Evidence map›Paper›PMID 37032369›Full record

ArticleGeroScience2023

Longitudinal associations between use of antihypertensive, antidiabetic, and lipid-lowering medications and biological aging.

Bowen Tang, Xia Li, Yunzhang Wang, Arvid Sjölander, Kristina Johnell, Madhav Thambisetty, Luigi Ferrucci, Chandra A Reynolds, Deborah Finkel, Juulia Jylhävä and 2 more

Open access · hybridAbstract read
In one paragraph

Article in GeroScience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Accelerated epigenetic age in hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Longitudinal associations between medication use and phenotypic aging: insights from the Baltimore longitudinal study of aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Observational
  8. Article
  9. Article
  10. Article
  11. Diet Quality and Epigenetic Aging in the Women's Health Initiative.Journal of the Academy of Nutrition and Dietetics · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
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  18. Review
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 at 5 institutions in 4 countries.

Bowen TangDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77, Stockholm, Sweden.
Xia LiDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77, Stockholm, Sweden.
Yunzhang WangDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Solna, Sweden.
Arvid SjölanderDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77, Stockholm, Sweden.
Kristina JohnellDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77, Stockholm, Sweden.
Madhav ThambisettyBrain Aging and Behavior Section, National Institute on Aging, Baltimore, USA.
Luigi FerrucciLongitudinal Studies Section, National Institute on Aging, Baltimore, USA.
Chandra A ReynoldsDepartment of Psychology, University of California, Riverside, CA, USA.
Deborah FinkelAging Research Network-Jönköping (ARN-J), School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Juulia JylhäväDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77, Stockholm, Sweden.
Nancy L PedersenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77, Stockholm, Sweden.
Sara HäggDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77, Stockholm, Sweden. sara.hagg@ki.se.ORCID 0000-0002-2452-1500
Karolinska Institutet · SENational Institute on Aging · USTampere University · FIUniversity of California, Riverside · USUniversity of Southern California · US

Funding

Repurposing drugs for Alzheimer´s disease using a reverse translational approachRF1AG067996 · NIA · KAROLINSKA INSTITUTE · PI HAGG, SARA · 2021 to 2021
$1.6M
Repurposing drugs for Alzheimer´s disease using a reverse translational approachR01AG067996 · NIA · KAROLINSKA INSTITUTE · PI HAGG, SARA · 2024 to 2025
$973k
NIA NIH HHS R01 AG067996NIA NIH HHS RF1 AG067996
6 · The paper itself

Abstract

Aging is a major risk factor for many chronic diseases. This study aimed to examine the effects of antihypertensive, lipid-lowering, and antidiabetic drugs on biological aging. We included 672 participants and 2746 repeated measurements from the Swedish Adoption/Twin Study of Aging. Self-reported medicine uses were categorized into antidiabetic, antihypertensive, and lipid-lowering drugs. A total of 12 biomarkers for biological aging (BA biomarkers) were included as outcomes. Conditional generalized estimating equations were applied conditioning on individuals to estimate the drug effect on BA biomarker level within the same person when using or not using the drug. Chronological age, body mass index, smoking status, number of multiple medication uses, blood pressure, blood glucose level, and apoB/apoA ratio were adjusted for as covariates in the model. Overall, using antihypertensive drugs was associated with a decrease in one DNA-methylation age (PCGrimAge: beta = - 0.39, 95%CI = - 0.67 to - 0.12). When looking into drug subcategories, calcium channel blockers (CCBs) were associated with a decrease in several DNA-methylation ages (PCHorvathAge beta = - 1.28, 95%CI = - 2.34 to - 0.21; PCSkin&bloodAge beta = - 1.34, 95%CI = - 2.61 to - 0.07; PCPhenoAge beta = - 1.74, 95%CI = - 2.58 to - 0.89; PCGrimAge beta = - 0.57, 95%CI = - 0.96 to - 0.17) and in functional biological ages (functional age index beta = - 2.18, 95%CI = - 3.65 to - 0.71; frailty index beta = - 1.31, 95%CI = - 2.43 to - 0.18). However, the results within other drug subcategories were inconsistent. Calcium channel blockers may decrease biological aging captured by the BA biomarkers measured at epigenetic and functional level. Future studies are warranted to confirm these effects and understand the underlying biological mechanisms.

Indexed as

Antihypertensive AgentsHypertensionAgingCalcium Channel BlockersDNAHumansHypoglycemic AgentsLipidsAntihypertensive AgentsCalcium Channel BlockersDNAHypoglycemic AgentsLipidsAntidiabeticAntihypertensiveBiomarkers of biological agingLipid-lowering medications

Identifiers

PMID37032369
PMCPMC10400489
OpenAlexW4362736512

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.