Health octo tool matches personalized health with rate of aging

Abstract Medical practice mainly addresses single diseases, neglecting multimorbidity as a heterogeneous health decline across organ systems. Aging is a multidimensional process and cannot be captured by a single metric. Therefore, we assessed global health in longitudinal studies, BLSA (n = 907), I...

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Main Authors: Sh Salimi, A. Vehtari, M. Salive, M. Kaeberlein, D. Raftery, L. Ferrucci
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-58819-x
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author Sh Salimi
A. Vehtari
M. Salive
M. Kaeberlein
D. Raftery
L. Ferrucci
author_facet Sh Salimi
A. Vehtari
M. Salive
M. Kaeberlein
D. Raftery
L. Ferrucci
author_sort Sh Salimi
collection DOAJ
description Abstract Medical practice mainly addresses single diseases, neglecting multimorbidity as a heterogeneous health decline across organ systems. Aging is a multidimensional process and cannot be captured by a single metric. Therefore, we assessed global health in longitudinal studies, BLSA (n = 907), InCHIANTI (n = 986), and NHANES (n = 40,790), by examining disease severities in 13 bodily systems, generating the Body Organ Disease Number (BODN), reflecting progressive system morbidities. We used Bayesian ordinal models, regressing BODN over organ specific and all organs disease severities to obtain Body System-Specific Clocks and the Body Clock, respectively. The Body Clock is BODN weighted by the posterior coefficient of diseases for each individual. It supersedes the frailty index, predicting disability, geriatric syndrome, SPPB, and mortality with ≥90% accuracy. The Health Octo Tool, derived from Bodily System-Specific Clocks, the Body Clock and Clocks that incorporate walking speed and disability and their aging rates, captures multidimensional aging heterogeneity across organs and individuals.
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spelling doaj-art-db5c09fcd779444f9bd08f3b242182732025-08-20T03:52:53ZengNature PortfolioNature Communications2041-17232025-05-0116111610.1038/s41467-025-58819-xHealth octo tool matches personalized health with rate of agingSh Salimi0A. Vehtari1M. Salive2M. Kaeberlein3D. Raftery4L. Ferrucci5Department of Anesthesiology and Pain Medicine, University of WashingtonDepartment of Computer Science, Aalto UniversityDivision of Geriatrics and Clinical Gerontology, National Institute on AgingOptispan IncDepartment of Anesthesiology and Pain Medicine, University of Washington, Northwest Metabolomics Research CenterIntramural Research Program, National Institute on AgingAbstract Medical practice mainly addresses single diseases, neglecting multimorbidity as a heterogeneous health decline across organ systems. Aging is a multidimensional process and cannot be captured by a single metric. Therefore, we assessed global health in longitudinal studies, BLSA (n = 907), InCHIANTI (n = 986), and NHANES (n = 40,790), by examining disease severities in 13 bodily systems, generating the Body Organ Disease Number (BODN), reflecting progressive system morbidities. We used Bayesian ordinal models, regressing BODN over organ specific and all organs disease severities to obtain Body System-Specific Clocks and the Body Clock, respectively. The Body Clock is BODN weighted by the posterior coefficient of diseases for each individual. It supersedes the frailty index, predicting disability, geriatric syndrome, SPPB, and mortality with ≥90% accuracy. The Health Octo Tool, derived from Bodily System-Specific Clocks, the Body Clock and Clocks that incorporate walking speed and disability and their aging rates, captures multidimensional aging heterogeneity across organs and individuals.https://doi.org/10.1038/s41467-025-58819-x
spellingShingle Sh Salimi
A. Vehtari
M. Salive
M. Kaeberlein
D. Raftery
L. Ferrucci
Health octo tool matches personalized health with rate of aging
Nature Communications
title Health octo tool matches personalized health with rate of aging
title_full Health octo tool matches personalized health with rate of aging
title_fullStr Health octo tool matches personalized health with rate of aging
title_full_unstemmed Health octo tool matches personalized health with rate of aging
title_short Health octo tool matches personalized health with rate of aging
title_sort health octo tool matches personalized health with rate of aging
url https://doi.org/10.1038/s41467-025-58819-x
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