The Impact of War on the Biological Age and Aging Rate of Physiological Systems in Ukrainian Civilians
V.B. Shatylo, A.V. Pysaruk, E.O. Asanov, S.S. Naskalova, O.V. Bondarenko, L.V. Mekhova
- State Institution “D.F. Chebotarev Institute of Gerontology of the National Academy of Medical Sciences of Ukraine”, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz71.03.003

Abstract
One of the consequences of the negative impact of war-related
stress is accelerated aging, which at the cellular level manifests
as an increase in biological age (DNA methylation) and short-
ening of telomere length. The study aimed to investigate the
impact of war and post-traumatic stress disorder (PTSD) on
the biological age and aging rate of physiological systems in
Ukrainian civilians. To determine the biological age and ag-
ing rate in individuals aged 30-59, the results of examinations
of 29 men and 44 women before the war and 49 men and 75
women who experienced intense and prolonged exposure to
stressors during the Russian-Ukrainian war were used. PTSD
was diagnosed in 20 women using the PCL-5 questionnaire.
Using previously developed methods, the biological age and
aging rate of the cardiovascular system, respiratory system,
nervous system, biological metabolic age, and metabolic ag-
ing rate were determined. During the war, the aging rate of
the cardiovascular system in civilian men without PTSD was
significantly higher (6.3 ± 1.5 years) than in men before the
war. Also, during the war, men had a slightly higher aging rate
of the nervous system (2.8 ± 0.8 years) and biological meta-
bolic age (8.6 ± 1.2 years). In civilian women without PTSD
during the war, the aging rate of the cardiovascular system,
respiratory system, and nervous system did not change. Still,
there was a slight increase in biological metabolic age (5.5 ±
0.9 years). Women with mild manifestations of PTSD had a
higher aging rate of the cardiovascular system (5.8 ± 1.7 years),
nervous system (4.1 ± 0.6 years), and biological metabolic age
(8.5 ± 1.8 years) compared to women examined before the
war. compared to women examined before the war. During the
war, the aging rate of the cardiovascular system and nervous
system was statistically significantly higher in women with
PTSD than in women without PTSD. The results supplement
the concept of accelerated aging in people with PTSD with new
data indicating accelerated aging of the organism at the level
of physiological systems, especially in women with PTSD.
Keywords:
Russian-Ukrainian war; civilian men and women; post-traumatic stress disorder; biological age; accelerated aging; physiological systems.
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