Obesity

DXA ‐Measured Visceral Adipose Tissue and Accelerated Biological Aging in Middle‐Aged Adults

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

VAT may represent a specific marker of accelerated biological aging, independent of lifestyle and adiposity measures.

Study context

Population
Middle-aged adults aged 45–69 years, Busselton Healthy Ageing StudyLeukocyte telomere length (LTL) subsample 1221
Participants
4,799 adults
Exposure
Per 1-SD increase in DXA-derived visceral adipose tissue (VAT), by sex
  • Femalesn = 2,614
Outcome
PhenoAgeAccel and LTL (T/S ratio) associated with DXA-measured VAT
Methodological detailssex-stratified linear regression, adjusted for chronological age and lifestyle factors
  • Sex-stratified linear regression
  • Adjusted for chronological age and lifestyle factors

Main finding

As reported in the abstract

PhenoAgeAccel per 1-SD increase in VAT

Observational data: associations, not effects.

Further findings

VAT mass

OutcomeMalesFemales
LTL per 1 SD VAT— not stated in the abstract−0.041 (CI −0.069–-0.013)

— not stated in the abstract

LTL per 1 SD VAT

In females only, higher VAT was associated with shorter LTL

Further adjustment for anthropometric and other DXA adiposity measures

Associations mostly remained significant

Original publication

DXA ‐Measured Visceral Adipose Tissue and Accelerated Biological Aging in Middle‐Aged Adults. Obesity (Silver Spring). Published 28 June 2026. doi:10.1002/oby.70239

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