Evidence mapPaperPMID 41146255Full record

ArticleBMC medicine2025

Long-term BMI trajectories and epigenetic age acceleration: the role of genetic risk for obesity.

Yue Wen, Yi Chen, Yanling Ma, Chunyan Lu, Yizhuo Liu, Ruiyuan Zhang, Jing Liao, Dongmei Wu, Changwei Li

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In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

Yue WenDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, 37 Guoxue Xiang Street, Chengdu, Sichuan Province, 610041, China.
Yi ChenDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, 37 Guoxue Xiang Street, Chengdu, Sichuan Province, 610041, China.
Yanling MaDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, 37 Guoxue Xiang Street, Chengdu, Sichuan Province, 610041, China.
Chunyan LuDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, 37 Guoxue Xiang Street, Chengdu, Sichuan Province, 610041, China.
Yizhuo LiuDepartment of Epidemiology, O'Donnell School of Public Health, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. Room G9.220A, Dallas, TX, 75390-9066, USA.
Ruiyuan ZhangDepartment of Epidemiology, O'Donnell School of Public Health, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. Room G9.220A, Dallas, TX, 75390-9066, USA.
Jing LiaoDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, 37 Guoxue Xiang Street, Chengdu, Sichuan Province, 610041, China. m15982277765@163.com.
Dongmei WuDepartment of Nursing, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, 32# W. Sec 2, 1 Ring Rd., Chengdu, Sichuan Province, 610072, China. wudongmei_2001@163.com.
Changwei LiDepartment of Epidemiology, O'Donnell School of Public Health, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. Room G9.220A, Dallas, TX, 75390-9066, USA. changwei.li@utsouthwestern.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies reported mixed findings in the relationship between body mass index (BMI) and epigenetic age acceleration (EAA), while none considered long-term trajectory of BMI and individuals' genetic background. Therefore, we aimed to evaluate the joint effects of long-term BMI trajectory and genetic risk for obesity on EAA among older US adults.

methodsWe performed secondary analyses of panel survey data from 3312 participants of the Health and Retirement Study. BMI was assessed biennially from 1996 to 2016. Latent variable mixture modeling was used to identify distinct BMI trajectories over the 20-year period. Thirteen epigenetic clocks were used to calculate EAAs based on DNA methylation data from the 2016 Venous Blood Study (VBS). Genetic risk for obesity was quantified by a polygenic risk score (PRS) and categorized into low, moderate, and high risk based on quartile cutoffs. Multivariable linear regression models were used to test associations between BMI trajectories and EAAs overall and stratified by genetic risk, while adjusting for age, sex, ancestry, education, cigarette smoking, alcohol drinking, and physical activity. Bonferroni method was used to correct for multiple testing.

resultsThe HRS participants demonstrated stable BMI trajectories over time and were classified into three groups: consistently normal weight, overweight, and obese. Overall, 41.0% had a BMI trajectory consistent with their genetic risk levels, 33.2% deviated to a worse trajectory, and 25.7% to a better trajectory. BMI trajectories were significantly associated with 6 of the 13 EAAs. BMI started to predict EAAs in at least 8 years ahead of EAA measurement. Consistently obese participants, but not those consistently overweight, exhibited significantly accelerated epigenetic aging compared to those with consistently normal weight. These associations were most pronounced among individuals with low or moderate genetic risk for obesity.

conclusionsLong-term obesity but not overweight was associated with EAA in older adults, particularly among individuals with low or moderate genetic risk for obesity.

Indexed as

AgingBody Mass IndexEpigenesis, GeneticGenetic Predisposition to DiseaseObesityAgedDNA MethylationFemaleHumansMaleMiddle AgedRisk FactorsBMI trajectoryEpigenetic age accelerationOlder adultsPolygenic risk score

Identifiers

PMID41146255
PMCPMC12560447

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.