Effect of aspirin on healthspan in community-dwelling older adults: the ASPirin in reducing events in the elderly study.

Background Inflammation is a shared pathogenic pathway underlying multiple chronic conditions and contributes to a loss of healthspan. This study aimed to evaluate the effect of low-dose aspirin on the loss of healthspan in older individuals. Methods ASPirin in Reducing Events in the Elderly (ASPREE...

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Publicado en:Age & Ageing Vol. 55; no. 7; pp. 1 - 11
Autores principales: Zheng, Haoxin Tina, Phyo, Aung Zaw Zaw, Wu, Zimu, Orchard, Suzanne G, Owen, Alice, Espinoza, Sara E, Sheets, Kerry, Woods, Robyn, Ryan, Joanne
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Effect of aspirin on healthspan in community-dwelling older adults: the ASPirin in reducing events in the elderly study.
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          Zheng, Haoxin Tina
          Phyo, Aung Zaw Zaw
          Wu, Zimu
          Orchard, Suzanne G
          Owen, Alice
          Espinoza, Sara E
          Sheets, Kerry
          Woods, Robyn
          Ryan, Joanne
        affil:
          School of Public Health and Preventive Medicine, Monash University School of Public Health and Preventive Medicine, 503 St Kilda Rd. Melbourne VIC 3004 Australia
          Division of Geriatrics, Gerontology and Palliative Medicine, UT Health San Antonio, San Antonio, Texas, USA
          Division of Geriatric and Palliative Medicine, Department of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USABerman Center for Outcomes and Clinical Research, Hennepin Healthcare Research Institute, Minneapolis, Minnesota, USA
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        Australia
        United States
        Placebos
        Patient safety
        Blind experiment
        Sex distribution
        Smoking
        Hypertension
        Life expectancy
        Randomized controlled trials
        Age distribution
        Aging
        Drug efficacy
        Alcohol drinking
        Minorities
        Longevity
        Diabetes
        Old age
        Risk assessment
        Independent living
        Body mass index
        Hyperlipidemia
        Research funding
        Aspirin
        Statistical sampling
        Frail elderly
        Descriptive statistics
        Odds ratio
        Research methodology
        Comparative studies
        Data analysis software
        Confidence intervals
        Proportional hazards models
        Evaluation
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          Placebos
          Patient safety
          Blind experiment
          Sex distribution
          Smoking
          Hypertension
          Life expectancy
          Randomized controlled trials
          Age distribution
          Aging
          Drug efficacy
          Alcohol drinking
          Minorities
          Longevity
          Diabetes
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          United States
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          Medicinal and Botanical Manufacturing
          Drinking Places (Alcoholic Beverages)
          Marketing Research and Public Opinion Polling
          Risk assessment
          Independent living
          Body mass index
          Hyperlipidemia
          Research funding
          Aspirin
          Statistical sampling
          Frail elderly
          Descriptive statistics
          Odds ratio
          Research methodology
          Comparative studies
          Data analysis software
          Confidence intervals
          Proportional hazards models
          Evaluation
      keyword:
        aged
        aspirin
        aspirin low dose
        cancer
        cardiovascular diseases
        community
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        diabetes mellitus
        healthspan
        https://dx.doi.org/10.1093/ageing/afag218
        hypertension
        inLanguage:en
        older people
        publisher:Oxford University Press
        randomized controlled trial
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42497096/
        type 2
        aged
        aspirin
        aspirin low dose
        cancer
        cardiovascular diseases
        community
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        diabetes mellitus
        healthspan
        https://dx.doi.org/10.1093/ageing/afag218
        hypertension
        inLanguage:en
        older people
        publisher:Oxford University Press
        randomized controlled trial
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42497096/
        type 2
      ab: Background Inflammation is a shared pathogenic pathway underlying multiple chronic conditions and contributes to a loss of healthspan. This study aimed to evaluate the effect of low-dose aspirin on the loss of healthspan in older individuals. Methods ASPirin in Reducing Events in the Elderly (ASPREE) was a double-blind, placebo-controlled, randomised trial assessing the effect of daily low-dose aspirin for primary prevention. Community-dwelling participants aged ≥70 years [or ≥ 65 years for United States (US) minority ethnic groups] were recruited from Australia and the US. Eligible participants were initially free of major diseases with a life expectancy of more than five years and were randomly assigned to receive 100 mg of aspirin daily or a placebo. Loss of healthspan was defined as the first occurrence of cardiovascular disease, diabetes, dementia, cancer, or death. Results A total of 19 114 participants were followed for a median of 4.7 years, 5835 participants (30.5%) experienced a loss of healthspan. Participants who were older, male, smokers, or had hypertension, or frailty were more likely to experience healthspan loss during the trial. The rate of healthspan loss was 82.1 and 82.7 events per 1000 person-years in the aspirin and placebo groups, respectively. There was no evidence of a substantial difference in the risk of healthspan loss between the aspirin and placebo groups (hazard ratio, 0.98; 95% CI: 0.92–1.05). Conclusion Low-dose aspirin had no effect on the rate of loss of healthspan among older community-dwelling adults. Future studies should explore lifestyle and behavioural interventions to extend healthspan.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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