Evidence map›Paper›PMID 36721372›Full record

ReviewAmerican journal of epidemiology2023

Use of Correct and Incorrect Methods of Accounting for Age in Studies of 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 and 2 more

Abstract readReview
In one paragraph

Review in American journal of epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–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

37 citing papers in PubMed.

  1. Article
  2. Article
  3. Epigenetic age acceleration and mortality among persons with poorly controlled HIV.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  4. Article
  5. Article
  6. Grandparent caregiving and epigenetic aging among midlife and older adults in the United States.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  7. Observational
  8. Article
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  11. Article
  12. Article
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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

12 authors.

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
Pamela D Waterman
Caroline Relton

Funding

DNA methylation & adversity: pathways from exposures to health inequitiesR01MD014304 · NIMHD · HARVARD SCHOOL OF PUBLIC HEALTH · PI KRIEGER, NANCY, RELTON, CAROLINE LAURA · 2019 to 2022
$2.3M
Biotechnology and Biological Sciences Research Council BB/I025263/1Biotechnology and Biological Sciences Research Council BBI025751/1Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00032/1Medical Research Council MC_UU_00032/4Medical Research Council MC_UU_12013/2Medical Research Council MC_UU_12013/8Medical Research Council MRC_UU_12013/9NIMHD NIH HHS R01 MD014304Wellcome TrustWellcome Trust 217065/Z/19/Z
6 · The paper itself

Abstract

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 (DNAm) patterns), we report on 3 different approaches in the epidemiologic literature-1 incorrect and 2 correct-on the 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 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 use of the incorrect approach, we provide simulation analyses and additional empirical analyses to illustrate how the incorrect method can lead to bias towards the null, and we discuss implications for extant research and recommendations for best practices.

Indexed as

AgingEpigenesis, GeneticBody Mass IndexDNA MethylationEpigenomicsHumansaccelerated agingair pollutionAvon Longitudinal Study of Parents and Children, DNA methylationepigenetic ageepigenetic clocksracismsocioeconomic position

Identifiers

PMID36721372
PMCPMC10160768

What OpenQuestion holds

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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.