Metabolic syndrome and epigenetic aging: a twin study

Int J Obes (Lond)Published Twin study

Authors' conclusion

The results of this study suggests that MetS is associated with accelerated epigenetic aging, independent of physical activity, smoking or alcohol consumption, and that the association may be explained by genetics.

Study context

Population
Twins and unrelated individuals aged 23–69 years; replication in unrelated individuals and twins from the same base populationdiscovery cohorts · replication in unrelated individuals 1,564 · twins 293
Participants
268 twins
Comparison
Metabolic syndrome (MetS) vs no MetS
  • MetSn = 56
  • No MetSn = 212reference
Outcome
Epigenetic age acceleration from blood DNA methylation (GrimAge, DunedinPACE)
Methodological detailstwo independent discovery cohorts, two replication cohorts, within-twin-pair fixed-effects analyses
  • Two independent discovery cohorts
  • Two replication cohorts
  • Within-twin-pair fixed-effects analyses

Main finding

As reported in the abstract

GrimAge age acceleration

MetS

2.078

mean · 95% CI 0.996,3.160 · years

No MetS

−0.549

mean · CI −1.053,–0.045 · years

Between-group p = 3.5E-5

Further findings

DunedinPACE · higher with MetS

P = 4.8E-11

Lifestyle adjustment and within-twin-pair analyses

Adverse MetS component profile associated with accelerated aging; lifestyle adjustment attenuated associations, which remained significant for DunedinPACE
Within-twin-pair analyses: genetics explains associations fully for GrimAge and partly for DunedinPACE
Replication: association independent of lifestyle factors considered; genetics a significant confounder

Original publication

Metabolic syndrome and epigenetic aging: a twin study. Int J Obes (Lond). Published 25 January 2024. doi:10.1038/s41366-024-01466-x

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