Metabolomic ageing across mental and behavioural disorders - Report - MDSpire

Metabolomic ageing across mental and behavioural disorders

  • By

  • Julian Mutz

  • Lachlan Gilchrist

  • Andrea G Allegrini

  • Sandra Sanchez Roige

  • Cathryn M Lewis

  • June 22, 2026

  • 0 min

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Clinical Report: Metabolomic Aging in Relation to Mental and Behavioral Disorders

Overview

This study examines the differences in metabolomic aging across various mental disorders using data from the UK Biobank. Findings indicate that many disorders are associated with an older biological age, while some, such as obsessive-compulsive and eating disorders, are linked to a younger biological age.

Background

Individuals with mental disorders often experience increased morbidity and premature mortality. Previous research has suggested that accelerated aging may contribute to these disparities, yet comprehensive studies across diverse mental health diagnoses remain limited. This study aims to fill that gap by analyzing metabolomic profiles to assess disorder-specific aging.

Data Highlights

Disorder TypeMetabolite-Predicted Age vs. Chronological Age
Psychotic DisordersOlder (β=0.556, p<0.001)
Obsessive-Compulsive DisordersYounger
Eating DisordersYounger

Key Findings

  • Substance use, psychotic, affective, and neurotic disorders are associated with older metabolite-predicted ages.
  • Obsessive-compulsive and eating disorders are linked to younger metabolomic ages.
  • Associations with metabolomic aging are generally stronger in males and individuals under 65 years.
  • Higher genetic liability to depression, autism, and ADHD predicts older metabolomic age.
  • Polygenic scores for psychosis and tobacco use disorder predict younger metabolomic age.

Clinical Implications

Biological age should not be assumed to uniformly exceed chronological age across mental disorders. Sex and age-specific approaches could improve understanding of biological aging processes in psychiatry.

Conclusion

Metabolomic aging in mental disorders is heterogeneous. While many disorders are associated with an older biological age, some are linked to a younger biological age.

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  8. Mental Health Gap Action Programme (mhGAP) guideline for mental, neurological and substance use disorders: executive summary
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  10. Characterizing metabolomic and proteomic changes in depression: a systematic analysis | Molecular Psychiatry

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