Table 2.

Mediation by Unhealthy Lifestyle, Morbidities, and Epigenetic Aging in Men

Effects Hazard Difference
(95% CI)
Hazard Ratio
(95% CI)
Total effect55 (35, 74)1.32 (1.11, 1.56)
Indirect effect by LM26 (14, 37)1.10 (1.05, 1.16)
Indirect effect by LM + Horvath DNAmAA25 (12, 39)1.10 (1.04, 1.16)
Indirect effect by Horvath DNAmAA but not LM−0.8 (−13.6, 11.9)1.00 (0.93, 1.07)
Indirect effect by LM + Hannum DNAmAA27 (15, 40)1.11 (1.05, 1.17)
Indirect effect by Hannum DNAmAA but not LM1.5 (−11.2, 14.3)1.01 (0.94, 1.08)
Indirect effect by LM + DNAmPhenoAA31 (17, 44)1.13 (1.07, 1.19)
Indirect effect by DNAmPhenoAA but not LM4.7 (−8.3, 17.6)1.02 (0.95, 1.10)
Indirect effect by LM + DNAmGrimAA35 (20, 50)1.15 (1.09, 1.21)
Indirect effect by DNAmGrimAA but not LM8.8 (−4.2, 21.7)1.04 (0.97, 1.12)
Effects Hazard Difference
(95% CI)
Hazard Ratio
(95% CI)
Total effect55 (35, 74)1.32 (1.11, 1.56)
Indirect effect by LM26 (14, 37)1.10 (1.05, 1.16)
Indirect effect by LM + Horvath DNAmAA25 (12, 39)1.10 (1.04, 1.16)
Indirect effect by Horvath DNAmAA but not LM−0.8 (−13.6, 11.9)1.00 (0.93, 1.07)
Indirect effect by LM + Hannum DNAmAA27 (15, 40)1.11 (1.05, 1.17)
Indirect effect by Hannum DNAmAA but not LM1.5 (−11.2, 14.3)1.01 (0.94, 1.08)
Indirect effect by LM + DNAmPhenoAA31 (17, 44)1.13 (1.07, 1.19)
Indirect effect by DNAmPhenoAA but not LM4.7 (−8.3, 17.6)1.02 (0.95, 1.10)
Indirect effect by LM + DNAmGrimAA35 (20, 50)1.15 (1.09, 1.21)
Indirect effect by DNAmGrimAA but not LM8.8 (−4.2, 21.7)1.04 (0.97, 1.12)

Absolute (hazard difference per 10 000 person-years) and relative (hazard ratio) size of total effect of low (vs high) educational attainment on all-cause mortality, and for indirect effects by unhealthy lifestyle and morbidities (LM) and epigenetic aging biomarkers (Horvath DNAmAA, Hannum DNAmAA, DNAmPhenoAA, and DNAmGrimAA). All effects are pooled estimates of a single cohort’s effects through an inverse variance-weighted meta-analysis model. The total number of participants/deaths across cohorts was 6 156/1 586.

Table 2.

Mediation by Unhealthy Lifestyle, Morbidities, and Epigenetic Aging in Men

Effects Hazard Difference
(95% CI)
Hazard Ratio
(95% CI)
Total effect55 (35, 74)1.32 (1.11, 1.56)
Indirect effect by LM26 (14, 37)1.10 (1.05, 1.16)
Indirect effect by LM + Horvath DNAmAA25 (12, 39)1.10 (1.04, 1.16)
Indirect effect by Horvath DNAmAA but not LM−0.8 (−13.6, 11.9)1.00 (0.93, 1.07)
Indirect effect by LM + Hannum DNAmAA27 (15, 40)1.11 (1.05, 1.17)
Indirect effect by Hannum DNAmAA but not LM1.5 (−11.2, 14.3)1.01 (0.94, 1.08)
Indirect effect by LM + DNAmPhenoAA31 (17, 44)1.13 (1.07, 1.19)
Indirect effect by DNAmPhenoAA but not LM4.7 (−8.3, 17.6)1.02 (0.95, 1.10)
Indirect effect by LM + DNAmGrimAA35 (20, 50)1.15 (1.09, 1.21)
Indirect effect by DNAmGrimAA but not LM8.8 (−4.2, 21.7)1.04 (0.97, 1.12)
Effects Hazard Difference
(95% CI)
Hazard Ratio
(95% CI)
Total effect55 (35, 74)1.32 (1.11, 1.56)
Indirect effect by LM26 (14, 37)1.10 (1.05, 1.16)
Indirect effect by LM + Horvath DNAmAA25 (12, 39)1.10 (1.04, 1.16)
Indirect effect by Horvath DNAmAA but not LM−0.8 (−13.6, 11.9)1.00 (0.93, 1.07)
Indirect effect by LM + Hannum DNAmAA27 (15, 40)1.11 (1.05, 1.17)
Indirect effect by Hannum DNAmAA but not LM1.5 (−11.2, 14.3)1.01 (0.94, 1.08)
Indirect effect by LM + DNAmPhenoAA31 (17, 44)1.13 (1.07, 1.19)
Indirect effect by DNAmPhenoAA but not LM4.7 (−8.3, 17.6)1.02 (0.95, 1.10)
Indirect effect by LM + DNAmGrimAA35 (20, 50)1.15 (1.09, 1.21)
Indirect effect by DNAmGrimAA but not LM8.8 (−4.2, 21.7)1.04 (0.97, 1.12)

Absolute (hazard difference per 10 000 person-years) and relative (hazard ratio) size of total effect of low (vs high) educational attainment on all-cause mortality, and for indirect effects by unhealthy lifestyle and morbidities (LM) and epigenetic aging biomarkers (Horvath DNAmAA, Hannum DNAmAA, DNAmPhenoAA, and DNAmGrimAA). All effects are pooled estimates of a single cohort’s effects through an inverse variance-weighted meta-analysis model. The total number of participants/deaths across cohorts was 6 156/1 586.

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