Evidence mapPaperPMID 42527728Full record

ArticleGeroScience2026

Epigenetic aging biomarkers in dietary geroscience: feasibility, participant perceptions, and trial design considerations.

Lindsay M Reynolds, Timothy D Howard, Carl D Langefeld, Mara Z Vitolins

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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. It is linked to trial NCT04361617 (A Feasibility Study of Tree Nut and Extra Virgin Olive Oil Supplementation to Improve Cardiometabolic Health), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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.

NCT04361617 nacompletednot on this map

A Feasibility Study of Tree Nut and Extra Virgin Olive Oil Supplementation to Improve Cardiometabolic Health

TypeinterventionalSponsorWake Forest University Health SciencesRan2021 to 2022Enrolled34ConditionsMetabolic SyndromeArmsDaily consumption of tree nuts and extra virgin olive oil
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.

Lindsay M ReynoldsDepartment of Epidemiology and Prevention, Division of Public Health Sciences, Center for Precision Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA. Lindsay.reynolds@wfusm.edu.ORCID http://orcid.org/0000-0001-6157-0144
Timothy D HowardDepartment of Biochemistry, Center for Precision Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Carl D LangefeldDepartment of Biostatistics and Data Science, Division of Public Health Sciences, Center for Precision Medicine, and Center for Artificial Intelligence Research, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Mara Z VitolinsDepartment of Epidemiology and Prevention, Division of Public Health Sciences, Center for Precision Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

NCATS NIH HHS UL1 TR001420NCATS NIH HHS UL1TR001420
6 · The paper itself

Abstract

Targeting biological processes of aging is a central goal of geroscience; however, limited data exist regarding the feasibility of incorporating biological aging biomarkers into dietary intervention trials. We conducted a pilot feasibility study among 34 adults aged 48-81 years with metabolic syndrome, a condition associated with elevated risk of age-related cardiometabolic disease and advanced biological aging. Participants consumed 1 oz of tree nuts and two tablespoons of extra virgin olive oil daily for 4 weeks. The primary objectives were to evaluate feasibility, adherence, and participant acceptability of epigenetic aging assessments. Exploratory outcomes included DunedinPACE, a measure of the pace of aging, and AgeAccelGrim, a measure of biological age relative to chronological age. At baseline, all participants exhibited a faster pace of biological aging than average as assessed by DunedinPACE, supporting metabolic syndrome as a promising target population for geroscience interventions. Adherence to the dietary intervention exceeded 95%, and most participants reported willingness to participate in a similar longer-term trial. Participants expressed a strong interest in learning their biological age and indicated that evidence of slowed aging would motivate sustained dietary change. No significant changes in epigenetic aging were observed over the 4-week intervention. These findings demonstrate the feasibility and acceptability of incorporating epigenetic aging biomarkers into dietary intervention research and suggest that biological aging measures may serve not only as surrogate outcomes but also as tools to support participant engagement. The results also support metabolic syndrome as a relevant population for dietary geroscience trials and provide practical guidance for designing longer-term studies evaluating whether dietary interventions can slow biological aging and promote healthy longevity. ClinicalTrials.gov Identifier: NCT04361617 (date of registration: 04-23-2020).

Indexed as

Biological agingDietary interventionEpigenetic agingExtra virgin olive oilGeroscienceMediterranean dietMetabolic syndromeTree nuts

Identifiers

What Socratic holds

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Registered trials

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.