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Within this outcome class, the evidence is broadly convergent: all studies agree that HGS correlates with relevant physiologic parameters. However, a notable tension exists between the null-to-positive signal reported by most studies (Lee 2026; Najjar 2026; Yldz 2026; Ji 2026; Urbano 2026) and the negative age-related trajectory documented by Chan 2022. This tension—between HGS as a modifiable, responsive marker (Yldz 2026) and HGS as a trajectory-bound biomarker of aging (Chan 2022)—remains unresolved and has implications for intervention design.

Evidence grade: exploratory

Contradiction status: none

Publication: 80f030f9-7eeb-47eb-bfb0-2a7392057a72

Provenance: Derivation Web chain

Citation Support

  • source_1 Jayanama 2022
  • source_2 TurBoned 2026
  • source_3 Karahan 2026
  • source_4 Cui 2021
  • source_5 Aksoy 2026

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