Evidence map›Paper›PMID 40828005›Full record

ArticleThe Journal of head trauma rehabilitation

Traumatic Brain Injury and Accelerated Epigenetic Aging Among Post-9/11 Veterans.

Kyle J Bourassa, Sarah L Martindale, Melanie E Garrett, Allison E Ashley-Koch, Jean C Beckham, Nathan A Kimbrel, Jared A Rowland, VA Mid-Atlantic Mirecc Workgroup

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Accelerated biological aging and midlife frailty among U.S. military veterans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Observational
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.

Kyle J BourassaAuthor Affiliations: VISN 6 Mid-Atlantic Mental Illness, Research Education and Clinical Center (MIRECC), Durham, North Carolina (Dr Bourassa, Dr Martindale, MIRECC Workgroup, Dr Beckham, Dr Kimbrel, and Dr Rowland); Durham VA Health Care System, Durham, North Carolina (Dr Bourassa); Department of Psychology, Georgetown University, Washington, District of Columbia (Dr Bourassa); Salisbury VA Health Care System, Salisbury, North Carolina (Dr Martindale and Dr Rowland); Department of Translational Neuroscience, Wake Forest School of Medicine, Winston-Salem, North Carolina (Dr Martindale and Dr Rowland); Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, North Carolina (Ms Garrett and Dr Ashley-Koch); Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Dr Beckham and Dr Kimbrel); and Health Services Research and Development ADAPT Center of Innovation, Durham, North Carolina (Dr Kimbrel).ORCID 0000-0001-9372-2309
Sarah L MartindaleORCID 0000-0002-0059-3454
Melanie E Garrett
Allison E Ashley-Koch
Jean C Beckham
Nathan A Kimbrel
VA Mid-Atlantic Mirecc Workgroup

Funding

BLRD VA IK6 BX003777BLRD VA IK6 BX006523CSRD VA IK2 CX002694CSRD VA IK6 CX002767
6 · The paper itself

Abstract

objectiveMilitary service over the last several decades has been associated with an increased risk of injuries, including traumatic brain injury (TBI). Veterans with a history of TBI often experience poor health outcomes and have higher rates of premature mortality. In this study, we examined whether accelerated biological aging could help explain negative health outcomes following TBI. SETTING, PARTICIPANTS, AND

designWe evaluated the association between TBI and rate of epigenetic aging (assessed using DunedinPACE) using data from post-9/11 veterans ( N = 1152) enrolled in the VA Mid-Atlantic (VISN 6) MIRECC Post-Deployment Mental Health cohort study. MAIN MEASURES: TBI was assessed using self-report during a clinical interview categorized into three TBI groups (none, 1, 2 +), epigenetic aging was assessed using DunedinPACE derived from DNA methylation data.

resultsVeterans who reported more lifetime TBI (β = 0.07, 95% CI [0.01, 0.14], P  = .029) or deployment-related TBI (β = 0.09, 95% CI [0.01, 0.18], P  = .046) had faster epigenetic aging. TBI during and after military service was more strongly associated with accelerated aging than TBI prior to military service, and deployment-related TBI was more strongly associated with accelerated aging for women veterans. Overall, associations were small to moderate in size.

conclusionThese findings show TBI could increase risk for accelerated aging and underscores its potential utility in identifying veterans who may face aging-related health issues. Early identification of TBI-related accelerated aging could inform interventions that mitigate long-term health risks as post-9/11 veterans transition into middle and older age.

Indexed as

AgingAging, PrematureBrain Injuries, TraumaticEpigenesis, GeneticVeteransAdultCohort StudiesDNA MethylationFemaleHumansMaleMiddle AgedSeptember 11 Terrorist AttacksUnited StatesDNA methylationepigenetic agingmilitary servicetraumatic brain injury

Identifiers

PMID40828005
PMCPMC12367067

What Socratic holds

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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.