Socioeconomic position, lifestyle habits and biomarkers of epigenetic aging: a multi-cohort analysis.
Fiorito GItalian Institute for Genomic Medicine (IIGM), Turin, Italy.
McCrory CThe Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin, Ireland.
Robinson OMRC-PHE Centre for Environment and Health, Imperial College London, London, UK.
Carmeli CInstitute of Social and Preventive Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Rosales CODepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Zhang YDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Colicino EIcahn School of Medicine, Mount Sinai, New York, NY 10029, USA.
Dugué PACancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia.
Artaud FCESP, Faculté de Médecine - Université Paris-Sud, Faculté de Médecine, UVSQ, Institut National de la Santé et de la Recherche Médicale, -, Université Paris, Saclay, France.
McKay GJCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Jeong ASwiss Tropical and Public Health Institute, Basel, Switzerland.
Mishra PPDepartment of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, 33520, Finland.
Nøst THDepartment of Community Medicine, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
Krogh VFondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy.
Panico SDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Sacerdote CPiedmont Reference Centre for Epidemiology and Cancer Prevention (CPO Piemonte), Turin, Italy.
Tumino RCancer Registry and Histopathology Department, 'Civic - M. P. Arezzo' Hospital, ASP Ragusa, Ragusa, Italy.
Palli DIstituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO Toscana), Florence, Italy.
Matullo GItalian Institute for Genomic Medicine (IIGM), Turin, Italy.
Guarrera SItalian Institute for Genomic Medicine (IIGM), Turin, Italy.
Bochud MInstitute of Social and Preventive Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Dermitzakis EInstitute of Social and Preventive Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Muka TDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Schwartz JDepartment of Environmental Health and Department of Epidemiology, Harvard T.H. School of Public Health, Boston, MA 02115, USA.
Vokonas PSDepartment of Epidemiology, Boston University School of Public Health, Boston, MA 02115, USA.
Just AIcahn School of Medicine, Mount Sinai, New York, NY 10029, USA.
Hodge AMCancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia.
Giles GGCancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia.
Southey MCCancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia.
Hurme MADepartment of Microbiology and Immunology, Faculty of Medicine and Health Technology, Tampere University, Tampere, 33014, Finland.
Young ICentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
McKnight AJCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Kunze SResearch Unit of Molecular Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Waldenberger MResearch Unit of Molecular Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Peters AResearch Unit of Molecular Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Schwettmann LInstitute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, D-85764, Germany.
Lund EDepartment of Community Medicine, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
Baccarelli ADepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY 10032, USA.
Milne RLCancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia.
Kenny RAThe Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin, Ireland.
Elbaz ACESP, Faculté de Médecine - Université Paris-Sud, Faculté de Médecine, UVSQ, Institut National de la Santé et de la Recherche Médicale, -, Université Paris, Saclay, France.
Brenner HDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Kee FCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Voortman TDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Probst-Hensch NSwiss Tropical and Public Health Institute, Basel, Switzerland.
Lehtimäki TDepartment of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, 33520, Finland.
Elliot PMRC-PHE Centre for Environment and Health, Imperial College London, London, UK.
Stringhini SInstitute of Social and Preventive Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Vineis PMRC-PHE Centre for Environment and Health, Imperial College London, London, UK.
Polidoro SItalian Institute for Genomic Medicine (IIGM), Turin, Italy.
English
Differences in health status by socioeconomic position (SEP) tend to be more evident at older ages, suggesting the involvement of a biological mechanism responsive to the accumulation of deleterious exposures across the lifespan. DNA methylation (DNAm) has been proposed as a biomarker of biological aging that conserves memory of endogenous and exogenous stress during life.We examined the association of education level, as an indicator of SEP, and lifestyle-related variables with four biomarkers of age-dependent DNAm dysregulation: the total number of stochastic epigenetic mutations (SEMs) and three epigenetic clocks (Horvath, Hannum and Levine), in 18 cohorts spanning 12 countries.The four biological aging biomarkers were associated with education and different sets of risk factors independently, and the magnitude of the effects differed depending on the biomarker and the predictor. On average, the effect of low education on epigenetic aging was comparable with those of other lifestyle-related risk factors (obesity, alcohol intake), with the exception of smoking, which had a significantly stronger effect.Our study shows that low education is an independent predictor of accelerated biological (epigenetic) aging and that epigenetic clocks appear to be good candidates for disentangling the biological pathways underlying social inequalities in healthy aging and longevity.