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Use of incorrect and correct methods to account for age in studies on epigenetic accelerated aging: implications and recommendations for best practices
Journal article   Open access   Peer reviewed

Use of incorrect and correct methods to account for age in studies on epigenetic accelerated aging: implications and recommendations for best practices

Nancy Krieger, Jarvis T Chen, Christian Testa, Ana Diez Roux, Kate Tilling, Sarah Watkins, Andrew J Simpkin, Matthew Suderman, George Davey Smith, Immaculata De Vivo, …
American journal of epidemiology
30 Jan 2023
PMID: 36721372
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/aje/kwad025View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

accelerated aging epigenetic clocks racism ALSPAC, air pollution epigenetic age socioeconomic position DNA methylation
Motivated by our conduct of a literature review on social exposures and accelerated aging as measured by a growing number of epigenetic "clocks" (which estimate age via DNA methylation patterns (DNAm)), we report on three different approaches - 1 incorrect and 2 correct - in the epidemiologic literature on treatment of age in these and other studies using other common exposures (i.e., body mass index and alcohol consumption). Among the 50 empirical articles reviewed, the majority (n = 29; 58%) used the incorrect method of analyzing accelerated aging detrended for age as the outcome and did not control for age as a covariate. By contrast, only 42% used the correct methods, which are either to analyze accelerated aging detrended for age as the outcome and control for age as a covariate (n = 16; 32%), or to analyze raw DNAm age as the outcome and control for age as a covariate (n = 5; 10%). In accord with prior demonstrations of bias introduced by the incorrect approach, we provide simulation analyses and additional empirical analyses to illustrate how the incorrect method can lead to bias to the null, and we discuss implications for extant research and recommendations for best practices.

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Collaboration types
Domestic collaboration
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Web of Science research areas
Public, Environmental & Occupational Health
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