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Volume 4 Issue 1, January 2024

Inferring health trajectories

In this issue, Netta Mendelson Cohen et al. investigate individuals’ trajectories of healthy aging and age-related diseases. The researchers stitch together electronic health records with partial longitudinal coverage, using machine learning to untangle future healthy aging from chronic disease, and identify early indicators for healthy longevity. The cover image shows the study’s longevity-model features superimposed with representations of electronic health record information, which are connected via multiple solid or dotted lines that indicate differing propensities to drive the outputs of the models.

See Cohen et al.

Image: adapted from Nat. Aging https://doi.org/10.1038/s43587-023-00536-5 (2024), Springer Nature America (background and central graph), elenabs/iStock/Getty Images Plus (remaining elements). Cover Design: Lauren Heslop

Comment & Opinion

  • Health systems have adopted models of integrated care to better align services around the needs of aging populations. The results are encouraging, but inconsistent. Although they are untested, recent approaches — such as the WHO’s ‘Integrated Care for Older People’ — that are explicitly person-centered suggest that more-radical reform may be possible.

    • John R. Beard
    Comment

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News & Views

  • Two recent studies discover a scaling law of mammalian lifespans: the speed at which DNA methylation drifts from a youthful state strongly associates with maximum lifespan.

    • Francesco Morandini
    • Andrei Seluanov
    • Vera Gorbunova
    News & Views
  • Oleson et al. tackle the enduring question of the extent to which transient events during development shape our outcomes by studying the effects of early-life exposure to oxidative stress. They find that a cascade of changes initiated by the epigenetic-modifier COMPASS complex manifests in rearrangements in lipid metabolism in adulthood, which confers broad protection against amyloid-induced proteotoxicity.

    • Supriya Srinivasan
    News & Views
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