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Combinations of biomarkers predictive of later life mortality.

Combinations of biomarkers predictive of later life mortality. Research Abstract Details 

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  • Combinations of biomarkers predictive of later life mortality. Abstract Text:

    tara l gruenewaldTara L Gruenewald,teresa e seemanTeresa E Seeman,carol d ryffCarol D Ryff,arun s karlamanglaArun S Karlamangla,burton h singerBurton H Singer,

    A wide range of biomarkers, reflecting activity in a number of biological systems (e.g., neuroendocrine, immune, cardiovascular, and metabolic), have been found to prospectively predict disability, morbidity, and mortality outcomes in older adult populations. Levels of these biomarkers, singly or in combination, may serve as an early warning system of risk for future adverse health outcomes. In the current investigation, 13 biomarkers were examined as predictors of mortality occurrence over a 12-year period in a sample of men and women (n = 1,189) 70-79 years of age at enrollment into the study. Biomarkers examined in analyses included markers of neuroendocrine functioning (epinephrine, norepinephrine, cortisol, and dehydroepiandrosterone), immune activity (C-reactive protein, fibrinogen, IL-6, and albumin), cardiovascular functioning (systolic and diastolic blood pressure), and metabolic activity [high-density lipoprotein (HDL) cholesterol, total to HDL cholesterol ratio, and glycosylated hemoglobin]. Recursive partitioning techniques were used to identify a set of pathways, composed of combinations of different biomarkers, that were associated with a high-risk of mortality over the 12-year period. Of the 13 biomarkers examined, almost all entered into one or more high-risk pathways although combinations of neuroendocrine and immune markers appeared frequently in high-risk male pathways, and systolic blood pressure was present in combination with other biomarkers in all high-risk female pathways. These findings illustrate the utility of recursive partitioning techniques in identifying biomarker combinations predictive of mortal outcomes in older adults, as well as the multiplicity of biological pathways to mortality in elderly populations.

    Combinations of biomarkers predictive of later life mortality. Publishing Authors By Initials

    tl gruenewaldTL Gruenewald,te seemanTE Seeman,cd ryffCD Ryff,as karlamanglaAS Karlamangla,bh singerBH Singer,

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    Combinations of biomarkers predictive of later life mortality. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Proceedings of the National Academy of Sciences of

    VOLUME: 103

    Page Numbers: 14158-63

    Journal Abbreviation:

    ISSN: 0027-8424

    DAY: 18

    MONTH: 09

    YEAR: 2006

    Combinations of biomarkers predictive of later life mortality. Information

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    LANGUAGE: eng

    NlmUniqueID: 7505876

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    Grant and Affiliation Information for Combinations of biomarkers predictive of later life mortality.

    AFFILIATION: Department of Medicine/Geriatrics, University of California, Los Angeles, CA 90095-1687, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Proc Natl Acad Sci U S A

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