Heterogeneity in the association between dietary carotenoid intake and biomarker-defined phenotypic age acceleration by rest–activity rhythm regularity in US adults: a cross-sectional study using machine learning - 11/11/26
, Naoko Waki, Shigenori SuzukiAbstract |
Background |
Higher dietary carotenoid intake is associated with healthier aging profiles, but whether this association varies across participant characteristics remains unclear.
Objectives |
To explore heterogeneity in the adjusted association between dietary carotenoid intake and phenotypic age acceleration and to prioritize participant characteristics for independent validation.
Design |
Cross-sectional analysis.
Setting |
The 2011–2014 National Health and Nutrition Examination Survey (NHANES).
Participants |
A total of 5011 adults in the analytic NHANES sample with available dietary, biomarker, accelerometer-derived behavioral, and covariate data.
Intervention |
Not applicable.
Measurements |
Reported total dietary carotenoid intake was averaged across two 24-hour recalls, and phenotypic age acceleration (PhenoAgeAccel) was calculated from clinical biomarkers. Double machine learning (DML) estimated participant-specific model-adjusted association contrasts (not directly observed individual responses) using a covariate-dependent mapped dietary exposure scale and screened 26 candidate characteristics, including accelerometer-derived behavioral metrics.
Results |
In exploratory analyses based on the DML framework, interdaily stability (IS), an index of day-to-day regularity of the rest–activity rhythm, was the highest-ranked candidate characteristic. Residualized association estimates were more negative in the lowest than the highest IS quartile (−0.343 versus 0.026 years per SD of mapped dietary exposure). In five internal 50:50 split-sample analyses, IS ranked among the top five candidates in every discovery sample. The lower-versus-higher IS pattern was directionally consistent in the corresponding holdout samples, but estimates were imprecise and did not establish between-group differences.
Conclusion |
This exploratory analysis prioritizes IS for independent validation as a candidate behavioral context for potential heterogeneity in the dietary carotenoid–PhenoAgeAccel association. The findings generate a hypothesis for studies integrating dietary exposure, behavioral regularity, and aging-related biomarkers.
Le texte complet de cet article est disponible en PDF.Keywords : Dietary carotenoids, NHANES, Phenotypic age acceleration, Rest–activity rhythm, Heterogeneity
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Vol 15
Article 100090- 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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