Association Between Neutrophil Percentage-Albumin Ratio And Biological Aging In Rheumatoid Arthritis In The United States: A Cross-Sectional Study Of NHANES

Clock
Analytical
Aging Pathway
An elevated neutrophil percentage-to-albumin ratio (NPAR) is significantly associated with accelerated biological aging in patients with rheumatoid arthritis.
Author

Gemini

Published

January 28, 2026

As the global population ages, the burden of age-related diseases, such as rheumatoid arthritis (RA), is becoming increasingly significant. While chronological age is a simple measure, it doesn’t always capture the individual differences in how quickly our bodies are aging biologically.

Recent research has investigated a promising new indicator called the neutrophil percentage-to-albumin ratio (NPAR). This ratio combines two readily available measurements from routine blood tests: the percentage of neutrophils, which are a type of white blood cell crucial for fighting infection and involved in inflammation, and albumin levels, a protein in the blood that reflects nutritional status and has anti-inflammatory properties. This combination offers a simple and cost-effective way to assess both inflammatory and nutritional status in the body.

A study involving over a thousand RA patients in the United States found a significant link between higher NPAR levels and accelerated biological aging. Specifically, for every one-unit increase in NPAR, biological age, as calculated by established methods, was found to increase by approximately 0.86 to 1.32 years. Patients with the highest NPAR values faced a considerably elevated risk of accelerated aging. The mechanisms behind this association may involve issues with how neutrophils function, damage resulting from insufficient albumin, and persistent inflammatory pathways within the body.

These findings suggest that this easily accessible marker could be a valuable tool for doctors to identify RA patients who are at a higher risk of accelerated biological aging, potentially allowing for earlier interventions to improve their health outcomes. However, it’s important to remember that this study provides a snapshot in time, so it cannot definitively prove that a high NPAR causes accelerated aging. Further long-term studies are needed to confirm these results and to fully understand the underlying biological processes at play.


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