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Age and Ageing 2001; 30: 227-234
© 2001, British Geriatrics Society


Research papers

Can skin wrinkling in a site that has received limited sun exposure be used as a marker of health status and biological age?

Martalena B. Purba, Antigone Kouris-Blazos, Naiyana Wattanapenpaiboon, Widjaja Lukito1, Elisabeth Rothenberg2, Bertil Steen2 and Mark L. Wahlqvist

International Health and Development Unit, Faculty of Medicine and Asia Pacific Health and Nutrition Centre, Monash University, Melbourne, Victoria, Australia
1 SEAMEO–TROPMED Regional Center for Community Nutrition, University of Indonesia, Jakarta, Indonesia
2 Department of Geriatric Medicine, Vasa Hospital, Goteborg University, Sweden

Abstract

Objectives: to determine if skin wrinkling in a site that had received limited sun exposure may be a marker of health status and biological age.

Design: population-based, cross-sectional study.

Participants: we evaluated the health status of representative samples of elderly Greek-born people living in Melbourne, Greeks living in rural Greece, Anglo-Celtic Australians living in Melbourne and Swedes living in Sweden. We carried out microtopographic assessment of their skin and measured plasma dehydroepiandrosterone concentrations.

Methods: we derived activities of daily living, well-being, memory and general health status scores from a cross-cultural questionnaire. We measured skin wrinkling using cutaneous microtopographic methods and plasma dehydroepiandrosterone by enzyme immuno-assay.

Results: skin wrinkling was positively correlated with age (rs=0.27, P<0.0001) and negatively with body mass index (rs=-0.19, P<0.0001). Therefore, all analyses were controlled for these variables. Plasma dehydroepiandrosterone was higher in smokers than non-smokers (2.86 vs 2.08; P<0.001) and men had significantly higher plasma dehydroepiandrosterone than women (2.74 vs 1.69; P<0.0001). In the pooled data, skin wrinkling was negatively associated with general health score (rs=-0.13, P<0.01) and activities of daily living score (rs=-0.14, P<0.05) after controlling for age, body mass index and smoking. These associations were more pronounced in women. Finally, those with the least skin wrinkling had the highest dehydroepiandrosterone level (rs=-0.12, P=0.06) after adjusting for age, smoking and sex.

Conclusion: skin wrinkling in a site with limited sun exposure might be used as a marker of health status and, to some extent, biological age—particularly for women.

Keywords: activities of daily living, biological age, cutaneous microtopography, dehydroepiandrosterone, elderly, general health status, memory, skin wrinkling, well-being


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