Evidence map›Paper›PMID 41208042›Full record

Observational studyThe journals of gerontology. Series A, Biological sciences and medical sciences2025

Accelerated biological aging and midlife frailty among U.S. military veterans.

Kyle J Bourassa, Kirsten H Dillon, Rachel L Rodriguez, Melanie E Garrett, Livia Anderson, Paul A Dennis, Terrie E Moffitt, Avshalom Caspi, Harvey Jay Cohen, Katherine S Hall and 6 more

Abstract readObservational Study
In one paragraph

Observational study in The journals of gerontology. Series A, Biological sciences and medical sciences, 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. 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

16 authors.

Kyle J BourassaVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, NC, USA.ORCID 0000-0001-9372-2309
Kirsten H DillonVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, NC, USA.
Rachel L RodriguezMental and Behavioral Health Service Line, Durham VA Health Care System, Durham, NC, USA.
Melanie E GarrettDuke Molecular Physiology Institute, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-2302-6150
Livia AndersonVA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA.
Paul A DennisVA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA.
Terrie E MoffittDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.
Avshalom CaspiDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.ORCID 0000-0003-0082-4600
Harvey Jay CohenCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, USA.
Katherine S HallDepartment of Medicine, Division of Geriatrics, Duke University Medical Center, Durham, NC, USA.ORCID 0000-0002-9834-2011
Gregory A TaylorDepartment of Medicine, Division of Geriatrics, Duke University Medical Center, Durham, NC, USA.
Jennifer C NaylorVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, NC, USA.
Allison E Ashley-KochDuke Molecular Physiology Institute, Duke University School of Medicine, Durham, NC, USA.
Jean C BeckhamVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, NC, USA.
Nathan A KimbrelVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, NC, USA.
VA Mid-Atlantic MIRECC Workgroup

Funding

BLRD VA IK6 BX003777BLRD VA IK6 BX006523CSRD VA IK2 CX002694CSRD VA IK6 CX002767Dr Bourassa from the Clinical Science Research and DevelopmentU.S. government
6 · The paper itself

Abstract

Injuries characterizing recent military service, such as traumatic brain injury and posttraumatic stress disorder, are linked to accelerated biological aging. If recent veterans have accelerated aging, they might also show early onset of aging-related phenotypes, such as frailty. In this study, we examined the prevalence of frailty and associations with biological aging using data from 1,654 post-9/11 veterans, who were followed for an average of 12.6 years. Biological aging was assessed using DunedinPACE, and frailty was assessed using 11 years of Jen Frailty Index scores from electronic health records. We found a high proportion of frailty-25.5% of post-9/11 veterans met frailty criteria during the study. This is roughly double the prevalence among community-dwelling older adults, despite the cohort's average age of 50.2 years at study end. Veterans with faster aging had higher initial frailty scores (β, 0.21; 95% CI, 0.15-0.27), higher peak frailty scores (β, 0.24; 95% CI, 0.18-0.30), and larger increases in frailty scores over time (β, 0.15; 95% CI, 0.09-0.21, all ps < .001). Faster aging was associated with a 62% (95% CI, 44%-82%) greater rate of incident frailty over the follow-up, while accounting for demographics, baseline health, and smoking. These results suggest post-9/11 veterans are at risk of early onset frailty, and this increased risk could be explained by accelerated rates of biological aging. Future research should replicate these results in nationally representative samples of post-9/11 veterans and explore whether screening for frailty should be implemented at younger ages for veterans.

Indexed as

AgingAging, PrematureFrailtyVeteransVeterans HealthFemaleHealth Status IndicatorsHumansMaleMiddle AgedPrevalenceUnited StatesBiological agingFrailtyMilitary servicePost-9/11Veterans

Identifiers

PMID41208042
PMCPMC12614435

What Socratic holds

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Read underepoch 390

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.