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Exploring DNA methylation age and the influence of physical performance, and hypertension on frailty in elderly women

Lookup NU author(s): Dr Timothy Barrow, Professor Viktor KorolchukORCiD, Chanachai Sae-Lee

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© The Author(s) 2025. Epigenetic age provides a reliable biomarker for biological aging, reflecting the cumulative impact on health over time. Frailty is common among elderly individuals and is further compounded by hypertension, which increases the risk associated with aging. Therefore, we examined the relationship between epigenetic aging and frailty in a non-Western population and explored synergistic effects of frailty and hypertension on epigenetic age. Thai women (60–80 years) were assessed for physical, blood, and biochemical parameters. Age acceleration (AA) residuals were derived to explore deviations between chronological and epigenetic age. We classified 126 participants into robust, pre-frail, and frail groups based on the Fried phenotype and Kihon Checklist. GrimAge1 and GrimAge2 outperformed other epigenetic age estimators in terms of correlation with frailty status. Furthermore, these age models were significantly correlated with physical performance tests. AA varied significantly among groups, with robust individuals having lower Grim1AA and Grim2AA levels than pre-frail individuals. Furthermore, hypertensive participants with pre-frail had significantly different levels of Grim1AA and Grim2AA compared to robust without hypertension. Our findings reveal a complex relationship among frailty, epigenetic age, physical performances, and hypertension. Grim2Age exhibits a strong correlation with chronological age and shows accelerated AA in frail individuals, particularly those with hypertension.


Publication metadata

Author(s): Chitta P, Barrow TM, Pratumvinit B, Dawangpa A, Kaewboonruang W, Khamrangsee S, Korolchuk VI, Sae-Lee C

Publication type: Article

Publication status: Published

Journal: Scientific Reports

Year: 2025

Volume: 15

Online publication date: 01/08/2025

Acceptance date: 22/07/2025

Date deposited: 19/08/2025

ISSN (electronic): 2045-2322

Publisher: Springer Nature

URL: https://doi.org/10.1038/s41598-025-13175-0

DOI: 10.1038/s41598-025-13175-0

Data Access Statement: Data related to epigenetic clock calculations are available from the corresponding author upon reasonable request.

PubMed id: 40745373


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Funding

Funder referenceFunder name
National Research Council of Thailand [grant number N34A660389]
Siriraj Research Development Fund (IO) [grant number R016633018], Faculty of Medicine Siriraj Hospital, Mahidol University

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