Evidence map›Paper›PMID 41691465›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2026

Biomarkers help us understand how cellular and systemic aging contribute to mortality: a study utilizing a machine-learning approach in the Health and Retirement Study.

Eric T Klopack, Eileen M Crimmins

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

2 authors.

Eric T KlopackDepartment of Epidemiology and Biostatistics, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana, United States.ORCID 0000-0002-0019-1332
Eileen M CrimminsLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
USC/UCLA Center on Biodemography &Population HealthP30AG017265 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE · 1999 to 2026
$17.9M
RESEARCH TRAINING IN GERONTOLOGYT32AG000037 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, EILEEN M CRIMMINS · 1985 to 2026
$13.2M
Biological Underpinnings of Socioeconomic Differentials in Health and MortalityR01AG060110 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CRIMMINS, EILEEN M · 2018 to 2022
$2.6M
Health and Retirement StudyNational Institute on Aging of the National Institutes of Health P30AG017265National Institute on Aging of the National Institutes of Health R01AG060110National Institute on Aging of the National Institutes of Health T32AG000037NIA NIH HHS NIA U01AG009740NIA NIH HHS P30 AG017265NIA NIH HHS R01 AG060110NIA NIH HHS T32 AG000037NIA NIH HHS U01 AG009740NIH HHSUniversity of Michigan
6 · The paper itself

Abstract

backgroundResearch suggests aging is a coordinated physiological decline occurring in multiple systems and at multiple biological levels. However, it is largely unknown how general biological aging and specific systemic aging co-occur and influence one another to affect health outcomes. There is also emerging interest in understanding how social exposures may differentially accelerate decline in individual physiological systems.

methodsWe utilize data from the Health and Retirement Study, a nationally representative sample of about 4000 US adults over age 55. We used eXtreme Gradient Boosting (xgboost) in a training subsample to create system-specific mortality risk scores based on sets of biomarkers representing biological systems (eg, brain and nervous system, adaptive immune system, cardiovascular system, renal system) as well as general multisystem aging.

resultsResults suggest that the effects of most biological systems may be well captured by one or a small number of biomarkers and that female sex appears to be a protective or risk factor depending on specific biological system.

conclusionsThe importance of studying both general and system-specific aging is discussed.

Indexed as

AgingBiomarkersMachine LearningMortalityAgedBoosting Machine Learning AlgorithmsFemaleHumansMaleUnited StatesBiomarkersBig dataBiomarkers of agingGeroscienceMachine learningMortality

Identifiers

PMID41691465
PMCPMC13019294

What OpenQuestion holds

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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.