Title
Multiple inflammatory markers and 15-year incident ADL disability in admixed older adults: The Bambui-Epigen Study
Date Issued
01 September 2017
Access level
open access
Resource Type
journal article
Author(s)
Lima-Costa M.F.
Mambrini J.V.M.
Torres K.C.L.
Peixoto S.V.
Andrade F.B.
De Oliveira C.
Teixeira-Carvalho A.
Martins-Filho O.A.
Federal University of Minas Gerais
Publisher(s)
Elsevier Ireland Ltd
Abstract
Background The ability of inflammatory markers to predict disability in later life has received growing attention. However, the current evidence came predominantly from Caucasians and the role of genomic ancestry has not been investigated. Objective We investigated the prognostic value of multiple citokynes and chemokines for incident disability in admixed older Brazilians and whether genomic African and Native American ancestry affects the association. Design Population-based longitudinal study. Setting The Bambui-Epigen (Brazil) Cohort Study of Aging. Subjects 1171 males and females aged ≥60 years over 15-year of follow-up. Methods Outcome examined was incident activity of daily living (ADL) disability assessed annually (10,039 measures were performed). Serum levels of citokynes (IL6, IL12, TNF, IL10, and IL1β) and chemokines (CCL2, CCL5, CXCL8, CXCL9 and CXCL10) were measured at baseline. We used 370,539 Single Nucleotide Polymorphisms (SNPs) to estimate each individual genomic ancestry proportions. Potential confounding variables included a wide range of socio-demographic variables and health indicators. Statistical analyses were based on competing risk framework. Results The incidence rate of disability was 57.9 per 1000 person-years. IL6 level at the highest quartile showed an independent association with ADL disability (SRH = 1.32; 95% CI: 1.03, 1.70). Other inflammatory markers showed no statistically significant associations with the outcome. Neither genomic African nor Native American ancestry had an effect modifier on the associations (P for interaction >0.05 for all). Conclusion Among multi-inflammatory markers, only IL6 had the potential to identify people at increased risk of ADL disability, independently of ethno-racial background.
Start page
103
End page
107
Volume
72
Language
English
OCDE Knowledge area
Epidemiología
Scopus EID
2-s2.0-85020424667
PubMed ID
Source
Archives of Gerontology and Geriatrics
ISSN of the container
01674943
Sources of information: Directorio de Producción Científica Scopus