Gender Differences and Individual Variability in Human Aging

Brant, L

Abstract

Studies of gender differences and individual variability in age-related phenomena are being carried out to: 1) determine the """"""""normal"""""""" range of variability in human aging, 2) identify potential sources of variability which may be responsive to intervention, and 3) determine if there are subgroups of individuals who are susceptible or resistant to various aspects of aging. The research combines the use of sophisticated statistical methodologies and the unique time depth and multidisciplinary breadth of the existing BLSA data base to examine issues related to the concepts of """"""""normal"""""""" and """"""""successful"""""""" aging, as well as to increase the power of traditional research designs. The statistical methods used include longitudinal regression models, time dependent proportional hazards analysis, and finite mixture models. Major findings include: 1) longitudinal rates of decline in hearing sensitivity are at least twice as fast in men compared to women, 2) prostate disease is the major determinant of the rates of change in prostate specific antigen, 3) longitudinal patterns of change in pulmonary function predict coronary events independent of other known cardiovascular risk factors. These findings represent significant contributions to the theoretical and methodological development of biomedical risk factor studies, as well as to an increased understanding of the dynamics of the aging process. Research is underway to develop more refined methods of studying variability in aging in order to develop theoretically and methodologically sound approaches to risk factor analysis which account for changes in an individual's covariates over time and the possibility that individuals differ in susceptibility or resistance to aging processes.