Lipids & metabolic liver disease

Dyslipidemia and aging: the non-linear association between atherogenic index of plasma (AIP) and aging acceleration

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

An elevated AIP was notably and positively correlated with accelerated aging

Study context

Population
US adults aged over 20 years from National Health and Nutrition Examination Survey (NHANES)
Participants
4,471 adults
Exposure
Association between AIP and PhenoAgeAccel
Outcome
Biological aging assessed by phenotypic age acceleration (PhenoAgeAccel)
Methodological detailsNHANES database, multivariable linear regression, restricted cubic spline, mediation analysis, network pharmacology
  • NHANES database
  • Multivariable linear regression
  • Restricted cubic spline
  • Mediation analysis
  • Network pharmacology

Main finding

As reported in the abstract

PhenoAgeAccel per one unit increase of AIP

β per one unit increase of AIP, fully adjusted model

1.820

95% CI 1.085–2.556

Observational data: associations, not effects.

Further findings

Nonlinear relationship between AIP and PhenoAgeAccel (restricted cubic spline (RCS); threshold and saturation effect analysis)

Inflection point for AIP
−0.043
β before inflection point
6.550 (95% CI: 5.070-8.030)
β after inflection point
3.898 (95% CI: 2.474-5.322)

Mediation by homeostatic model assessment of insulin resistance (HOMA-IR) of the AIP–PhenoAgeAccel association

Proportion mediated by HOMA-IR
39.21%

Overall population characteristics (median)

Chronological age, years
49 (35-64)
PhenoAge, years
42.85 (27.30-59.68)
PhenoAgeAccel, years
- 6.92 (- 10.52 to −2.46)

Network pharmacology

Core targets INS, APOE, APOB, IL6, IL10, PPARG, MTOR, ACE, PPARGC1A and SERPINE1, linked to AMPK, apelin, JAK-STAT, FoxO pathways

Original publication

Dyslipidemia and aging: the non-linear association between atherogenic index of plasma (AIP) and aging acceleration. Cardiovasc Diabetol. Published 25 April 2025. doi:10.1186/s12933-025-02695-8

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