estimate the drug effect on BA biomarker level within the same person when using or not using the drug. Chronological age, body mass index, smoking status, number of multiple medication uses, blood pressure, blood glucose level, and apoB/apoA ratio were adjusted for as covariates in the model. Overall, using antihypertensive drugs was associated with a decrease in one DNA-methylation age (PCGrimAge: beta = − 0.39, 95%CI = − 0.67 to − 0.12). When looking into drug subcategories, calcium channel blockers (CCBs) were associated with a decrease in several DNA-methylation ages (PCHorvathAge beta = − 1.28, 95%CI = − 2.34 to − 0.21; PCSkin&bloodAge beta = − 1.34, 95%CI = − 2.61 to − 0.07; PCPhenoAge beta = − 1.74, 95%CI = − 2.58 to − 0.89; PCGrimAge beta = − 0.57, 95%CI = − 0.96 to − 0.17) and in functional biological ages (functional age index beta = − 2.18, 95%CI = − 3.65 to − 0.71; frailty index beta = − 1.31, 95%CI = − 2.43 to − 0.18). However, the results within other drug subcategories were inconsistent. Calcium channel blockers may decrease biological aging captured by the BA biomarkers measured at epigenetic and functional level. Future studies are warranted to confirm these effects and understand the underlying biological mechanisms.

Place, publisher, year, edition, pages
Springer, 2023. Vol. 45, p. 2065-2078
Keywords [en]
Antidiabetic, Antihypertensive, Biomarkers of biological aging, Lipid-lowering medications
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:hj:diva-60165DOI: 10.1007/s11357-023-00784-8ISI: 000966508900001PubMedID: 37032369Scopus ID: 2-s2.0-85152127319Local ID: HOA;intsam;875760OAI: oai:DiVA.org:hj-60165DiVA, id: diva2:1751255
Funder
NIH (National Institutes of Health), AG028555, AG10175, R01 AG04563Swedish Research Council, 2013-2292, 2015-03255, 2018-02077, 2019-01272, 2022-01608, 521-2013-8689, 825-2007-7460, 825-2009- 6141, R01AG067996Konung Gustaf V:s och Drottning Victorias FrimurarestiftelseMagnus Bergvall FoundationForte, Swedish Research Council for Health, Working Life and Welfare, 2009-0795, 97:0147:1BAvailable from: 2023-04-17 Created: 2023-04-17 Last updated: 2023-08-29Bibliographically approved

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