A method for the biological age of the heart determination

Determination of the human heart biological age (BA) is relevant for timely stratification of the risk of developing diseases, prevention, control of individual aging rate and geroprotective therapy. Aim. To study age-related changes in echocardiographic examination of the heart and to develop a...

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Main Authors: L. A. Bodretska, I. S. Shapovalenko, A. V. Pisaruk, I. A. Antoniuk-Shchehlova, O. V. Bondarenko, S. S. Naskalova, V. B. Shatylo
Format: Article
Language:English
Published: Zaporozhye State Medical University 2022-12-01
Series:Zaporožskij Medicinskij Žurnal
Subjects:
Online Access:http://zmj.zsmu.edu.ua/article/view/261227/266372
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author L. A. Bodretska
I. S. Shapovalenko
A. V. Pisaruk
I. A. Antoniuk-Shchehlova
O. V. Bondarenko
S. S. Naskalova
V. B. Shatylo
author_facet L. A. Bodretska
I. S. Shapovalenko
A. V. Pisaruk
I. A. Antoniuk-Shchehlova
O. V. Bondarenko
S. S. Naskalova
V. B. Shatylo
author_sort L. A. Bodretska
collection DOAJ
description Determination of the human heart biological age (BA) is relevant for timely stratification of the risk of developing diseases, prevention, control of individual aging rate and geroprotective therapy. Aim. To study age-related changes in echocardiographic examination of the heart and to develop a formula for estimating the BA of the human heart. Materials and methods. Echocardiographic examinations of the heart were performed in 188 practically healthy people aged 30 to 79 years (73 men and 115 women), who signed an informed consent and had no clinically significant diseases in the anamnesis or at the moment. The examined were divided into age groups: I (n = 25) – 30–39 years, II (n = 40) – 40–49 years, III (n = 38) – 50–59 years, IV (n = 46) – 60–69 years, V (n = 39) – 70–79 years old. Echocardiography with Doppler in continuous-wave, pulse modes and colour mapping of flow and tissue was performed on a device Xario SSA-660A (Toshiba, Japan), sensor – PST-30BT 3.0 MHz. The state of systolic and diastolic function of the ventricles of the heart was assessed, myocardial stiffness indicators were calculated. To obtain BA formula, the calculation of the multiple linear regression equation was used based on significant features. Results. Significant increase in atrial size with age, development of diastolic dysfunction, increase in left and right ventricular myocardial infarction were found. Based on the data of the study by the method of step-by-step multiple linear regression, a formula for estimating the biological age of the human heart was obtained. The multiple correlation coefficient was a fairly high value of R = 0.847, the adjusted coefficient of determination R2 = 0.701 (F = 43.496, P ˂ 0.00001). The mean absolute error of age calculation (M ± σ) was 5.55 ± 4.24 years. The proposed formula for determining the biological age of the heart can be used for early diagnosis of accelerated aging. Conclusions. An increase in the size of the atria, the development of concentric hypertrophy of the left atrium and diastolic dysfunction, and an increase in the myocardial stiffness of the left and right ventricles of the heart, which occur with age in practically healthy people, were revealed. A formula for determining the BA of the heart with good model quality was developed using the multiple linear regression method taking into account age-related changes in the echocardiographic parameters.
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spelling doaj.art-4151b4dbb8784952a76a6c295143bad12023-01-10T09:08:42ZengZaporozhye State Medical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102022-12-0124665265710.14739/2310-1210.2022.6.261227A method for the biological age of the heart determinationL. A. Bodretska0https://orcid.org/0000-0002-2154-9655I. S. Shapovalenko1https://orcid.org/0000-0003-4872-2021A. V. Pisaruk2https://orcid.org/0000-0002-6832-8614I. A. Antoniuk-Shchehlova3https://orcid.org/0000-0003-2606-6975O. V. Bondarenko4https://orcid.org/0000-0002-8270-5316S. S. Naskalova5https://orcid.org/0000-0001-9518-2633V. B. Shatylo6https://orcid.org/0000-0001-6420-000XSI “D. F. Chebotarev Institute of Gerontology” of the NAMS of Ukraine”, KyivSI “D. F. Chebotarev Institute of Gerontology” of the NAMS of Ukraine”, KyivSI “D. F. Chebotarev Institute of Gerontology” of the NAMS of Ukraine”, KyivSI “D. F. Chebotarev Institute of Gerontology” of the NAMS of Ukraine”, KyivSI “D. F. Chebotarev Institute of Gerontology” of the NAMS of Ukraine”, KyivSI “D. F. Chebotarev Institute of Gerontology” of the NAMS of Ukraine”, KyivSI “D. F. Chebotarev Institute of Gerontology” of the NAMS of Ukraine”, KyivDetermination of the human heart biological age (BA) is relevant for timely stratification of the risk of developing diseases, prevention, control of individual aging rate and geroprotective therapy. Aim. To study age-related changes in echocardiographic examination of the heart and to develop a formula for estimating the BA of the human heart. Materials and methods. Echocardiographic examinations of the heart were performed in 188 practically healthy people aged 30 to 79 years (73 men and 115 women), who signed an informed consent and had no clinically significant diseases in the anamnesis or at the moment. The examined were divided into age groups: I (n = 25) – 30–39 years, II (n = 40) – 40–49 years, III (n = 38) – 50–59 years, IV (n = 46) – 60–69 years, V (n = 39) – 70–79 years old. Echocardiography with Doppler in continuous-wave, pulse modes and colour mapping of flow and tissue was performed on a device Xario SSA-660A (Toshiba, Japan), sensor – PST-30BT 3.0 MHz. The state of systolic and diastolic function of the ventricles of the heart was assessed, myocardial stiffness indicators were calculated. To obtain BA formula, the calculation of the multiple linear regression equation was used based on significant features. Results. Significant increase in atrial size with age, development of diastolic dysfunction, increase in left and right ventricular myocardial infarction were found. Based on the data of the study by the method of step-by-step multiple linear regression, a formula for estimating the biological age of the human heart was obtained. The multiple correlation coefficient was a fairly high value of R = 0.847, the adjusted coefficient of determination R2 = 0.701 (F = 43.496, P ˂ 0.00001). The mean absolute error of age calculation (M ± σ) was 5.55 ± 4.24 years. The proposed formula for determining the biological age of the heart can be used for early diagnosis of accelerated aging. Conclusions. An increase in the size of the atria, the development of concentric hypertrophy of the left atrium and diastolic dysfunction, and an increase in the myocardial stiffness of the left and right ventricles of the heart, which occur with age in practically healthy people, were revealed. A formula for determining the BA of the heart with good model quality was developed using the multiple linear regression method taking into account age-related changes in the echocardiographic parameters.http://zmj.zsmu.edu.ua/article/view/261227/266372biological age of the heartaccelerated agingechocardiography
spellingShingle L. A. Bodretska
I. S. Shapovalenko
A. V. Pisaruk
I. A. Antoniuk-Shchehlova
O. V. Bondarenko
S. S. Naskalova
V. B. Shatylo
A method for the biological age of the heart determination
Zaporožskij Medicinskij Žurnal
biological age of the heart
accelerated aging
echocardiography
title A method for the biological age of the heart determination
title_full A method for the biological age of the heart determination
title_fullStr A method for the biological age of the heart determination
title_full_unstemmed A method for the biological age of the heart determination
title_short A method for the biological age of the heart determination
title_sort method for the biological age of the heart determination
topic biological age of the heart
accelerated aging
echocardiography
url http://zmj.zsmu.edu.ua/article/view/261227/266372
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