Cross-sectionally Calculated Metabolic Aging Does Not Relate to Longitudinal Metabolic Changes—Support for Stratified Aging Models

J Clin Endocrinol MetabPublished Cohort study with machine learning modelling and longitudinal validation

Authors' conclusion

The finding is unexpected under the clock hypothesis that would produce a positive correlation between predicted and observed aging. Our results are better explained by a stratified model where aging rates per se are similar in adulthood but differences in starting points explain diverging metabolic fates.

Study context

Population
Training: cross-sectional surveys of the Finnish population (n = 9708; ages 25–74 years); validation: Young Finns Study (YFS; n = 1009; ages 24–49 years)
Comparison
Cross-sectionally predicted metabolic age vs longitudinally observed metabolic aging rate
Outcome
Correlation between predicted metabolic age (2007) and observed aging rate (2001 to 2011 visit)
Follow-up
2001 to 2011
Methodological detailscross-sectional training data, 3 time points across 10 years, Machine learning model trained to predict age from 153 clinical and cardiometabolic traits; tested against longitudinal data from another cohort
  • Cross-sectional training data
  • 3 time points across 10 years
  • Machine learning model trained to predict age from 153 clinical and cardiometabolic traits; tested against longitudinal data from another cohort

Performance

As reported in the abstract

Correlation of predicted vs observed metabolic aging

Cross-sectional proxy failed to predict longitudinal observations, R2

0.018%

P = 0.67

Original publication

Cross-sectionally Calculated Metabolic Aging Does Not Relate to Longitudinal Metabolic Changes—Support for Stratified Aging Models. J Clin Endocrinol Metab. Published 20 January 2023. doi:10.1210/clinem/dgad032

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