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Although bio-based sensing materials have a wide range of applications in the field of pressure detection, they still need to improve their sensitivity, detection limit and hysteresis. This paper studied the relationship between the 3D pore structure and sensing performance under dynamics. Using Balsa wood as the substrate, CWA/TPU aerogel and its sensor were prepared with lightweight, compressibility, highly sensitivity, wide-detection, and low-hysteresis. Meanwhile, the brittleness problem of the carbonized aerogel was solved by uniformly attaching TPU to the aerogel interface. In this paper, the 3D structure of CWA/TPU aerogel during compression was reconstructed by Micro-XCT technology, and the results show that the sensitivity of the bio-based carbonized material is directly proportional to the porosity and inversely proportional to the aspect ratio. This CWA/TPU aerogel pressure sensor has a high sensitivity of 76.18 kPa-1 in a wide detection limit of 0.6 Pa-100 kPa, 90 % supercompression strain, ±7.4 % low hysteresis and outstanding stability over 10,000 cycles. And the sensor can detect different ranges of pressure strains and has great potential for future applications in physiological signal monitoring, action recognition, and sports training.
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Microplastics (MPs) and per- and poly-fluoroalkyl substances extensively coexist in aquatic environments and potentially endanger organisms. Microalgae may decrease the effective concentration of pollutants via hetero-aggregation with MPs and adsorption of emerging contaminants. However, the potential influence of coexistent pollutants on hetero-aggregation of MPs and microalgae remains unknown. This study investigated the hetero-aggregation process involving different sizes of polystyrene (PS, 3.0 and 50.0⯵m) with Chlorella sorokiniana (C. sorokiniana) in the presence or absence of perfluorobutanoic acid (PFBA) along settling experiments, scanning electron microscope, and Derjaguin-Landau-Verwey-Overbeek (DLVO) model. We found that the hetero-aggregation between C. sorokiniana and 3⯵m PS was more pronounced than with 50⯵m PS, while PFBA inhibited this process. ΔOD1 values (reflected hetero-aggregation level) for 3PS-cells and 50PS-cells were 0.189 and 0.087, respectively, and PFBA decreased these values to 0.134 and 0.033. Furthermore, extracellular polymeric substances, known as inducer of hetero-aggregation, increased by 14.33â¯% when exposed to 3⯵m PS alone, whereas the co-exposure group showed a decrease of 4.52â¯% compared to 3PS-cells group. PFBA also significantly decreased the protein/polysaccharide ratios in both MPs sizes, reducing hetero-aggregation. DLVO theory revealed that microalgae lowered the energy barrier significantly, while PFBA elevated it, indicating that hetero-aggregation was inhibited by PFBA. This study provides new perspectives for pollutant removal and toxicity variation in aquatic environments.
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Alkaline anaerobic fermentation is an effective approach for resource utilization and reduction of waste activated sludge (WAS). Perfluorooctanoic acid (PFOA) is widespread in WAS, however, its potential impact on alkaline anaerobic fermentation of WAS remains largely unknown. Hence, this study focused on investigating the influence of PFOA on volatile fatty acids (VFAs) production and sludge reduction during alkaline anaerobic fermentation (pH = 10 ± 0.1), as well as the critical mechanisms. Results demonstrated that low PFOA concentration (5 mg/kg-TS) raised VFAs yield to 109.37%, while high levels of PFOA (25 and 50 mg/kg-TS) remarkably decreased VFAs production to 89.55% and 80.44% of the control. Mechanism exploration revealed that PFOA facilitated the solubilization process, and low PFOA level enhanced the accumulation of VFAs via increased bioavailable substrates and the activities of enzymes and microorganisms. On the contrary, high levels of PFOA were substantial biotoxicity, inducing excessive ROS production, causing oxidative damage, and reducing enzyme activity and functional microbial abundance, thereby decreasing VFAs production. Additionally, further analysis of sludge physicochemical properties confirmed that the effect of PFOA on WAS reduction exhibited the same trend as VFAs production. This work provides a basis for PFOA environmental risk assessment and WAS resource utilization.
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Curcumin, an inherent polyphenolic compound, has the potential to influence glycemic indices. Nevertheless, the conclusions drawn from extant meta-analyses remain contentious. To determine the impact of curcumin supplementation on these indices, the current umbrella meta-analysis included existing systematic reviews and meta-analyses. A thorough systematic search was conducted using databases Embase, PubMed, WOS, Scopus, and the Cochrane Library to acquire peer-reviewed literature published before January 2024. The random-effects model was employed to conduct a meta-analysis. The present analysis incorporated a total of 22 meta-analytic studies. The findings of our study indicate that the administration of curcumin supplements leads to a significant decrease in fasting blood sugar levels (FBS) (ES: -1.63; 95â¯% CI: -2.36, -0.89, P<0.001; I2=88.4â¯%, P<0.001), homeostasis model assessment-estimated insulin resistance (HOMA-IR) (ES: -0.38; 95â¯% CI: -0.48, -0.28, P<0.001; I2=35.9â¯%, P=0.142), hemoglobin A1c (HbA1c) (ES: -0.44; 95â¯% CI: -0.67, -0.21, P<0.001; I2=65.0â¯%, P=0.014), and insulin (ES: -0.86; 95â¯% CI: -1.52, -0.21, P=0.010; I2=92.5â¯%, P<0.001). The results of this study suggest that the administration of curcumin supplements may be a beneficial intervention for enhancing glycemic indices.
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Background: Understanding how disability progresses with ageing is important for shaping policies aimed at improving older adults' quality of life, especially when considering the global trends in ageing, life expectancy (LE), and gender disparity. We aimed to assess the health transition probabilities of daily living activities and their implications on LE and gender gaps in global middle-aged and elderly populations. Methods: In this multi-cohort study with a sample of 74 101 individuals aged ≥50 years, we analysed data from six international cohorts: the China Health and Retirement Longitudinal Study (CHARLS), the English Longitudinal Study of Ageing (ELSA), the Health and Retirement Study (HRS) in the USA, the Mexican Longitudinal Study of Ageing (MHAS), the Korean Longitudinal Study of Ageing (KLoSA), and the Survey of Health, Ageing and Retirement in Europe (SHARE). We estimated probabilities between robust health; disabilities related to instrumental activities of daily living (IADL) and basic activities of daily living (BADL); and mortality through multi-state Markov models. We included gender as a covariate in the models to calculate hazard ratios (HRs), while we calculated LE within the distinct health states of robust health, IADL disabilities, BADL disabilities, and mortality using the stochastic population analysis for complex events (SPACE) microsimulation. Results: Women had higher progressions to disability (IADL: HR = 1.392; BADL: HR = 1.356) compared to men, who conversely showed lesser progression from IADL to BADL disability (HR = 0.856) and lower mortality rates (span of HRs = 0.232-0.692). LE at age 50 favoured women (32.16-38.22 years) over men (28.99-33.58 years), yet they spent more time in states of disability. We otherwise observed significant regional and gender disparities in healthy LE. Conclusions: We identified ageing patterns in which longer lives are often coupled with extended periods of disability. Pronounced gender and regional differences indicate a need for targeted health interventions to address inequities and improve seniors' quality of life. Our findings highlight the necessity for policy interventions focussed on health equity to more completely respond to the demographic shift towards older populations.
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Actividades Cotidianas , Disparidades en el Estado de Salud , Esperanza de Vida , Humanos , Femenino , Masculino , Persona de Mediana Edad , Anciano , Estudios de Cohortes , Estudios Longitudinales , Transición de la Salud , Factores Sexuales , Personas con Discapacidad/estadística & datos numéricos , Anciano de 80 o más AñosRESUMEN
Efficient and sustainable energy storage remains a critical challenge in the advancement of energy technologies. This study presents the fabrication and electrochemical evaluation of a self-supporting electrode material composed of MnO2 nanorods grown directly on a carbon paper and carbon nanotube (CNT) substrate using a hydrothermal method. The resulting CNT/MnO2 electrodes exhibit a unique structural architecture with a high surface area and a three-dimensional hierarchical arrangement, contributing to a substantial electrochemical surface area. Electrochemical testing reveals remarkable performance characteristics, including a specific capacitance of up to 316.5 F/g, which is 11 times greater than that of conventional CP/MnO2 electrodes. Moreover, the CNT/MnO2 electrodes demonstrate outstanding retention capacity, exhibiting a remarkable 165% increase over 10,000 cycles. Symmetric supercapacitor devices utilizing CNT/MnO2 electrodes maintain a large voltage window of 3 V and a specific capacitance as high as 200 F/g. These results underscore the potential of free-standing CNT/MnO2 electrodes to advance the development of high-performance supercapacitors, which can be crucial for efficient and sustainable energy storage solutions in various industrial and manufacturing applications.
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BACKGROUND: Studies on the prevalence of suicidal ideation (SI) and its associated factors among the elderly in China show considerable variability. This meta-analysis aims to clarify the epidemiological features of SI in this population. METHODS: We systematically searched English and Chinese databases for relevant literature up to September 15, 2022. The extracted data facilitated the calculation of prevalence and odds ratios (ORs) for factors associated with SI among China's elderly. RESULTS: We analyzed 31 cross-sectional studies, comprising a total of 79,861 participants from over 20 provinces and municipalities. The pooled prevalence of SI was found to be 11.47% [95% confidence interval (CI): 7.82-15.71%]. Significant variations in prevalence were influenced by residence, physical health (including chronic diseases and daily living capabilities), mental health (depressive symptoms and life satisfaction), economic status, and time-specific assessment tools. Notably, the prevalence from 2011-2020 (15.59%, 95% CI: 9.08-23.44%) was almost double that of 2001-2010 (7.85%, 95% CI: 5.08-11.16%). The SI prevalence in the eastern region (8.06%, 95% CI 5.59-10.94%) was significantly lower than in the central and western regions (16.97%, 95% CI 12.04-22.53%). Fourteen factors exhibited a significant pooled OR greater than 1 (p < 0.05), and two factors had ORs less than 1 (p < 0.05), indicating notable association with SI among the elderly. CONCLUSION: SI among China's elderly showed relatively high prevalence and considerable heterogeneity across different characteristics and associated factors. This underscores the need for targeted intervention strategies and standardized temporal assessments of SI to effectively address suicide risk in this population.
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Ideación Suicida , Humanos , China/epidemiología , Anciano , Prevalencia , Factores de Riesgo , Femenino , Estudios Transversales , Masculino , Depresión/epidemiología , Anciano de 80 o más AñosRESUMEN
PURPOSE: Depression is one of the most common mental disorders and substantially decreases socioemotional well-being and health-related quality of life. Analyzing temporal patterns in depressive symptoms can reveal emerging risks that require attention and have implications for mental health promotion. The present study disentangled age, period, and cohort (APC) effects on trends in depressive symptoms and their gender disparities among China's nationally representative samples of middle-aged and older adults. METHODS: Using four-wave data (2011, 2013, 2015, and 2018) from the China Health and Retirement Longitudinal Study (N = 65455), APC effects were quantified based on the hierarchical APC model. The 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to measure depressive symptoms. RESULTS: Depressive symptoms increased during late life and stabilized after reaching an advanced age. After further adjusting for individual characteristics, depressive symptoms exhibited a negative trend with advancing age. The mean levels of depressive symptoms remained stable during the study period. Depressive symptoms varied significantly across cohorts, with those born in 1949-1951 having the most severe depressive symptoms. Significant life-course and cohort variations existed in the gender gaps in depressive symptoms. Although women had higher mean scores on the CES-D-10 scale throughout the life course, the gender gaps in depressive symptoms gradually narrowed with age, as depressive symptoms decreased more rapidly among women. A widening trend in gender gaps in depressive symptoms was found among those born after the mid-1950s, mainly driven by a notable decline in depressive symptoms among men CONCLUSIONS: The convergence of living conditions between genders in late life, as a result of traditional Chinese culture, may have narrowed the gender gap in depressive symptoms. However, given the widening gender disparities in depressive symptoms among younger cohorts, more attention should be paid to women's mental health in the context of China's rapid socioeconomic development.
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What is already known about this topic?: Chronic disease multimorbidity is prevalent among older Chinese people, seriously affecting their well-being and quality of life. What is added by this report?: This study estimated the impact of multimorbidity on the risk of health state transitions and health expectancy among older adults in China. It used population-representative, long-term longitudinal data and multi-state Markov modeling along with microsimulation methods. What are the implications for public health practice?: The study results suggest that the Chinese government should strengthen the prevention and management of multimorbidity and accelerate the transition from chronic disease management to multimorbidity management.
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What is already known about this topic?: Infertility represents a significant global public health concern, impacting approximately 15% of couples of reproductive age worldwide. Despite this, data on infertility prevalence in the demographically diverse Asia-Pacific region remains sparse. What is added by this report?: This study examines the trends and distribution of infertility in the Asia-Pacific region from 1990 to 2021, revealing a significant increase in female infertility. The growth rate of secondary infertility has exceeded that of primary infertility. Additionally, an increase in the prevalence of polycystic ovary syndrome (PCOS) may be a significant contributor. The research also highlights geographical variations in the prevalence and trends of infertility across different countries. What are the implications for public health practice?: The findings emphasize the significance of sexual and reproductive health services and rights in safeguarding fertility.
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Effluent quality deterioration caused by seasonal low temperature is a great challenge to the application of anammox technology. Here, the effects of different graphene materials on anammox process were investigated under both optimal temperature and low-temperature. The batch tests showed that at 30 °C, 300 mg/L of reduced graphene oxidesodium alginate gel (RGOSA) had the most significant promoting effect, reaching nitrogen removal efficiency (NRE) and nitrogen removal rate (NRR) of 95 % and 8.88 mgN/L/d, respectively. The changes of EPS secretion patterns and increasing of key enzymes activity might contribute to the enhanced anammox activity. During the long-term operation of anammox reactor, the NRE and NRR of the reactor decreased when the temperature dropped to 15 °C, showing an NRE of 50 %-57 % with the addition of 200 mg/L of reduced graphene oxide (RGO) and 40 %-45 % with the addition of 20 mg/L of RGO. Furthermore, specific anammox activity (SAA) of the RGO200 reactor at 15 °C increased by 57.1 % compared to the UASB reactor without graphene addition. Additionally, 16S rRNA and metagenomic analysis results revealed anammox bacteria Ca. Kuenenia was the dominant bacteria. Moreover, the RGO can significantly increase the relative abundance of N-converting functional genes. This study demonstrates the graphene materials can help anammox process adapting to low temperatures, providing a possible solution for the application of anammox technology.
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Reactores Biológicos , Grafito , Eliminación de Residuos Líquidos , Eliminación de Residuos Líquidos/métodos , Frío , Nitrógeno/metabolismo , Anaerobiosis , Temperatura , Oxidación-Reducción , ARN Ribosómico 16SRESUMEN
The long acclimation period and sensitivity to environmental conditions of Anammox are the bottlenecks for its promotion and application. An innovative strategy was adopted to accelerate functional microbial enhancement and improve nitrogen removal performance by inoculating cryopreserved Anammox sludge and activated sludge with intermittent dosing of nanoscale zero-valent iron (nZVI). The acclimation time was shortened by 76 days with nitrogen removal efficiency (NRE) reaching up to 91.07 %. Anammox, NDFO (nitrate/nitrite-dependent Fe(II) oxidation), Feammox (Fe(III) reduction coupled with anaerobic ammonium oxidation) and abiotic reactions were coupled in the system with nZVI, contributing to 69.79 %, 15.14 %, 9.84 % and 0.25 % of nitrogen removal, respectively. Further microbial analysis demonstrated significant enrichment of functional microorganisms, such as Candidatus Jettenia, Acidovorax and Comamonas. High-efficient nitrogen removal was attribute to the increase of functional genes involved in Anammox, electronic transfer, heme C synthesis and iron metabolism. This work provides an inspiring idea for the mainstream Anammox application.
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Hierro , Nitrógeno , Oxidación-Reducción , Aguas del Alcantarillado , Hierro/química , Aguas del Alcantarillado/microbiología , Anaerobiosis , Estudios de Factibilidad , Reactores Biológicos , Hemo/análogos & derivados , Bacterias/metabolismo , Nanopartículas del Metal/químicaRESUMEN
BACKGROUND: The relationship between chronic disease status (CDS) and transitions in depressive symptoms (DS) remains unclear. This study explores the association between CDS and DS transitions. METHODS: This cohort study analyzed data from 8175 participants aged 45+, sourced from China Family Panel Studies (2016, 2018, 2020). DS were assessed using a brief version of Center for Epidemiologic Studies Depression Scale (CES-D). CDS was categorized into healthy, single disease, and multimorbidity. Markov models were used to estimate state transition intensities, mean sojourn times and hazard ratios (HRs). RESULTS: DS transitions occurred between adjacent and non-adjacent states, but transition intensity between adjacent states was higher than among non-adjacent states. Self-transition intensities of severe-DS, mild-DS, and non-DS progressively increased, with average durations of 1.365, 1.482, and 7.854 years, respectively. Both single disease and multimorbidity were significantly associated with an increased risk of transitioning from non-DS to mild-DS, with multimorbidity showing a stronger association. In contrast, HRs for single diseases transitioning from mild-DS to severe-DS were significantly lower than 1. Furthermore, their HRs were almost <1 in recovery transitions but not statistically significant. LIMITATIONS: Specific chronic diseases and their combinations were not analyzed. CONCLUSIONS: The progression of DS exhibits various pathways. CDS is associated with DS transitions, but the roles of single disease and multimorbidity may differ across different DS progression stages. Both conditions were significantly linked to the risk of new-onset DS, with multimorbidity posing a greater association. However, this relationship is not observed in other progression stages. These findings could provide insights for early prevention and intervention for DS.
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Enfermedad Crónica , Depresión , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , China/epidemiología , Enfermedad Crónica/epidemiología , Estudios de Cohortes , Depresión/epidemiología , Progresión de la Enfermedad , Pueblos del Este de Asia , Cadenas de Markov , MultimorbilidadRESUMEN
BACKGROUND: Falls in older age pose a major public health concern, with unclear urban-rural patterns of falls mortality in China. This study examines the trends of late-life falls mortality in urban and rural China over a 35-year period. METHODS: Falls mortality data were sourced from China's National Health Commission. Joinpoint regression analysis was used to examine changes in trends and age-period-cohort modelling to estimate age, period and cohort effects on fall-related mortality from 1987 to 2021. Net drift, local drift, longitudinal age curves and period relative risks were also calculated. RESULTS: The age-standardised falls mortality in older age showed a long-term trend of initial decline prior to 2003, followed by a steep increase thereafter, with notable distinctions between urban and rural patterns. The rise in rural populations, particularly among older males, was more conspicuous. In rural areas, the decline in falls mortality diminished with age, contrary to the urban trend. Falls mortality increased with age in both urban and rural older populations, peaking in the group aged 85-89. The period effect curves of falls mortality in urban and rural areas both approximated a U-shaped pattern while there were minor variations in early cohorts. CONCLUSIONS: China has experienced a consistent rise in late-life falls mortality in recent years. Notably, there are significant urban-rural disparities in age, period and cohort effects of fall-related mortality among older adults. Rural residents, males and older age groups have potential higher fatal-falls risk. Targeted strategies should be implemented to prevent late-life falls.
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Rates of alcohol use disorder (AUD) have escalated in recent years, with a particular increase among women. Women are more susceptible to stress-induced alcohol drinking, and preclinical data suggest that stress can increase alcohol intake in female rodents; however, a comprehensive understanding of sex-specific neurobiological substrates underlying this phenomenon is still emerging. Microglia, the resident macrophages of the brain, are essential for reshaping neuronal processes, and microglial activity contributes to overall neuronal plasticity. We investigated microglial dynamics and morphology in limbic brain structures of male and female mice following exposure to stress, alcohol or both challenges. In a modified paradigm of intermittent binge drinking (repeated "drinking in the dark"), we determined that female, but not male, mice increased their alcohol consumption after exposure to a physical stressor and re-exposure trials in the stress-paired context. Ethanol (EtOH) drinking and stress altered a number of microglial parameters, including overall number, in subregions of the amygdala and hippocampus, with effects that were somewhat more pronounced in female mice. We used the CSF1R antagonist PLX3397 to deplete microglia in female mice to determine whether microglia contribute to stress-induced escalation of EtOH intake. We observed that microglial depletion attenuated stress-induced alcohol intake with no effect in the unstressed group. These findings suggest that microglial activity can contribute to alcohol intake under stressful conditions, and highlight the importance of evaluating sex-specific mechanisms that could result in tailored interventions for AUD in women.
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OBJECTIVES: This study aimed to examine the association between sensory impairment and the discordance between subjective/objective cognitive function among older adults and test the mediating effect of loneliness. METHODS: We used data from four cohort studies conducted in 16 countries (N = 19,119). Sensory impairment and subjective cognitive impairment were self-reported. Objective cognitive impairment was measured in three dimensions. Generalized estimating equations were conducted to examine the association between sensory impairment and discordance in subjective/objective cognitive function. Cross-lagged panel model and a bootstrap method with 2,000 samples were employed to verify the mediating effect. RESULTS: Sensory impairment was related to an increased risk of subjective cognitive impairment (OR = 4.70, 95 % CI 4.33-5.10), objective impairment (OR = 1.51, 95 %CI 1.31-1.74), as well as the discordance in subjective/objective cognitive function (OR = 1.35, 95 %CI 1.06-1.71 for older adults with normal subjective cognitive function). In contrast, sensory impairment was associated with a decreased risk of discordant subjective/objective cognitive function among those with subjective cognitive impairment (OR = 0.79, 95 %CI 0.66-0.94). Moreover, loneliness mediated the association between sensory impairment and subjective cognitive impairment (standardized indirect effect = 0.002, 95 %CI 0.001-0.004), objective cognitive impairment (standardized indirect effect = 0.005, 95 %CI 0.003-0.007) as well as the discordance in subjective/objective cognitive function (standardized indirect effect = 0.001, 95 %CI 0.001-0.003 for older adults with normal subjective cognitive function). CONCLUSIONS: Significant association between sensory impairment and discordance in subjective/objective cognitive function and the mediating role of loneliness were revealed, varying by subjective cognitive function. Early screening on sensory impairment and targeted interventions on loneliness should be considered in future policies on cognitive impairment.
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Disfunción Cognitiva , Soledad , Humanos , Soledad/psicología , Anciano , Femenino , Masculino , Disfunción Cognitiva/epidemiología , Disfunción Cognitiva/psicología , Estudios de Cohortes , Cognición/fisiología , Trastornos de la Sensación/psicología , Trastornos de la Sensación/epidemiología , Autoinforme , Anciano de 80 o más Años , Factores de RiesgoRESUMEN
Hearing impairment is a common geriatric health problem and chronic stressor, and it is associated with poor cognitive outcomes. However, little is known about the impact of hearing impairment in married couples, particularly its potential spillover effects on the cognitive health among spouses of individuals with impairment. Drawing on a stress-proliferation perspective, we used actor-partner interdependence models to examine (1) whether an individual's hearing impairment influences their spouse's cognitive function; and (2) whether AL, symptoms of depression, and social participation serve as mediators for such an association. We utilized data from the 2015 (baseline) and 2018 (3-year follow-up) waves of the China Health and Retirement Longitudinal Study. 4434 couples were included at baseline, and 2190 couples remained after the 3-year follow-up. Hearing impairment among married women was associated with negative impacts on their spouses' cognitive function. Symptoms of depression and social participation may have served as potential mediators in this relationship. For married men, there was no statistically significant association between hearing impairment and spouses' cognitive function. Our findings suggest that hearing impairment among one spouse can lead to negative impacts on the other, but that this effect may depend on gender. Early diagnosis and couple-based interventions for hearing impairment are important for the cognitive health of both hearing-impaired individuals and their spouses.
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Pérdida Auditiva , Esposos , Humanos , Masculino , China/epidemiología , Femenino , Anciano , Pérdida Auditiva/psicología , Pérdida Auditiva/epidemiología , Esposos/psicología , Esposos/estadística & datos numéricos , Estudios Longitudinales , Persona de Mediana Edad , Depresión/epidemiología , Depresión/psicología , Cognición , Anciano de 80 o más Años , Participación Social/psicología , Matrimonio/psicología , Matrimonio/estadística & datos numéricosRESUMEN
Early-life tobacco exposure serves as a non-negligible risk factor for aging-related diseases. To understand the underlying mechanisms, we explored the associations of early-life tobacco exposure with accelerated biological aging and further assessed the joint effects of tobacco exposure and genetic susceptibility. Compared with those without in utero exposure, participants with in utero tobacco exposure had an increase in Klemera-Doubal biological age (KDM-BA) and PhenoAge acceleration of 0.26 and 0.49 years, respectively, but a decrease in telomere length of 5.34% among 276,259 participants. We also found significant dose-response associations between the age of smoking initiation and accelerated biological aging. Furthermore, the joint effects revealed that high-polygenic risk score participants with in utero exposure and smoking initiation in childhood had the highest accelerated biological aging. There were interactions between early-life tobacco exposure and age, sex, deprivation, and diet on KDM-BA and PhenoAge acceleration. These findings highlight the importance of reducing early-life tobacco exposure to improve healthy aging.