Fiorito · Aging 2019 · multi-cohort observational study · n=?

Socioeconomic position, lifestyle habits and biomarkers of epigenetic aging: a multi-cohort analysis.

Cited 248 times in the scientific literature.

Level 3 - non-randomized controlled study

Multi-cohort observational study across 18 cohorts.

PubMed 31009935 · doi:10.18632/aging.101900 · record verified 2026-08-30

What was done

Analyzed the association of socioeconomic position (measured by education level) and lifestyle risk factors with four biomarkers of age-dependent DNA methylation dysregulation: total number of stochastic epigenetic mutations (SEMs) and three epigenetic clocks (Horvath, Hannum, and Levine). Data were drawn from 18 cohorts spanning 12 countries.

What was found

The abstract reports no numerical data, effect sizes, or confidence intervals. It states that the four biological aging biomarkers were independently associated with education level and distinct risk factors. The effect magnitude of low education on accelerated epigenetic aging was comparable to obesity and alcohol intake, whereas smoking had a significantly stronger effect.

Why it matters

This work links lower educational attainment directly to accelerated biological aging across multiple international cohorts, pointing to epigenetic clocks as candidate biological pathways connecting socioeconomic inequalities to health and longevity.

Limits

The abstract provides no total sample size (n), numerical effect sizes, or confidence intervals. Being an observational multi-cohort analysis, residual confounding and cohort heterogeneity cannot be ruled out, and causal directionality cannot be confirmed.

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