Prospective association between biological aging and risk of hospital-diagnosed MASLD: evidence from the UK Biobank - Summary - MDSpire

Prospective association between biological aging and risk of hospital-diagnosed MASLD: evidence from the UK Biobank

  • By

  • Xue Yang

  • Sicheng Li

  • Qingping Xue

  • Peijing Yan

  • Qian Li

  • Yi Gong

  • Xiayue Fan

  • Wenzhi Zhu

  • Shiyi Wu

  • Shanshan Zhang

  • Ko Willems van Dijk

  • Patrick C.N. Rensen

  • Ruifang Li-Gao

  • Yanan Wang

  • Ting Yao

  • June 17, 2026

  • 0 min

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Objective:

To explore the association between biological aging and hospital-diagnosed metabolic dysfunction-associated steatotic liver disease (MASLD) and investigate the potential mediating effects of biological aging on the relationships between unhealthy lifestyles and MASLD.

Approach:
    Key Findings:
    • Accelerated biological aging was significantly associated with hospital-diagnosed MASLD, with hazard ratios of 1.46 (95% CI: 1.35, 1.57) for PhenoAge acceleration and 1.35 (95% CI: 1.19, 1.53) for KDMAge acceleration.
    • PhenoAge acceleration accounted for 11.4% to 25.5% of the associations between unhealthy lifestyle factors (smoking, drinking, poor diet, low physical activity) and MASLD.
    • KDMAge acceleration showed minimal mediation effects (≤2%).
    Interpretation:

    The findings suggest that accelerated biological aging is linked to an increased risk of hospital-diagnosed MASLD and may mediate the effects of unhealthy lifestyles on MASLD risk.

    Limitations:
    • The study may be limited by the observational nature of the data, which restricts causal inferences.
    • Potential confounding factors, such as genetic predisposition and environmental influences, were not accounted for in the analysis.
    Conclusion:

    Accelerated biological aging is associated with hospital-diagnosed MASLD and may partially mediate the relationships between unhealthy lifestyles and MASLD.

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