Evidence map›Paper›PMID 20008378›Full record

ArticleBMJ (Clinical research ed.)2009

Perceived age as clinically useful biomarker of ageing: cohort study.

Kaare Christensen, Mikael Thinggaard, Matt McGue, Helle Rexbye, Jacob V B Hjelmborg, Abraham Aviv, David Gunn, Frans van der Ouderaa, James W Vaupel

Abstract readTwin Study
In one paragraph

Article in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Is looking older than one's actual age a sign of poor health?Journal of general internal medicine · 2011
    Trial
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  10. IncreasedGeroScience · 2025
    Article
  11. [The impact of diabetes on aesthetic procedures].Dermatologie (Heidelberg, Germany) · 2025
    Review
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  15. Facial aging, cognitive impairment, and dementia risk.Alzheimer's research & therapy · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Applications of artificial intelligence in dementia.Geriatrics & gerontology international · 2024
    Review
  20. Skinly: A novel handheld IoT device for validating biophysical skin characteristics.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kaare ChristensenDanish Twin Registry and Danish Aging Research Center, Institute of Public Health, University of Southern Denmark, DK-5000 Odense C, Denmark. kchristensen@health.sdu.dk
Mikael Thinggaard
Matt McGue
Helle Rexbye
Jacob V B Hjelmborg
Abraham Aviv
David Gunn
Frans van der Ouderaa
James W Vaupel

Funding

TRAJECTORIES OF MORTALITY IN CAENORHABDITIS ELEGANSP01AG008761 · NIA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ROACH, DEBORAH A · 1990 to 2008
$17.5M
NIA NIH HHS P01 AG008761
6 · The paper itself

Abstract

objectiveTo determine whether perceived age correlates with survival and important age related phenotypes.

designFollow-up study, with survival of twins determined up to January 2008, by which time 675 (37%) had died.

settingPopulation based twin cohort in Denmark.

participants20 nurses, 10 young men, and 11 older women (assessors); 1826 twins aged >or=70.

main outcome measuresAssessors: perceived age of twins from photographs. Twins: physical and cognitive tests and molecular biomarker of ageing (leucocyte telomere length).

resultsFor all three groups of assessors, perceived age was significantly associated with survival, even after adjustment for chronological age, sex, and rearing environment. Perceived age was still significantly associated with survival after further adjustment for physical and cognitive functioning. The likelihood that the older looking twin of the pair died first increased with increasing discordance in perceived age within the twin pair-that is, the bigger the difference in perceived age within the pair, the more likely that the older looking twin died first. Twin analyses suggested that common genetic factors influence both perceived age and survival. Perceived age, controlled for chronological age and sex, also correlated significantly with physical and cognitive functioning as well as with leucocyte telomere length.

conclusionPerceived age-which is widely used by clinicians as a general indication of a patient's health-is a robust biomarker of ageing that predicts survival among those aged >or=70 and correlates with important functional and molecular ageing phenotypes.

Indexed as

Age FactorsAdultAgedAged, 80 and overAgingAttitude to HealthCognitionDenmarkFemaleHand StrengthHumansLeukocytesLongitudinal StudiesMaleMiddle AgedMortality

Identifiers

PMID20008378
PMCPMC2792675

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.