Dietary Supplements

Association between vitamin intake and biological aging: evidence from NHANES 2007-2018.

TL;DR

Higher intake of dietary vitamin mixture was associated with slower biological aging, with vitamin C as the key protective driver, supporting recommendations for vitamin-rich diets to promote healthy aging.

Key Findings

Higher total vitamin intake was significantly associated with reduced biological aging across all three indicators.

  • KDM-acceleration: β = -1.281
  • PhenoAge-acceleration: β = -1.379
  • HD: β = -0.046
  • Cross-sectional study of 15,050 adults from NHANES 2007-2018
  • Median age was 51.0 years, and 51.5% were female

The dose-response relationships between total vitamin intake and biological aging were linear.

  • Restricted cubic spline regression was used to assess dose-response relationships
  • All Pnonlinear > 0.05 for the three biological aging indicators
  • No evidence of nonlinear associations was found

Vitamin C was identified as the primary protective component of the vitamin mixture against biological aging, followed by vitamin B2.

  • Quantile g-computation was used to assess joint and individual contributions of the 11-vitamin mixture
  • Vitamin C was identified as the key protective driver
  • Vitamin B2 was the second most important contributor
  • The mixture included 11 dietary vitamins in total

Stratified analyses revealed stronger associations between vitamin intake and biological aging in males and individuals with comorbidity.

  • Subgroup analyses were performed by sex and comorbidity status
  • Males showed stronger inverse associations between vitamin intake and biological aging compared to females
  • Individuals with comorbidity showed stronger associations than those without
  • Multiple linear regression was used in stratified analyses

Biological aging was assessed using three established indicators: KDM-acceleration, PhenoAge-acceleration, and homeostatic dysregulation (HD).

  • KDM-acceleration and PhenoAge-acceleration were derived as regression residuals of biological age on chronological age
  • HD is described as a composite physiological score
  • Daily intakes of 11 vitamins were estimated using the multiple source method to account for within-person variation
  • Two 24-hour recalls were used, incorporating both food and supplement contributions

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Citation

Zhang X, Xu Y, Wang X, Chen M, Xiong J, Cheng G. (2026). Association between vitamin intake and biological aging: evidence from NHANES 2007-2018.. The journal of nutrition, health & aging. https://doi.org/10.1016/j.jnha.2026.100776