Evidence map›Paper›PMID 40057623›Full record

ArticleAging clinical and experimental research2025

Systemic immune inflammation mediates the association of serum omega-3 and omega-6 polyunsaturated fatty acids with biological aging: a national population-based study.

Fei Shan, Yu Xiong, Pearl Pai, Mingya Liu

Abstract read
In one paragraph

Article in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

4 authors.

Fei ShanDepartment of Cardiology, University of Hong Kong-Shenzhen Hospital, No.1, Haiyuan 1st Road, Futian District, Shenzhen, Guangdong, China.
Yu XiongDepartment of Neurology, University of Hong Kong-Shenzhen Hospital, No.1, Haiyuan 1st Road, Futian District, Shenzhen, Guangdong, China.
Pearl PaiDepartment of Medicine, University of Hong Kong-Shenzhen Hospital, No.1, Haiyuan 1st Road, Futian District, Shenzhen, Guangdong, China. ppai@hku-szh.org.
Mingya LiuDepartment of Cardiology, University of Hong Kong-Shenzhen Hospital, No.1, Haiyuan 1st Road, Futian District, Shenzhen, Guangdong, China. liumy@hku-szh.org.

Funding

Sanming Project of Medicine in Shenzen Municipality SZSM201911020
6 · The paper itself

Abstract

objectiveThis study aimed to explore the association between serum omega-3 (n-3) and omega-6 (n-6) polyunsaturated fatty acids (PUFAs) and biological aging, along with the potential mediating role of systemic immune inflammation (SII).

methodsData from the National Health and Nutrition Examination Survey (NHANES) 2011-2014 were used for analyses. Accelerated aging in participants was assessed by calculating the difference between phenotypic age (PhenoAge) and chronological age. Weighted multivariate linear regression models and subgroup analysis were used to investigate the correlation between serum n-3 and n-6 PUFAs and accelerated aging, and restricted cubic spline (RCS) model was applied to explore potential nonlinear relationships. We further conducted mediation analyses to assess the role of SII in these relationships. Additionally, weighted quantile sum (WQS) regression and quantile g-computation (QGC) models were conducted to investigate the mixed effects of serum PUFAs and identify the key contributor.

resultsA total of 3376 participants were enrolled in this study. In multivariate linear regression models, eight of the twelve individual serum PUFAs showed a significantly negative association with PhenoAge acceleration, Specifically, per-unit increases in linoleic acid (LA), gamma-linolenic acid (GLA), arachidonic acid (AA), alpha-linolenic acid (ALA), stearidonic acid (SDA), eicosapentaenoic acid (EPA), docosapentaenoic acid (n-3 DPA), and docosahexaenoic acid (DHA) were all associated with reduced PhenoAge acceleration (P < 0.05, respectively). Subgroup analysis demonstrated robust consistence results when stratified by age, sex, and race/ethnicity. L-shaped nonlinear relationships were observed between PhenoAge acceleration with total n-6 PUFAs, LA and ALA (all P for nonlinear < 0.05). Mediation analyses indicated that SII mediated the relationship between serum PUFAs and reduced PhenoAge acceleration. Mixed-effects analysis using WQS and QGC models revealed that the combined effect of serum PUFAs on reducing PhenoAge acceleration, with DHA showing the strongest significant contribution.

conclusionsThis study demonstrated that higher levels of certain PUFAs were associated with a reduction in PhenoAge acceleration either individually or in combination, with DHA having the most prominent effect in mixed effects. The SII mediated these relationships, suggesting that PUFAs may slow biological aging by reducing inflammation. These findings highlighted the potential role of PUFAs in mitigating accelerated aging and their implications for aging-related health interventions.

Indexed as

AgingFatty Acids, Omega-3Fatty Acids, Omega-6InflammationAdultAgedFemaleHumansMaleMiddle AgedNutrition SurveysFatty Acids, Omega-3Fatty Acids, Omega-6Biological agingNHANESPolyunsaturated fatty acidsSystemic immune inflammation

Identifiers

PMID40057623
PMCPMC11890405

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.