Associations of circulating GDF15 with combined cognitive frailty and depression in older adults of the MARK-AGE study

Growth differentiation factor-15 (GDF15) might be involved in the development of cognitive frailty and depression. Therefore, we evaluated cross-sectional associations of plasma GDF15 with combined cognitive-frailty-and-depression in older (i.e. ≥ 55 years) and younger adults of the MARK-AGE study....

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Veröffentlicht in:GeroScience 2024-04, Vol.46 (2), p.1657-1669
Hauptverfasser: Kochlik, Bastian, Herpich, Catrin, Moreno-Villanueva, María, Klaus, Susanne, Müller-Werdan, Ursula, Weinberger, Birgit, Fiegl, Simone, Toussaint, Olivier, Debacq-Chainiaux, Florence, Schön, Christiane, Bernhard, Jürgen, Breusing, Nicolle, Gonos, Efstathios S., Franceschi, Claudio, Capri, Miriam, Sikora, Ewa, Hervonen, Antti, Hurme, Mikko, Slagboom, P. Eline, Dollé, Martijn E. T., Jansen, Eugene, Grune, Tilman, Bürkle, Alexander, Norman, Kristina
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container_issue 2
container_start_page 1657
container_title GeroScience
container_volume 46
creator Kochlik, Bastian
Herpich, Catrin
Moreno-Villanueva, María
Klaus, Susanne
Müller-Werdan, Ursula
Weinberger, Birgit
Fiegl, Simone
Toussaint, Olivier
Debacq-Chainiaux, Florence
Schön, Christiane
Bernhard, Jürgen
Breusing, Nicolle
Gonos, Efstathios S.
Franceschi, Claudio
Capri, Miriam
Sikora, Ewa
Hervonen, Antti
Hurme, Mikko
Slagboom, P. Eline
Dollé, Martijn E. T.
Jansen, Eugene
Grune, Tilman
Bürkle, Alexander
Norman, Kristina
description Growth differentiation factor-15 (GDF15) might be involved in the development of cognitive frailty and depression. Therefore, we evaluated cross-sectional associations of plasma GDF15 with combined cognitive-frailty-and-depression in older (i.e. ≥ 55 years) and younger adults of the MARK-AGE study. In the present work, samples and data of MARK-AGE (“European study to establish bioMARKers of human AGEing“) participants ( N  = 2736) were analyzed. Cognitive frailty was determined by the global cognitive functioning score (GCF) and depression by the Self-Rating Depression Scale (SDS score). Adults were classified into three groups: (I) neither-cognitive-frailty-nor-depression, (II) either-cognitive-frailty-or-depression or (III) both-cognitive-frailty-and-depression. Cross-sectional associations were determined by unadjusted and by age, BMI, sex, comorbidities and hsCRP-adjusted linear and logistic regression analyses. Cognitive frailty, depression, age and GDF15 were significantly related within the whole study sample. High GDF15 levels were significantly associated with both-cognitive-frailty-and-depression (adjusted β = 0.177 [0.044 – 0.310], p  = 0.009), and with low GCF scores and high SDS scores. High GDF15 concentrations and quartiles were significantly associated with higher odds to have both-cognitive-frailty-and-depression (adjusted odds ratio = 2.353 [1.267 – 4.372], p  = 0.007; and adjusted odds ratio = 1.414 [1.025 – 1.951], p  = 0.035, respectively) independent of age, BMI, sex, comorbidities and hsCRP. These associations remained significant when evaluating older adults. We conclude that plasma GDF15 concentrations are significantly associated with combined cognitive-frailty-and-depression status and, with cognitive frailty and depressive symptoms separately in old as well as young community-dwelling adults.
doi_str_mv 10.1007/s11357-023-00902-6
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In the present work, samples and data of MARK-AGE (“European study to establish bioMARKers of human AGEing“) participants ( N  = 2736) were analyzed. Cognitive frailty was determined by the global cognitive functioning score (GCF) and depression by the Self-Rating Depression Scale (SDS score). Adults were classified into three groups: (I) neither-cognitive-frailty-nor-depression, (II) either-cognitive-frailty-or-depression or (III) both-cognitive-frailty-and-depression. Cross-sectional associations were determined by unadjusted and by age, BMI, sex, comorbidities and hsCRP-adjusted linear and logistic regression analyses. Cognitive frailty, depression, age and GDF15 were significantly related within the whole study sample. High GDF15 levels were significantly associated with both-cognitive-frailty-and-depression (adjusted β = 0.177 [0.044 – 0.310], p  = 0.009), and with low GCF scores and high SDS scores. High GDF15 concentrations and quartiles were significantly associated with higher odds to have both-cognitive-frailty-and-depression (adjusted odds ratio = 2.353 [1.267 – 4.372], p  = 0.007; and adjusted odds ratio = 1.414 [1.025 – 1.951], p  = 0.035, respectively) independent of age, BMI, sex, comorbidities and hsCRP. These associations remained significant when evaluating older adults. 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Cognitive frailty was determined by the global cognitive functioning score (GCF) and depression by the Self-Rating Depression Scale (SDS score). Adults were classified into three groups: (I) neither-cognitive-frailty-nor-depression, (II) either-cognitive-frailty-or-depression or (III) both-cognitive-frailty-and-depression. Cross-sectional associations were determined by unadjusted and by age, BMI, sex, comorbidities and hsCRP-adjusted linear and logistic regression analyses. Cognitive frailty, depression, age and GDF15 were significantly related within the whole study sample. High GDF15 levels were significantly associated with both-cognitive-frailty-and-depression (adjusted β = 0.177 [0.044 – 0.310], p  = 0.009), and with low GCF scores and high SDS scores. High GDF15 concentrations and quartiles were significantly associated with higher odds to have both-cognitive-frailty-and-depression (adjusted odds ratio = 2.353 [1.267 – 4.372], p  = 0.007; and adjusted odds ratio = 1.414 [1.025 – 1.951], p  = 0.035, respectively) independent of age, BMI, sex, comorbidities and hsCRP. These associations remained significant when evaluating older adults. 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Eline</au><au>Dollé, Martijn E. T.</au><au>Jansen, Eugene</au><au>Grune, Tilman</au><au>Bürkle, Alexander</au><au>Norman, Kristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of circulating GDF15 with combined cognitive frailty and depression in older adults of the MARK-AGE study</atitle><jtitle>GeroScience</jtitle><stitle>GeroScience</stitle><addtitle>Geroscience</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>46</volume><issue>2</issue><spage>1657</spage><epage>1669</epage><pages>1657-1669</pages><issn>2509-2723</issn><issn>2509-2715</issn><eissn>2509-2723</eissn><abstract>Growth differentiation factor-15 (GDF15) might be involved in the development of cognitive frailty and depression. Therefore, we evaluated cross-sectional associations of plasma GDF15 with combined cognitive-frailty-and-depression in older (i.e. ≥ 55 years) and younger adults of the MARK-AGE study. In the present work, samples and data of MARK-AGE (“European study to establish bioMARKers of human AGEing“) participants ( N  = 2736) were analyzed. Cognitive frailty was determined by the global cognitive functioning score (GCF) and depression by the Self-Rating Depression Scale (SDS score). Adults were classified into three groups: (I) neither-cognitive-frailty-nor-depression, (II) either-cognitive-frailty-or-depression or (III) both-cognitive-frailty-and-depression. Cross-sectional associations were determined by unadjusted and by age, BMI, sex, comorbidities and hsCRP-adjusted linear and logistic regression analyses. Cognitive frailty, depression, age and GDF15 were significantly related within the whole study sample. High GDF15 levels were significantly associated with both-cognitive-frailty-and-depression (adjusted β = 0.177 [0.044 – 0.310], p  = 0.009), and with low GCF scores and high SDS scores. High GDF15 concentrations and quartiles were significantly associated with higher odds to have both-cognitive-frailty-and-depression (adjusted odds ratio = 2.353 [1.267 – 4.372], p  = 0.007; and adjusted odds ratio = 1.414 [1.025 – 1.951], p  = 0.035, respectively) independent of age, BMI, sex, comorbidities and hsCRP. These associations remained significant when evaluating older adults. We conclude that plasma GDF15 concentrations are significantly associated with combined cognitive-frailty-and-depression status and, with cognitive frailty and depressive symptoms separately in old as well as young community-dwelling adults.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37715843</pmid><doi>10.1007/s11357-023-00902-6</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-8614-1044</orcidid><orcidid>https://orcid.org/0000-0002-7084-946X</orcidid><orcidid>https://orcid.org/0000-0002-1111-1748</orcidid><orcidid>https://orcid.org/0000-0003-4775-9973</orcidid><orcidid>https://orcid.org/0000-0003-3949-395X</orcidid><orcidid>https://orcid.org/0000-0001-9841-6386</orcidid><orcidid>https://orcid.org/0000-0002-2875-4723</orcidid><orcidid>https://orcid.org/0000-0003-4440-8991</orcidid><orcidid>https://orcid.org/0000-0003-0214-7092</orcidid><orcidid>https://orcid.org/0000-0001-6137-6544</orcidid><orcidid>https://orcid.org/0000-0002-3151-5897</orcidid><orcidid>https://orcid.org/0000-0003-2029-9102</orcidid><orcidid>https://orcid.org/0000-0001-9077-0401</orcidid><orcidid>https://orcid.org/0000-0003-3787-5268</orcidid><orcidid>https://orcid.org/0000-0003-1069-2656</orcidid><orcidid>https://orcid.org/0000-0003-3059-1705</orcidid><orcidid>https://orcid.org/0000-0001-8726-185X</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 2509-2723
ispartof GeroScience, 2024-04, Vol.46 (2), p.1657-1669
issn 2509-2723
2509-2715
2509-2723
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10828354
source MEDLINE; SpringerLink Journals; PubMed Central; Alma/SFX Local Collection
subjects Age
Aged
Aging
Biomedical and Life Sciences
C-Reactive Protein
Cell Biology
Cognition
Cognitive ability
Comorbidity
Cross-Sectional Studies
Depression - epidemiology
Frail Elderly - psychology
Frailty
Geriatrics/Gerontology
Growth Differentiation Factor 15
Humans
Life Sciences
Mental depression
Molecular Medicine
Older people
Original
Original Article
title Associations of circulating GDF15 with combined cognitive frailty and depression in older adults of the MARK-AGE study
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