Evidence map›Paper›PMID 33532540›Full record

ArticleSSM - population health2021

Accelerated aging: A marker for social factors resulting in cardiovascular events?

Sarah N Forrester, Rachel Zmora, Pamela J Schreiner, David R Jacobs, Veronique L Roger, Roland J Thorpe, Catarina I Kiefe

Open access · goldAbstract read
In one paragraph

Article in SSM - population health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  6. An Update on Neuroaging on Earth and in Spaceflight.International journal of molecular sciences · 2025
    Review
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  8. Article
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  16. Navigating Black Aging: The Biological Consequences of Stress and Depression.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  17. Article
  18. Review
  19. Article
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

7 authors at 4 institutions in 1 country.

Sarah N ForresterUniversity of Massachusetts Medical School, Department of Population and Quantitative Health Sciences, USA.
Rachel ZmoraUniversity of Minnesota School of Public Health, Division of Epidemiology and Community Health, USA.
Pamela J SchreinerUniversity of Minnesota School of Public Health, Division of Epidemiology and Community Health, USA.
David R JacobsUniversity of Minnesota School of Public Health, Division of Epidemiology and Community Health, USA.
Veronique L RogerMayo Clinic, Division of Circulatory Failure, Department of Cardiovascular Medicine, USA.
Roland J ThorpeJohns Hopkins Bloomberg School of Public Health, Department of Health, Behavior, and Society, USA.
Catarina I KiefeUniversity of Massachusetts Medical School, Department of Population and Quantitative Health Sciences, USA.
University of Minnesota · USUniversity of Massachusetts Chan Medical School · USJohns Hopkins University · USWinnMed · US

Funding

University of Massachusetts Center for Clinical and Translational ScienceKL2TR001455 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2015 to 2024
$5.0M
NCATS NIH HHS KL2 TR001455NHLBI NIH HHS HHSN268201800003INHLBI NIH HHS HHSN268201800004INHLBI NIH HHS HHSN268201800005INHLBI NIH HHS HHSN268201800006INHLBI NIH HHS HHSN268201800007I
6 · The paper itself

Abstract

backgroundMedicine and public health are shifting away from a purely "personal responsibility" model of cardiovascular disease (CVD) prevention towards a societal view targeting social and environmental conditions and how these result in disease. Given the strong association between social conditions and CVD outcomes, we hypothesize that accelerated aging, measuring earlier health decline associated with chronological aging through a combination of biomarkers, may be a marker for the association between social conditions and CVD.

methodsWe used data from the Coronary Artery Risk Development in Young Adults study (CARDIA). Accelerated aging was defined as the difference between biological and chronological age. Biological age was derived as a combination of 7 biomarkers (total cholesterol, HDL, glucose, BMI, CRP, FEV1/h

resultsAmong 2978 middle-aged participants, mean (SD) accelerated aging was 3.6 (11.6) years, i.e., the CARDIA cohort appeared to be, on average, 3 years older than its chronological age. Accelerated aging partially mediated the association between social factors and CVD (N=219), stroke (N=36), and mortality (N=59). Accelerated aging mediated 41% of the total effects of racial discrimination on stroke after adjustment for covariates. Accelerated aging also mediated other relationships but to lesser degrees.

conclusionWe provide new evidence that accelerated aging based on easily measurable biomarkers may be a viable marker to partially explain how social factors can lead to cardiovascular outcomes and death.

Indexed as

Accelerated agingCardiovascular diseasePsychosocial stress

Identifiers

PMID33532540
PMCPMC7823205
OpenAlexW3119012793

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.