Metabolic dysregulation and biological age acceleration in Hashimoto’s thyroiditis: a cross-sectional study based on clinical biomarker aging indices and metabolomics - Report - MDSpire

Metabolic dysregulation and biological age acceleration in Hashimoto’s thyroiditis: a cross-sectional study based on clinical biomarker aging indices and metabolomics

  • By

  • Xinyu Zhao

  • QunHao Li

  • Tao Luo

  • Wenxuan Fang

  • Qian Liu

  • Hao Li

  • Jie Su

  • Xiao Jiang

  • Jialan Yu

  • June 26, 2026

  • 0 min

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Clinical Report: Metabolic Imbalance and Acceleration of Biological Age in Hashimoto’s Thyroiditis

Overview

This study investigates the association between Hashimoto’s thyroiditis (HT) and biological age acceleration using clinical biomarker aging indices and metabolomic approaches.

Background

Hashimoto’s thyroiditis is a prevalent autoimmune thyroid disease that can lead to significant thyroid dysfunction and metabolic changes. This study aims to evaluate the relationship between HT and biological age.

Data Highlights

MeasureHT GroupHealthy Controls
KDM Biological AgeHigher (beta = 3.16 years, 95% CI 1.77-4.56)Lower
PhenoAgeHigher (beta = 1.54 years, 95% CI 1.05-2.03)Lower
MAAHigher in EHT and DHTLower
AUC for HT Classification Model0.980N/A

Key Findings

  • HT is associated with higher KDM biological age and PhenoAge indices compared to healthy controls.
  • Age acceleration metrics were significantly higher in HT patients across discovery cohorts.
  • In the NHANES validation cohort, HT was linked to a beta increase in biological age metrics after adjusting for confounding factors.
  • Metabolic age acceleration differed significantly among control, euthyroid HT, and thyroid dysfunction HT groups.
  • Citric acid, LPC 20:0 sn-1, and SM 34:2 were identified as core candidate metabolites related to HT.

Clinical Implications

The findings indicate that biological aging metrics may differ in patients with Hashimoto’s thyroiditis.

Conclusion

This study highlights the association between Hashimoto’s thyroiditis and biological and metabolic age acceleration.

Related Resources & Content

  1. American Thyroid Association 2026 Guidelines for Thyroid Disease in Preconception, Pregnancy, and Postpartum
  2. ETA guidelines for the use of levothyroxine sodium preparations in monotherapy to optimize the treatment of hypothyroidism
  3. Guidelines for the diagnosis of Graves' disease, hypothyroidism, painless thyroiditis, chronic thyroiditis (Hashimoto's thyroiditis), and subacute thyroiditis
  4. Body composition changes across a spectrum of hypothyroidism severity - a systematic review and meta-analysis
  5. The Journal of Clinical Endocrinology & Metabolism — Association of Serum Thyrotropin Concentrations with Metabolic Disorders in the Elderly
  6. The Journal of Clinical Endocrinology & Metabolism — Changes in Thyroid Function and Autoimmunity in Older Individuals: Longitudinal Analysis of the Whickham Cohort
  7. BMJ Mental Health — Metabolomic ageing across mental and behavioural disorders
  8. The Journal of Clinical Endocrinology & Metabolism — Gender Variations in the Link Between Thyroid Hormone Sensitivity and Cardiovascular-Kidney-Metabolic Syndrome
  9. Identifying the metabolic profile of Hashimoto’s thyroiditis from the METHAP clinical study
  10. Clinical efficacy of selenium supplementation in patients with Hashimoto thyroiditis: A systematic review and meta-analysis
  11. American Thyroid Association 2026 Guidelines for Thyroid Disease in Preconception, Pregnancy, and Postpartum - Tim I.M. Korevaar, Angela M. Leung, Erik K. Alexander, Sofie Bliddal, Kristien Boelaert, Gabriela Brenta, Roger Chou, Rima Dhillon-Smith, Chrysoula Dosiou, Jennifer L. Eaton, Haixia Guan, Sarah J. Kilpatrick, Bente J. Lasserre, Sun Y. Lee, Spyridoula Maraka, Kara D. Meister, Lilah F. Morris-Wiseman, Caroline T. Nguyen, Elizabeth N. Pearce, Zhongyan Shan, 2026
  12. ETA guidelines for the use of levothyroxine sodium preparations in monotherapy to optimize the treatment of hypothyroidism - PubMed
  13. Guidelines for the diagnosis of Graves' disease, hypothyroidism, painless thyroiditis, chronic thyroiditis (Hashimoto's thyroiditis), and subacute thyroiditis (acute phase) - ScienceDirect
  14. Body composition changes across a spectrum of hypothyroidism severity - a systematic review and meta-analysis | Article Information | J-GLOBAL
  15. Frontiers | Association between thyroid function and metabolic associated fatty liver disease: a systemic review and meta-analysis
  16. Epigenetic clocks: advancing biological age measures towards meaningful clinical use - PMC

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