Biomedical Informatics and Smart Healthcare | Volume 2, Issue 1: 38-61, 2026 | DOI: 10.62762/BISH.2026.503823
Abstract
Environmental exposure biomarkers (EEBs) reflect the internal burden of pollutants, yet the joint effects of multiple exposures on biological aging and chronic disease risk remain insufficiently characterized. We analyzed 8,582 adults from the 2013-2016 National Health and Nutrition Examination Survey (NHANES). Mixed exposure was characterized using 74 EEBs. Phenotypic age acceleration and biological age acceleration were used as aging outcomes. Weighted quantile sum (WQS) regression, Bayesian kernel machine regression (BKMR), and LASSO regression were applied to identify key exposure components associated with aging acceleration. Logistic and Cox regression models were then used to evaluate... More >
Graphical Abstract