The association of biological age and its trajectory with incident heart failure: a cohort study from China

Yuhao Hu1,2, Huayu Sun2,3,4, Chenrui Zhu2

  • 1Hebei North University, Zhangjiakou, Hebei, China.

PubMed

Insights

Accelerated biological aging increases heart failure (HF) risk, while decelerated aging reduces it. Consistently high biological age (BA) poses the greatest HF risk.

Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Biostatistics

Background:

  • Biological age (BA) estimation using clinical parameters shows promise in predicting cardiovascular diseases.
  • Limited evidence exists linking BA and its trajectories to heart failure (HF) incidence.
  • This study addresses this gap by investigating the association between clinical-parameter-based BA, its trajectories, and incident HF.

Purpose of the Study:

  • To develop a clinical-parameter-based biological age (BA) model.
  • To examine the association between baseline BA status and incident heart failure (HF).
  • To investigate the impact of different biological age trajectories on HF risk.

Main Methods:

  • Utilized data from 76,908 Chinese adults in the Kailuan Study (2006-2007).
  • Employed a deep neural network model to estimate BA from 32 clinical indicators.
  • Analyzed baseline aging status (decelerated, accelerated, normal) and six aging trajectories using Cox proportional hazard models.

Main Results:

  • Accelerated aging was associated with a 30% increased HF risk (HR: 1.30).
  • A high-stable aging trajectory showed the highest HF risk (HR: 1.79).
  • A high-descending trajectory was linked to a reduced HF risk compared to the high-stable trajectory (HR: 0.74).

Conclusions:

  • Accelerated biological aging is a significant risk factor for heart failure (HF).
  • Decelerated biological aging is associated with a reduced risk of HF.
  • Individuals with consistently high biological age exhibit the highest risk for developing HF.
Abstract

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