Defining an Ageing-Related Pathology, Disease or Syndrome: International Consensus Statement

Author:

Short EmmaORCID,Adcock Ian M.ORCID,Al-Sarireh BilalORCID,Ager AnnORCID,Ajjan RamziORCID,Akbar NaveedORCID,Akeroyd Michael A.ORCID,Alsaleh GhadaORCID,Al-Sharbatee Ghada,Alavian KambizORCID,Amoaku WinfriedORCID,Andersen JulieORCID,Antoniades ChrystalinaORCID,Arends Mark J.ORCID,Astley SueORCID,Atan DenizeORCID,Attanoos RichardORCID,Attems JohannesORCID,Bain SteveORCID,Balaskas KonstantinosORCID,Balmus GabrielORCID,Bance ManoharORCID,Barber Thomas M.ORCID,Bardhan AjoyORCID,Barker KarenORCID,Barnes PeterORCID,Basatemur GemmaORCID,Bateman AdrianORCID,Bauer Moises EvandroORCID,Bellamy ChristopherORCID,van Beek EdwinORCID,Bellantuono IlariaORCID,Benbow Emyr,Bhandari SunilORCID,Bhatnagar RahulORCID,Bloom PhilipORCID,Bowdish DawnORCID,Bowerman MelissaORCID,Burke MelanieORCID,Carare RoxanaORCID,Carrington Emma VictoriaORCID,Castillo-Quan Jorge IvánORCID,Clegg PeterORCID,Cole JamesORCID,Cota Carlo,Chazot PaulORCID,Chen Christopher,Cheong YingORCID,Christopher GaryORCID,Church GeorgeORCID,Clancy DavidORCID,Cool PaulORCID,Del Galdo FrancescoORCID,Dalakoti MayankORCID,Dasgupta SoumitORCID,Deane ColleenORCID,Dhasmana DeveshORCID,Dojcinov StefanORCID,Di Prete MoniaORCID,Du HuaidongORCID,Duggal Niharika AORCID,Ellmers TobyORCID,Emanueli CostanzaORCID,Emberton MarkORCID,Erusalimsky Jorge D.ORCID,Feldmeyer LaurenceORCID,Fleming AlexanderORCID,Forbes KarenORCID,Foster Thomas C.ORCID,Frasca DanielaORCID,Frayling IanORCID,Freedman Daniel,Fülöp Tamas,Ellison-Hughes GeorginaORCID,Gazzard GusORCID,George ChristopherORCID,Gil JesusORCID,Glassock Richard,Goldin RobORCID,Green John,Guymer RobynORCID,Haboubi HasanORCID,Harries LornaORCID,Hart SimonORCID,Hartley DouglasORCID,Hasaballa Sebri,Henein ChristinORCID,Helliwell Maggie,Henderson EmilyORCID,Heer Rakesh,Holte Kristofer,Idris Iskander,Isenburg DavidORCID,Jylhävä JuuliaORCID,Iqbal AhmedORCID,Jones Simon W.ORCID,Kalaria Rajesh,Kanamarlapudi VenkateswarluORCID,Kempf WernerORCID,Kermack Alexandra J.ORCID,Kerns JemmaORCID,Koulman AlbertORCID,Khan Adnan H.ORCID,Kinross JamesORCID,Klaucane KatarinaORCID,Krishna YaminiORCID,Gill Harinderjit SinghORCID,Lakatta EdwardORCID,Laconi Ezio,Lazar AlparORCID,Leeuwenburgh ChristiaanORCID,Leung Samantha,Li XuanORCID,van der Linde IanORCID,Lopes Luísa V.ORCID,Lorenzini AntonelloORCID,Lotery AndrewORCID,Machado PedroORCID,Mackie SarahORCID,Madeddu PaoloORCID,Maier AndreaORCID,Mukkanna Krishna,Manousou PinelopiORCID,Markey OonaghORCID,Mauro ClaudioORCID,McDonnell BarryORCID,Medina Reinhold J.,Meran SomaORCID,Metzler-Baddeley ClaudiaORCID,Meglinksi IgnorORCID,Milman Neta,Mitteldorf Christina,Montgomery RuthORCID,Morris Andrew ConwayORCID,Mühleisen Beda,Mukherkee Abhik,Murray AndrewORCID,Nelson ScottORCID,Nicolaou AnnaORCID,Nirenberg Alexander,Noble SimonORCID,Nolan Lisa S.ORCID,Nus MeritxellORCID,Van On Canh,Osei-Lah VictorORCID,Peffers MandyORCID,Palmer AntonyORCID,Palmer Donald,Palmer Laura,Parry-Smith WilliamORCID,Pawelec GrahamORCID,Peleg ShahafORCID,Perera Ranmith,Pitsillides AndrewORCID,Plack Christopher J.ORCID,Progatzsky Franze,Pyott Sonja,Rajput Kaukab,Rashid SameeraORCID,Ratnayaka J. ArjunaORCID,Ratnayake Sudhira A.B.ORCID,Rodriguez-Justo ManuelORCID,Rosa Arianna CarolinaORCID,Rule AndrewORCID,Sanger Gareth J.ORCID,Sayers IanORCID,Saykin AndrewORCID,Selvarajah DineshORCID,Sethi JaswinderORCID,Shanahan Cathy,Shen-Orr ShaiORCID,Sheridan CarlORCID,Shiels PaulORCID,Sidlauskas Kastytis,Sivaprasad SobhaORCID,Sluimer Judith,Small GaryORCID,Smith Peter,Smith RebeccaORCID,Snelling SarahORCID,Spyridopoulos IoakimORCID,Srinivasa Raghavan RamasamyORCID,Steel DavidORCID,Steel Karen PORCID,Stewart ClaireORCID,Stone KeeronORCID,Subbarayan Selvarani,Sussman MarkORCID,Svensson Jonas,Tadanki Vyshnavi,Tan Ai LynORCID,Tanzi Rudolph E.ORCID,Tatler AmandaORCID,Tavares Adriana A. S.ORCID,Tengku Mohd Tengku Amatullah MadeehahORCID,Tiganescu AnaORCID,Timmons James,Tree JeremyORCID,Trivedi DrupadORCID,Tsochatzis Emmanuel A.ORCID,Tsimpida DialechtiORCID,Vinke Elisabeth J,Whittaker AnnaORCID,Vallabh Neeru A.ORCID,Veighey KristinORCID,Venables Zoe C.ORCID,Reddy VenkatORCID,Vernooij Meike W.ORCID,Verschoor ChrisORCID,Vinciguerra ManlioORCID,Vukanovic Vesna,Vyazovskiy VladyslavORCID,Walker JamesORCID,Wakefield RichardORCID,Watkins Adam J.ORCID,Webster AnthonyORCID,Weight CarolineORCID,Weinberger BirgitORCID,Whitney Susan L.ORCID,Willis RosalindORCID,Witkowski Jacek M.ORCID,Yeo Leonard L.L.ORCID,Chung Tham Yhi,Yu Emma,Zemel MichaelORCID,Calimport Stuart R.G.ORCID,Bentley Barry L.ORCID

Abstract

AbstractBackgroundAround the world, individuals are living longer, but an increased average lifespan does not always equate to an increased healthspan. With advancing age, the increased prevalence of ageing-related diseases can have a significant impact on health status, functional capacity, and quality of life. It is therefore vital to develop comprehensive classification and staging systems for ageing-related pathologies, diseases and syndromes. This will allow societies to better identify, quantify, understand, and meet the healthcare, workforce, wellbeing, and socioeconomic needs of ageing populations, while supporting the development and utilisation of interventions to prevent or to slow, halt or reverse the progression of ageing-related pathologies.MethodsThe foundation for developing such classification and staging systems is to define the scope of what constitutes an ageing-related pathology, disease or syndrome. To this end, a consensus meeting was hosted by the International Consortium to Classify Ageing-Related Pathologies (ICCARP), on February 19th, 2024, in Cardiff, UK, and was attended by 150 recognised experts. Discussions and voting were centred on provisional criteria that had been distributed prior to the meeting. The participants debated and voted on these. Each criterion required a consensus agreement of ≥70% for approval.ResultsThe accepted criteria for an ageing-related pathology, disease or syndrome were:Develops and/or progresses with increasing chronological age.Should be associated with, or contribute to, functional decline, or an increased susceptibility to functional decline.Evidenced by studies in humans.ConclusionsCriteria for an ageing-related pathology, disease or syndrome have been agreed by an international consortium of subject experts. These criteria will now be used by the ICCARP for the classification and ultimately staging of ageing-related pathologies, diseases and syndromes.

Publisher

Cold Spring Harbor Laboratory

Reference12 articles.

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5. To help aging populations, classify organismal senescence

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