Science Translational Medicine

Blood-based aging measure linked to disease and death risk

An observational study spanning 18,476 people in China linked an aging measure developed in a healthy group to chronic disease and death risk.

Blood with disc-shaped cells and molecular clusters sits beside small upright people, a smooth liver and a larger liver dotted with fat deposits.
Cohort study of 18,476 peopleBiomarkers

Multicentre

Follow

In an observational study, researchers analysed plasma, the liquid part of blood, from 18,476 participants aged 1 to 96 across six centres in China. They identified 56 small molecules associated with age. In a healthy cohort, they built a model to estimate age from blood-molecule profiles. They measured how far estimated age differed from actual age.

Higher estimated ages relative to actual age were associated with poorer health and unfavourable lifestyles. During follow-up from 2019 to 2025, this age acceleration was linked to higher risks of developing fatty liver disease, high blood pressure and diabetes, and death from any cause. In a disease cohort, a second measure captured departures from age-expected death risk. That measure increased with a greater number of diseases and more body systems affected.

Why it matters

The researchers suggested that blood-molecule profiles could offer a scalable way to assess aging-related health risks across the lifespan.

Caveats

The observational design cannot show that accelerated blood-based aging caused disease or death. The abstract did not report the size of the risk increases or the numbers in each cohort.