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Updated: Jun 18, 2026

Measuring Single-Cell Aging with an Imaging-based Biomarker of Chromatin and Epigenetic Aging
Published on: January 30, 2026
Evaluation of biological aging process - a population-based study of healthy people in China
Xiaojuan Bai1, Lulu Han, Qiang Liu
1Departments of Gerontology and Geriatrics, the First Affiliated Hospital, China Medical University, Shengyang, PR China. xjuanbai2008@163.com
Insights
This study developed a biological age score (BAS) for healthy Chinese individuals, finding it superior to chronological age in assessing aging rates. Cardiovascular factors are key indicators of biological aging.
Area of Science:
- Gerontology
- Cardiovascular Health
- Biomarker Discovery
Background:
- Limited research exists on biomarkers of aging and biological age score (BAS) in healthy Chinese populations.
- Previous studies on biological age have not extensively included echocardiographic cardiovascular assessments or inflammatory biomarkers.
Purpose of the Study:
- To identify biomarkers indicative of healthy aging in China.
- To establish a reliable biological age score (BAS) for healthy individuals in China.
Main Methods:
- A cohort of 2,876 adults (aged 30-98) was studied in three Chinese cities.
- 852 healthy subjects underwent assessment of 108 physical, physiological, and biochemical variables.
- Eight key variables, including chronological age (CA), cardiovascular measures (arterial pulse pressure, intima-media thickness, end diastolic velocity, E/A ratio, mitral valve annulus velocity), cystatin C, and fibrinogen, were selected to formulate the BAS.
Main Results:
- A BAS equation was derived: 0.248(CA) + 0.195(IMT) - 0.196(EDV) - 0.167(E/A) - 0.166(MVEL) + 0.188(PP) + 0.182(FIB) + 0.193(CYSC).
- The established BAS demonstrated a strong correlation with chronological age (r = 0.893, p < 0.001).
- The biological aging rate, as predicted by BAS, accelerated with increasing chronological age, peaking in individuals aged 75 and older.
Conclusions:
- The developed BAS is a more effective measure of aging rate in healthy Chinese individuals than chronological age.
- Cardiovascular variables are critically important in evaluating biological aging.
- The rate of biological aging appears to be specific to different age groups.
Background:
Although there have been cross-sectional and longitudinal studies examining biological age (BA) with chronological age (CA)-related changes in physical, physiological, biochemical, and hormonal variables, few studies have performed echocardiographic evaluation of the cardiovascular system and inflammatory biomarkers. Furthermore, little is known about biomarkers of aging and BA score (BAS) for healthy people in China.
Objectives:
The purpose of this study was to identify the biomarkers of healthy aging and to establish BAS for healthy people in China.
Methods:
We examined 2,876 men and women aged 30-98 years old in three Chinese cities, and 852 healthy subjects were assessed with 108 physical, morphological, physiological and biochemical variables. After excluding binary variables, variables that had a correlation coefficient with CA of < or =0.25 and redundant variables, eight variables including CA, arterial pulse pressure (PP), intima-media thickness (IMT), end diastolic velocity (EDV), ratio of peak velocity of early filling to atrial filling (E/A), mitral valve annulus lateral wall of peak velocity of early filling (MVEL), cystatin C (CYSC), and fibrinogen (FIB) were selected as candidate biomarkers of aging based on a factor-weighted BAS composite for predicting BA.
Results:
The BAS equation was 0.248 (CA) + 0.195 (IMT) - 0.196 (EDV) - 0.167 (E/A) - 0.166 (MVEL) + 0.188 (PP) + 0.182 (FIB) + 0.193 (CYSC). Individual BAS were significantly correlated with CA (r = 0.893, p < 0.001). Biological aging rate predicted by BAS was accelerated with increases in CA, and peaked when healthy men and women reached > or =75 years of age.
Conclusions:
Our data suggest that BAS is superior to CA in assessing the rate of aging in healthy Chinese people. The cardiovascular variables play a crucial role in the evaluation of biological aging. Biological aging rate appears to be age specific.
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