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Vascular ageing in relation to chronological and self-perceived age in the general Swedish population

Johansson, Madeleine LU orcid ; Söderberg, Stefan ; Nilsson, Peter M. LU and Nordendahl, Maria (2024) In Scandinavian Cardiovascular Journal 58(1).
Abstract
Background. Aortic stiffness is a marker of vascular ageing. Non-conventional risk markers reflecting vascular ageing are largely unexplored. We aimed to investigate the relationship between self-perceived age (SPA) and self-rated health (SRH) with aortic stiffness in the general population.

Methods. Cross-sectional assessment of 3760 participants from two Swedish population-based cohorts (mean age 43.5 ± 14.5 years, 53.4% women). Participants completed two self-administered questions about SPA (SPA-self referring to SPA perceived by oneself, and SPA-others referring to SPA perceived by others) graded as: younger, no difference, or older than same-aged/sex peers. SRH was graded as poor versus good. Aortic stiffness (vascular... (More)
Background. Aortic stiffness is a marker of vascular ageing. Non-conventional risk markers reflecting vascular ageing are largely unexplored. We aimed to investigate the relationship between self-perceived age (SPA) and self-rated health (SRH) with aortic stiffness in the general population.

Methods. Cross-sectional assessment of 3760 participants from two Swedish population-based cohorts (mean age 43.5 ± 14.5 years, 53.4% women). Participants completed two self-administered questions about SPA (SPA-self referring to SPA perceived by oneself, and SPA-others referring to SPA perceived by others) graded as: younger, no difference, or older than same-aged/sex peers. SRH was graded as poor versus good. Aortic stiffness (vascular ageing) was assessed by carotid–femoral pulse wave velocity (PWV). Linear regression was performed stratified by the median age of 45 years.

Results. Chronologically younger men and women ≤45 years with older SPA-others had unexpectedly lower PWV (β − 0.39, p < .001 and β − 0.40, p < .001, respectively), independently of cardiovascular risk factors and social health determinants, compared with subjects with younger SPA-others. Lower PWV was also observed in women ≤45 years with older SPA-self (β − 0.24 m/s, p = .005) compared with younger SPA-self, but not in men. A similar pattern between SPA-self, SPA-others and PWV was found in chronologically younger subjects ≤45 years reporting good SRH. On the contrary, chronologically older subjects >45 years reporting poor SRH, with older SPA-others had increased vascular ageing (PWV β 2.57, p = .03).

Conclusions. Self-perceived age is a subjective cognitive variable inversely associated with vascular ageing particularly among chronologically younger adults ≤45 years. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Cardiovascular Journal
volume
58
issue
1
article number
2430078
publisher
Taylor & Francis
external identifiers
  • scopus:85209921848
  • pmid:39565181
ISSN
1651-2006
DOI
10.1080/14017431.2024.2430078
project
Vascular Ageing and Arterial Stiffness in the Swedish Population
language
English
LU publication?
yes
id
4966586c-bf9e-4b65-8ce1-6a57fd7be3cb
date added to LUP
2024-11-20 21:53:30
date last changed
2025-04-04 15:21:43
@article{4966586c-bf9e-4b65-8ce1-6a57fd7be3cb,
  abstract     = {{Background. Aortic stiffness is a marker of vascular ageing. Non-conventional risk markers reflecting vascular ageing are largely unexplored. We aimed to investigate the relationship between self-perceived age (SPA) and self-rated health (SRH) with aortic stiffness in the general population. <br/><br/>Methods. Cross-sectional assessment of 3760 participants from two Swedish population-based cohorts (mean age 43.5 ± 14.5 years, 53.4% women). Participants completed two self-administered questions about SPA (SPA-self referring to SPA perceived by oneself, and SPA-others referring to SPA perceived by others) graded as: younger, no difference, or older than same-aged/sex peers. SRH was graded as poor versus good. Aortic stiffness (vascular ageing) was assessed by carotid–femoral pulse wave velocity (PWV). Linear regression was performed stratified by the median age of 45 years. <br/><br/>Results. Chronologically younger men and women ≤45 years with older SPA-others had unexpectedly lower PWV (β − 0.39, p &lt; .001 and β − 0.40, p &lt; .001, respectively), independently of cardiovascular risk factors and social health determinants, compared with subjects with younger SPA-others. Lower PWV was also observed in women ≤45 years with older SPA-self (β − 0.24 m/s, p = .005) compared with younger SPA-self, but not in men. A similar pattern between SPA-self, SPA-others and PWV was found in chronologically younger subjects ≤45 years reporting good SRH. On the contrary, chronologically older subjects &gt;45 years reporting poor SRH, with older SPA-others had increased vascular ageing (PWV β 2.57, p = .03). <br/><br/>Conclusions. Self-perceived age is a subjective cognitive variable inversely associated with vascular ageing particularly among chronologically younger adults ≤45 years.}},
  author       = {{Johansson, Madeleine and Söderberg, Stefan and Nilsson, Peter M. and Nordendahl, Maria}},
  issn         = {{1651-2006}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{1}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Cardiovascular Journal}},
  title        = {{Vascular ageing in relation to chronological and self-perceived age in the general Swedish population}},
  url          = {{http://dx.doi.org/10.1080/14017431.2024.2430078}},
  doi          = {{10.1080/14017431.2024.2430078}},
  volume       = {{58}},
  year         = {{2024}},
}