Evidence map›Paper›PMID 40643913›Full record

ArticleJAMA network open2025

Long-Term Obesity and Biological Aging in Young Adults.

Paulina Correa-Burrows, Raquel Burrows, Cecilia Albala, Carlos Sepúlveda, Felipe Salech, Rodrigo Troncoso, Daniel Bunout, Christian Gonzalez-Billault

Abstract read
In one paragraph

Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. T lymphocyte regulatory cytokines predict frailty in older adults.bioRxiv : the preprint server for biology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Article
  13. Article
  14. Obesity, Hypertension and Brain Health.Current hypertension reports · 2025
    Review
  15. Review
  16. Article
  17. Review
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

8 authors.

Paulina Correa-BurrowsInstitute of Nutrition & Food Technology, Universidad de Chile, Santiago, Chile.
Raquel BurrowsInstitute of Nutrition & Food Technology, Universidad de Chile, Santiago, Chile.
Cecilia AlbalaInstitute of Nutrition & Food Technology, Universidad de Chile, Santiago, Chile.
Carlos SepúlvedaInstitute of Health Sciences, Universidad de O'Higgins, Rancagua, Chile.
Felipe SalechInstitute of Nutrition & Food Technology, Universidad de Chile, Santiago, Chile.
Rodrigo TroncosoInstitute of Nutrition & Food Technology, Universidad de Chile, Santiago, Chile.
Daniel BunoutInstitute of Nutrition & Food Technology, Universidad de Chile, Santiago, Chile.
Christian Gonzalez-BillaultInstitute of Nutrition & Food Technology, Universidad de Chile, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: It remains unclear whether obesity accelerates biological aging, potentially leading to early-onset chronic diseases. Objective: To investigate the association between long-term obesity and the expression of biochemical aging markers in younger adults. Design, Setting, and Participants: This multiple-events case-control study, conducted from April 5, 2022, to June 29, 2023, was embedded in the Santiago Longitudinal Study, a prospective Chilean birth cohort of adults aged 28 to 31 years among whom health and nutrition data were collected from September 1992 onward. Exposure: Body mass index (BMI) trajectory across the life course, recorded multiple times since birth. Group 1 had healthy BMI across the life course, group 2 had persistent obesity since adolescence, and group 3 had persistent obesity since childhood. Main Outcomes and Measures: Smoothed BMI trajectories (cubic polynomials) were used to estimate obesity duration. Primary outcomes were DNA methylation-based age and telomere length (TL). Secondary outcomes included levels of aging-related cytokines, growth factors, and adipomyokines. Results: In the sample of 205 adults (mean [SD] age, 28.9 [0.6] years; 100 females [49%]), 89 (43%) were in group 1, 43 (21%) in group 2, and 73 (36%) in group 3. Mean (SD) obesity duration was 12.9 (4.8) years in group 2 and 26.6 (2.3) years in group 3. Long-term obesity was associated with adulthood expression of biomarkers denoting antagonistic and integrative aging hallmarks, including mean (SD) hs-CRP (1.69 [2.1] vs 3.67 vs 4.24 [2.4] mg/L; P < .001; f = 0.57 [95% CI, 0.44-0.70]) and IL-6 (log, 0.69 [0.5] vs 1.03 [0.4] vs 0.99 [0.4]; P < .001; f = 0.53 [95% CI, 0.41-0.62]), as well as FGF-21, IGF-1, IGF-2, apelin, and irisin. Cohen f coefficient indicated a large effect size for the association of long-term obesity with adulthood expression of these markers. Conclusions and Relevance: In this multiple-events case-control study, long-term obesity was associated with the expression of biochemical aging markers in adults aged 28 to 31 years, consistent with epigenetic alterations, telomere attrition, chronic inflammation, impaired nutrient sensing, mitochondrial stress, and compromised intercellular communication. In young adults, chronic health issues may emerge from accelerated biological aging associated with long-term obesity.

Indexed as

AgingObesityAdultBiomarkersBody Mass IndexCase-Control StudiesChileDNA MethylationFemaleHumansLongitudinal StudiesMaleProspective StudiesBiomarkers

Identifiers

PMID40643913
PMCPMC12254895

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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 OpenQuestion graph.