PMID- 24323371 OWN - NLM STAT- MEDLINE DCOM- 20141118 LR - 20250529 IS - 1574-4647 (Electronic) IS - 0161-9152 (Print) IS - 0161-9152 (Linking) VI - 36 IP - 2 DP - 2014 Apr TI - Health status and 6 years survival of 552 90+ Italian sib-ships recruited within the EU Project GEHA (GEnetics of Healthy Ageing). PG - 949-66 LID - 10.1007/s11357-013-9604-1 [doi] AB - In a scenario of increasing life expectancy worldwide, it is mandatory to identify the characteristics of a healthy aging phenotype, including survival predictors, and to disentangle those related to environment/lifestyle versus those related to familiarity/genetics. To this aim we comprehensively characterised a cohort of 1,160 Italian subjects of 90 years and over (90+, mean age 93 years; age range 90-106 years) followed for 6 years survival, belonging to 552 sib-ships (familiar longevity) recruited (2005-2008) within the EU-funded GEHA project in three Italian geographic areas (Northern, Central and Southern Italy) different for urban/rural and socio-economical characteristics. On the whole, the following factors emerged as significant predictors of survival after 90 years of age: absence of cognitive impairment and physical disability, high hand grip strength scores and body mass index (BMI) values, "excellent/good" self-reported health, high haemoglobin and total cholesterol levels and low creatinine levels. These parameters, excluding BMI values, were also significantly associated within sib-ships, suggesting a strong familial/genetic component. Geographical micro-heterogeneity of survival predictors emerged, such as functional and physical status being more important in Southern than in Central and Northern Italy. In conclusion, we identified modifiable survival predictors related to specific domains, whose role and importance vary according to the geographic area considered and which can help in interpreting the genetic results obtained by the GEHA project, whose major aim is the comprehensive evaluation of phenotypic and genetic data. FAU - Cevenini, E AU - Cevenini E AD - C.I.G.-Interdepartmental Centre "L. Galvani", University of Bologna, Piazza di Porta San Donato 1, 40126, Bologna, Italy. FAU - Cotichini, R AU - Cotichini R FAU - Stazi, M A AU - Stazi MA FAU - Toccaceli, V AU - Toccaceli V FAU - Palmas, M G AU - Palmas MG FAU - Capri, M AU - Capri M FAU - De Rango, F AU - De Rango F FAU - Dato, S AU - Dato S FAU - Passarino, G AU - Passarino G FAU - Jeune, B AU - Jeune B FAU - Franceschi, C AU - Franceschi C CN - GEHA Project Consortium LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - BB/C008200/1/BB_/Biotechnology and Biological Sciences Research Council/United Kingdom PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20131210 PL - Netherlands TA - Age (Dordr) JT - Age (Dordrecht, Netherlands) JID - 101250497 SB - IM MH - *Activities of Daily Living MH - Aged, 80 and over MH - Aging/*genetics MH - Databases, Factual MH - Europe/epidemiology MH - Female MH - Follow-Up Studies MH - *Health Status MH - Humans MH - Italy/epidemiology MH - Longevity/*genetics MH - Male MH - Phenotype MH - Retrospective Studies MH - Survival Rate/trends PMC - PMC4039258 FIR - Bezrukov, Vladyslav IR - Bezrukov V FIR - Blanche, Helene IR - Blanche H FIR - Bolund, Lars IR - Bolund L FIR - Christensen, Kaare IR - Christensen K FIR - Deiana, Luca IR - Deiana L FIR - Gonos, Efsthatios IR - Gonos E FIR - Hervonen, Antti IR - Hervonen A FIR - Kirkwood, Tom B L IR - Kirkwood TB FIR - Kristensen, Peter IR - Kristensen P FIR - Leon, Alberta IR - Leon A FIR - Pelicci, Pier Giuseppe IR - Pelicci PG FIR - Perola, Markus IR - Perola M FIR - Poulain, Michel IR - Poulain M FIR - Rea, Irene M IR - Rea IM FIR - Remacle, Jose IR - Remacle J FIR - Robine, Jean Marie IR - Robine JM FIR - Schreiber, Stefan IR - Schreiber S FIR - Sikora, Ewa IR - Sikora E FIR - Slagboom, P Eline IR - Slagboom P FIR - Spazzafumo, Liana IR - Spazzafumo L FIR - Toussaint, Olivier IR - Toussaint O FIR - Vaupel, James W IR - Vaupel JW EDAT- 2013/12/11 06:00 MHDA- 2014/11/19 06:00 PMCR- 2015/04/01 CRDT- 2013/12/11 06:00 PHST- 2013/05/06 00:00 [received] PHST- 2013/11/26 00:00 [accepted] PHST- 2013/12/11 06:00 [entrez] PHST- 2013/12/11 06:00 [pubmed] PHST- 2014/11/19 06:00 [medline] PHST- 2015/04/01 00:00 [pmc-release] AID - 9604 [pii] AID - 10.1007/s11357-013-9604-1 [doi] PST - ppublish SO - Age (Dordr). 2014 Apr;36(2):949-66. doi: 10.1007/s11357-013-9604-1. Epub 2013 Dec 10.