Evidence map›Paper›PMID 42730837›Full record

ArticleBiological trace element research2026

Association Between Iron Availability and Accelerated Biological Aging in Non-Anemic Women of Reproductive Age: A Nationally Representative Cross-Sectional Study.

Huishan Guo, Yaqi Wang, Yuxin Guan, PeiYun Yang, Qian Zhao, Leonid N Maslov, Natalia V Naryzhnaya, Yue Guan, Huijie Ma

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Article in Biological trace element research, 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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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Huishan GuoDepartment of Physiology, Hebei Medical University, Shijiazhuang, 050017, Hebei, China.
Yaqi WangDepartment of Physiology, Hebei Medical University, Shijiazhuang, 050017, Hebei, China.
Yuxin GuanDepartment of Physiology, Hebei Medical University, Shijiazhuang, 050017, Hebei, China.
PeiYun YangDepartment of Physiology, Hebei Medical University, Shijiazhuang, 050017, Hebei, China.
Qian ZhaoDepartment of Physiology, Hebei Medical University, Shijiazhuang, 050017, Hebei, China.
Leonid N MaslovCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia.
Natalia V NaryzhnayaCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia.
Yue GuanDepartment of Physiology, Hebei Medical University, Shijiazhuang, 050017, Hebei, China. guanyue@hebmu.edu.cn.
Huijie MaDepartment of Physiology, Hebei Medical University, Shijiazhuang, 050017, Hebei, China. huijiema@hebmu.edu.cn.ORCID https://orcid.org/0000-0002-6069-349X

Funding

National Natural Science Foundation of China 31971044, 82571813
6 · The paper itself

Abstract

Iron is essential for mitochondrial function, yet iron insufficiency without anemia in reproductive-aged women is often overlooked. Traditional markers like ferritin are influenced by inflammation, which may complicate the assessment of iron status and its association with biological aging. We analyzed 5,686 non-anemic reproductive-aged women (20-49 years) from NHANES cycles 2003-2010 and 2015-2023. We examined the association between the soluble transferrin receptor-to-log(ferritin) index (sTfR index), an indirect marker of iron status, and biological aging, measured by Phenotypic Age Acceleration (PhenoAgeAccel). Analyses included weighted multivariable regression, restricted cubic spline (RCS) modeling, and sensitivity analysis (CRP ≤ 5 mg/L). Each 1-unit increase in sTfR index was associated with a 1.94-year increase in PhenoAgeAccel (95% CI: 1.56-2.32). The association remained robust after excluding participants with elevated inflammation (β = 1.79; 95% CI: 1.41-2.17). Separately, ferritin RCS analysis showed that compared with the median (47 μg/L), women at the WHO threshold (15 μg/L) exhibited 1.93 additional years of biological aging (95% CI: 1.58-2.29). Notably, women with higher sTfR index values (median ferritin 29 μg/L) showed PhenoAgeAccel values, despite a substantial proportion having ferritin levels above commonly used deficiency thresholds. The magnitude of this association varied across levels of bilirubin and socioeconomic status. Higher sTfR index values, even in the absence of anemia, were associated with accelerated biological aging in reproductive-aged women. The sTfR index may provide additional information regarding iron status beyond conventional markers.

Indexed as

Biological agingIron statusNHANESReproductive-aged womensTfR index

Identifiers

PMID42730837

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