There Are Multiple Clocks That Time Us: Cross-Sectional and Longitudinal Associations Among 14 Alternative Indicators of Age and Aging

Johanna Drewelies*, Jan Homann, Valentin Max Vetter, Sandra Düzel, Simone Kühn, Laura Deecke, Elisabeth Steinhagen-Thiessen, Philippe Jawinski, Sebastian Markett, Ulman Lindenberger, Christina M. Lill, Lars Bertram, Ilja Demuth, Denis Gerstorf

*Corresponding author for this work
2 Citations (Scopus)

Abstract

Aging is a complex process influenced by mechanisms operating at numerous levels of functioning. Multiple biomarkers of age have been identified, yet we know little about how the different alternative age indicators are intertwined. In the Berlin Aging Study II (nmin = 328; nmax = 1 517, women = 51%; 14.27 years of education), we examined how levels and 7-year changes in indicators derived from blood assays, magnetic resonance imaging brain scans, other-ratings, and self-reports converge among older adults. We included 8 epigenetic biomarkers (incl. 5 epigenetic “clocks”), a BioAge composite from clinical laboratory parameters, brain age, skin age, subjective age, subjective life expectancy, and subjective health horizon. We found moderate associations within aging domains, both cross-sectionally and longitudinally over 7 years. However, associations across different domains were infrequent and modest. Notably, participants with older BioAge had correspondingly older epigenetic ages. Our results suggest that different aging clocks are only loosely interconnected and that more specific measures are needed to differentiate healthy from unhealthy aging.

Original languageEnglish
Article numberglae244
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume80
Issue number6
ISSN1079-5006
DOIs
Publication statusPublished - 01.06.2025

Funding

FundersFunder number
Max Planck Institute
Bundesministerium für Bildung und Forschung16SV5536K, 01GL1716B, 01UW0808, 01GL1716A, 16SV5538, 16SV5537, 16SV5837
Deutsche Forschungsgemeinschaft460683900, LI 2654/4-1

    Research Areas and Centers

    • Research Area: Medical Genetics

    DFG Research Classification Scheme

    • 2.23-06 Molecular and Cellular Neurology and Neuropathology

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