DNA
methylation-based biological age (epigenetic age) has been suggested as a useful
biomarker of age-related conditions including type 2 diabetes (T2D), and its newest
iterations (GrimAge measurements) have shown early promise. In this study, we
explored the association between epigenetic age and incident T2D, in the context
of their relationships with obesity.
<p>A total of 1,057 participants
in the Coronary Artery Risk Development in Young Adults (CARDIA) study were
included in the current analyses. We stratified the participants into three
groups; normal weight, overweight, and obese. A one-year increase of GrimAge
was associated with higher 10-year (Y15 to Y25) incidence of T2D (OR=1.06, 95% CI=1.01-1.11). GrimAge
acceleration, which represents the deviation of GrimAge from chronological age,
was derived from the residuals of a model of GrimAge and chronological age, and
any GrimAge acceleration
(Positive GrimAA; having GrimAge
older than chronological age) was associated with significantly higher odds of 10-year
incidence of T2D in obese participants (OR=2.57, 95% CI=1.61-4.11). Cumulative
obesity was estimated by years since obesity onset, and GrimAge partially mediated
the statistical association between cumulative obesity and incident diabetes or
prediabetes (proportion mediated = 8.0%). </p>
In conclusion, both <a>older and accelerated GrimAge were associated with higher
risk of T2D, particularly among obese participants. GrimAge also statistically mediated
the associations between cumulative obesity and T2D. </a>Our findings suggest
that epigenetic age measurements with DNA methylation can potentially be
utilized as a risk factor or biomarker associated with T2D development.