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Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study
The deterioration of the cardiovascular system is a process associated with aging. Most of the prior works have examined changes in cardiometabolic risk (CMR) while aging at the population level using cross-sectional data, but we study within-person changes for total CMR and separate risk factors, i...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742585/ http://dx.doi.org/10.1093/geroni/igaa057.1386 |
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author | Wu, Qiao Crimmins, Eileen Ailshire, Jennifer Kim, Jung Ki Zhao, Erfei |
author_facet | Wu, Qiao Crimmins, Eileen Ailshire, Jennifer Kim, Jung Ki Zhao, Erfei |
author_sort | Wu, Qiao |
collection | PubMed |
description | The deterioration of the cardiovascular system is a process associated with aging. Most of the prior works have examined changes in cardiometabolic risk (CMR) while aging at the population level using cross-sectional data, but we study within-person changes for total CMR and separate risk factors, including pulse pressure, resting heart rate, C-reactive protein, glycosylated hemoglobin (HbA1c), high-density lipoprotein cholesterol, total cholesterol, waist circumference, and obesity. We examine 8-year changes (from 2006 to 2014) among respondents from the Health and Retirement Study biomarker sample (n=19,776). We use growth curve models to identify differences at baseline and the changes while aging, by age, gender, race/ethnicity, and education. Blacks, the old-old, the less educated, and current smokers have higher baseline CMR. The total CMR increases while people age over 8 years. HbA1c, waist circumference, and pulse pressure increase significantly with age. A reduction in total cholesterol can be observed and is likely due to medication. The CMR increase is no longer significant after accounting for socioeconomic status. The next step of this study is to focus on the disparity of risk distribution, in order to identify the individuals that are most in need of specific care and support. |
format | Online Article Text |
id | pubmed-7742585 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77425852020-12-21 Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study Wu, Qiao Crimmins, Eileen Ailshire, Jennifer Kim, Jung Ki Zhao, Erfei Innov Aging Abstracts The deterioration of the cardiovascular system is a process associated with aging. Most of the prior works have examined changes in cardiometabolic risk (CMR) while aging at the population level using cross-sectional data, but we study within-person changes for total CMR and separate risk factors, including pulse pressure, resting heart rate, C-reactive protein, glycosylated hemoglobin (HbA1c), high-density lipoprotein cholesterol, total cholesterol, waist circumference, and obesity. We examine 8-year changes (from 2006 to 2014) among respondents from the Health and Retirement Study biomarker sample (n=19,776). We use growth curve models to identify differences at baseline and the changes while aging, by age, gender, race/ethnicity, and education. Blacks, the old-old, the less educated, and current smokers have higher baseline CMR. The total CMR increases while people age over 8 years. HbA1c, waist circumference, and pulse pressure increase significantly with age. A reduction in total cholesterol can be observed and is likely due to medication. The CMR increase is no longer significant after accounting for socioeconomic status. The next step of this study is to focus on the disparity of risk distribution, in order to identify the individuals that are most in need of specific care and support. Oxford University Press 2020-12-16 /pmc/articles/PMC7742585/ http://dx.doi.org/10.1093/geroni/igaa057.1386 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstracts Wu, Qiao Crimmins, Eileen Ailshire, Jennifer Kim, Jung Ki Zhao, Erfei Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study |
title | Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study |
title_full | Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study |
title_fullStr | Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study |
title_full_unstemmed | Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study |
title_short | Cardiometabolic Risk and Biomarker Trajectories Among Older Adults: Findings From the Health and Retirement Study |
title_sort | cardiometabolic risk and biomarker trajectories among older adults: findings from the health and retirement study |
topic | Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742585/ http://dx.doi.org/10.1093/geroni/igaa057.1386 |
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