Evidence map›Paper›PMID 40080460›Full record

ArticleMilitary medicine2025

Comparing Veteran and Nonveteran Epigenetic Aging in a Representative Sample of United States Adults.

Jamaji C Nwanaji-Enwerem, Dennis Khodasevich, Nicole Gladish, Hanyang Shen, Saher Daredia, Belinda L Needham, David H Rehkopf, Andres Cardenas

Abstract read
In one paragraph

Article in Military medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Five Milestones to Addressing Rural Veteran Care Coordination, Care Management, and Case Management Needs: An Integrated Case Management Practice Framework.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jamaji C Nwanaji-EnweremDepartment of Emergency Medicine, Center for Health Justice, and Center of Excellence in Environmental Toxicology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0003-0356-4867
Dennis KhodasevichDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, CA 94305, USA.
Nicole GladishDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, CA 94305, USA.
Hanyang ShenDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, CA 94305, USA.
Saher DarediaDivision of Epidemiology, UC Berkeley School of Public Health, Berkeley, CA 94704, USA.
Belinda L NeedhamDepartment of Epidemiology, Center for Social Epidemiology and Population Health, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA.ORCID 0000-0001-5939-2027
David H RehkopfDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, CA 94305, USA.ORCID 0000-0002-7597-6513
Andres CardenasDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, CA 94305, USA.

Funding

Race/Ethnicity, DNA Methylation, and Disparities in Cardiovascular Mortality: NHANES 1999-2002R01MD011721 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NEEDHAM, BELINDA L., REHKOPF, DAVID H · 2017 to 2021
$3.1M
NIMHD NIH HHS R01 MD011721
6 · The paper itself

Abstract

introductionMilitary service can significantly impact human health, with research showing that veterans experience higher mortality rates than the general population. However, limited data exist on the relationships of veteran status with biomarkers of aging that may precede clinical illness and mortality.

methodsUsing survey-design weighted generalized linear regression models, we examined the cross-sectional relationship of self-reported veteran status with DNA methylation (DNAm)-based biomarkers of aging (epigenetic age) in a representative sample of 2344 U.S. adults participating in the 1999-2000 and 2001-2002 cycles of the National Health and Nutrition Examination Survey. We tested 7 epigenetic aging markers: HannumAge, HorvathAge, SkinBloodAge, PhenoAge, GrimAge2, DNAm Telomere Length (TL), and DunedinPoAm.

resultsAfter adjusting for basic demographics, veterans had marginally greater SkinBloodAge (β = 0.86 years, 95% CI: -0.10, 1.81, P = .08) and GrimAge2 (β = 0.71 years, 95% CI: -0.07, 1.49, P = .07) measures when compared to nonveterans. Similar SkinBloodAge (β = 1.00 years, 95% CI: -0.01, 2.00, P = .05) and GrimAge2 (β = 0.69 years, 95% CI: -0.14, 1.52, P = .09) relationships were observed in fully-adjusted models where missing health and lifestyle covariates were imputed. Compared to nonveterans, veterans also had higher DNAm-estimated blood levels of GrimAge2-components hemoglobin A1c (β = 0.006, 95% CI: 0.0005, 0.01, P = .03) and protein TIMP1 (β = 71.14, 95% CI: 8.28, 134.01, P = .03) in basic demographic-adjusted models. In fully-adjusted imputed models (β = 96.40, 95% CI: -15.05, 207.85, P = .08) and complete case models (β = 98.66, 95% CI: -25.24, 222.55, P = .099), the TIMP1 relationships remained marginally significant.

conclusionsOur marginal results support existing veteran morbidity and mortality literature while suggesting a modest utility of epigenetic aging biomarkers for further understanding veteran health. As veterans represent an important subset of the population and are a priority in federal government budgets, future research in this area holds the potential for significant public health and policy impact.

Indexed as

AgingEpigenesis, GeneticVeteransAdultAgedBiomarkersCross-Sectional StudiesDNA MethylationFemaleHumansMaleMiddle AgedNutrition SurveysUnited StatesBiomarkers

Identifiers

PMID40080460
PMCPMC12588708

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.