Abstract
BACKGROUND—As a component of studies on biological age, the age of subjects from their appearance (perceived age) was estimated. OBJECTIVE—To determine the factors associated with looking older. METHODS—Cross sectional study of London civil servants (318 men, 129 women) in the Department of the Environment study. Perceived age was recorded by an observer and the difference between this age and chronological age was analysed according to 20 different variables. RESULTS—Men had an average perceived age of 0.37 years older than their actual age and women a perceived age of 0.54 years younger. In men, looking older was related to greying of the hair, grade of arcus senilis, and grade of baldness. Less expected, looking older was positively related to total serum cholesterol (p=0.03) and blood haemoglobin (p<0.01). In women, looking older was related to greying of the hair, positively to blood erythrocyte sedimentation rate (ESR), and negatively to serum bilirubin (p=0.01). Looking older was not related to alcohol consumption, employment grade, serum high density lipoprotein cholesterol, glucose, albumin, and calcium in either sex. CONCLUSION—The relationships between looking older and total cholesterol and haemoglobin in men and ESR and bilirubin in women, require further investigation.
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- Allen H. B., Johnson B. L., Diamond S. M. Smoker's wrinkles? JAMA. 1973 Aug 27;225(9):1067–1069. [PubMed] [Google Scholar]
- Bulpitt C. J., Broughton P. M., Markowe H. L., Marmot M. G., Rose G., Semmence A., Shipley M. J. The relationship between both sodium and potassium intake and blood pressure in London Civil Servants. A report from the Whitehall Department of Environment Study. J Chronic Dis. 1986;39(3):211–219. doi: 10.1016/0021-9681(86)90026-3. [DOI] [PubMed] [Google Scholar]
- Bulpitt C. J., Shipley M. J., Broughton P. M., Fletcher A. E., Markowe H. L., Marmot M. G., Semmence A. Age differences in biochemical and hematological measures during middle age. Aging (Milano) 1994 Oct;6(5):359–367. doi: 10.1007/BF03324266. [DOI] [PubMed] [Google Scholar]
- Bulpitt C. J., Shipley M. J., Broughton P. M., Fletcher A. E., Markowe H. L., Marmot M. G., Semmence A., Rose G. The assessment of biological age: a report from the Department of Environment Study. Aging (Milano) 1994 Jun;6(3):181–191. doi: 10.1007/BF03324236. [DOI] [PubMed] [Google Scholar]
- Castelo-Branco C., Figueras F., Martínez de Osaba M. J., Vanrell J. A. Facial wrinkling in postmenopausal women. Effects of smoking status and hormone replacement therapy. Maturitas. 1998 May 20;29(1):75–86. doi: 10.1016/s0378-5122(97)00087-x. [DOI] [PubMed] [Google Scholar]
- Chan-Yeung M., Ferreira P., Frohlich J., Schulzer M., Tan F. The effects of age, smoking, and alcohol on routine laboratory tests. Am J Clin Pathol. 1981 Mar;75(3):320–326. doi: 10.1093/ajcp/75.3.320. [DOI] [PubMed] [Google Scholar]
- Daniell H. W. Smoker's wrinkles. A study in the epidemiology of "crow's feet". Ann Intern Med. 1971 Dec;75(6):873–880. doi: 10.7326/0003-4819-75-6-873. [DOI] [PubMed] [Google Scholar]
- Grady D., Ernster V. Does cigarette smoking make you ugly and old? Am J Epidemiol. 1992 Apr 15;135(8):839–842. doi: 10.1093/oxfordjournals.aje.a116379. [DOI] [PubMed] [Google Scholar]
- Herrera C. R., Lynch C. Is baldness a risk factor for coronary artery disease? A review of the literature. J Clin Epidemiol. 1990;43(11):1255–1260. doi: 10.1016/0895-4356(90)90026-l. [DOI] [PubMed] [Google Scholar]
- Kadunce D. P., Burr R., Gress R., Kanner R., Lyon J. L., Zone J. J. Cigarette smoking: risk factor for premature facial wrinkling. Ann Intern Med. 1991 May 15;114(10):840–844. doi: 10.7326/0003-4819-114-10-840. [DOI] [PubMed] [Google Scholar]
- Kligman A. M. Early destructive effect of sunlight on human skin. JAMA. 1969 Dec 29;210(13):2377–2380. [PubMed] [Google Scholar]
- Lavker R. M. Structural alterations in exposed and unexposed aged skin. J Invest Dermatol. 1979 Jul;73(1):59–66. doi: 10.1111/1523-1747.ep12532763. [DOI] [PubMed] [Google Scholar]
- Model D. Smoker's face: an underrated clinical sign? Br Med J (Clin Res Ed) 1985 Dec 21;291(6511):1760–1762. doi: 10.1136/bmj.291.6511.1760. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Olde Rikkert M. G. Visual estimation of biological age of elderly subjects: good interrater agreement. Gerontology. 1999 May-Jun;45(3):165–167. doi: 10.1159/000022080. [DOI] [PubMed] [Google Scholar]
- Warren R., Gartstein V., Kligman A. M., Montagna W., Allendorf R. A., Ridder G. M. Age, sunlight, and facial skin: a histologic and quantitative study. J Am Acad Dermatol. 1991 Nov;25(5 Pt 1):751–760. doi: 10.1016/s0190-9622(08)80964-4. [DOI] [PubMed] [Google Scholar]