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Pace of Aging analysis of healthspan and lifespan in older adults in the US and UK.

Publication ,  Journal Article
Balachandran, A; Pei, H; Shi, Y; Beard, JR; Caspi, A; Cohen, AA; Domingue, BW; Eckstein Indik, C; Ferrucci, L; Furuya, A; Kothari, M; Ryan, CP ...
Published in: Nature aging
June 2025

As societies age, policy makers need tools to understand how demographic aging will affect population health and to develop programs to increase healthspan. The current metrics used for policy do not distinguish differences caused by early-life factors, like prenatal care and nutrition, from those caused by ongoing changes in people's bodies that are due to aging and that may be modifiable. Here we introduce an adapted Pace of Aging method designed to quantify differences between individuals and populations in the speed of aging-related health declines. The adapted Pace of Aging method, implemented in parallel in data from the US Health and Retirement Study and in the English Longitudinal Study of Aging (combined n = 19,045), integrates longitudinal data on blood biomarkers, physical measurements and functional tests. It reveals stark differences in rates of aging between population subgroups and demonstrates strong and consistent prospective associations with incident morbidity, disability and mortality. This adapted and generalizable method to measure Pace of Aging can advance the population science of healthy longevity.

Duke Scholars

Published In

Nature aging

DOI

EISSN

2662-8465

ISSN

2662-8465

Publication Date

June 2025

Volume

5

Issue

6

Start / End Page

1132 / 1142

Related Subject Headings

  • United States
  • United Kingdom
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Longevity
  • Humans
  • Female
  • Biomarkers
  • Aging
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Balachandran, A., Pei, H., Shi, Y., Beard, J. R., Caspi, A., Cohen, A. A., … Belsky, D. W. (2025). Pace of Aging analysis of healthspan and lifespan in older adults in the US and UK. Nature Aging, 5(6), 1132–1142. https://doi.org/10.1038/s43587-025-00866-6
Balachandran, Arun, Heming Pei, Yifan Shi, John R. Beard, Avshalom Caspi, Alan A. Cohen, Benjamin W. Domingue, et al. “Pace of Aging analysis of healthspan and lifespan in older adults in the US and UK.Nature Aging 5, no. 6 (June 2025): 1132–42. https://doi.org/10.1038/s43587-025-00866-6.
Balachandran A, Pei H, Shi Y, Beard JR, Caspi A, Cohen AA, et al. Pace of Aging analysis of healthspan and lifespan in older adults in the US and UK. Nature aging. 2025 Jun;5(6):1132–42.
Balachandran, Arun, et al. “Pace of Aging analysis of healthspan and lifespan in older adults in the US and UK.Nature Aging, vol. 5, no. 6, June 2025, pp. 1132–42. Epmc, doi:10.1038/s43587-025-00866-6.
Balachandran A, Pei H, Shi Y, Beard JR, Caspi A, Cohen AA, Domingue BW, Eckstein Indik C, Ferrucci L, Furuya A, Kothari M, Moffitt TE, Ryan CP, Skirbekk V, Zhang YS, Belsky DW. Pace of Aging analysis of healthspan and lifespan in older adults in the US and UK. Nature aging. 2025 Jun;5(6):1132–1142.

Published In

Nature aging

DOI

EISSN

2662-8465

ISSN

2662-8465

Publication Date

June 2025

Volume

5

Issue

6

Start / End Page

1132 / 1142

Related Subject Headings

  • United States
  • United Kingdom
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Longevity
  • Humans
  • Female
  • Biomarkers
  • Aging