Evidence map›Paper›PMID 41922888›Full record

ArticleGeroScience2026

The MetaboHealth score is 40% heritable and is influenced by frailty status, BMI, and smoking in Swedish twins.

Larissa Smulders, Jonathan K L Mak, Sara Hägg, Joris Deelen

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In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Larissa SmuldersMax Planck Institute for Biology of Ageing, Cologne, Germany.
Jonathan K L MakDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Sara HäggDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. sara.hagg@ki.se.
Joris DeelenMax Planck Institute for Biology of Ageing, Cologne, Germany. J.Deelen@lumc.nl.ORCID http://orcid.org/0000-0003-4483-3701

Funding

Vetenskapsrådet 2021-00180Vetenskapsrådet 2022-01608
6 · The paper itself

Abstract

The MetaboHealth score, a metabolomics-based biomarker trained on mortality, is associated with ageing-related phenotypes and morbidity, but its heritable component is still uncertain. Understanding genetic versus environmental contributions is essential for its utility as an intervention-responsive biomarker. Hence, the aim of this study was to estimate heritability of the MetaboHealth score in the large Swedish TwinGene cohort and evaluate interactions with modifiable lifestyle factors and health outcomes. We analysed 12,256 twins (55% female; mean age 64.8 years at blood draw) with Nightingale Health-based metabolomics data, followed until February 2024 (median follow-up time of 16.2 years). We subsequently estimated the heritability of the score using additive genetic (A), shared environmental (C), and unique environmental (E) (ACE) modelling via Cholesky decomposition in 1,370 monozygotic and 3,381 dizygotic twin pairs. Cox regression was used to assess mortality associations, with sensitivity analyses stratified by age, smoking, body mass index (BMI), and frailty. The MetaboHealth score was significantly associated with all-cause mortality (Hazard ratio (HR) = 1.91, 95% confidence interval (CI): 1.73-2.11; P = 1.32 × 10⁻

Indexed as

Healthy ageingHeritabilityMetaboHealth scoreMetabolomicsSmokingTwin study

Identifiers

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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.