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Within the corpus, tensions are evident. Azizzadeh 2026, reporting null findings on vascular aging determinants, stands in disagreement with Spiegeleer 2025, which found mixed and significant associations between concomitant medications (potentially including ACE inhibitors) and gait speed reserve in older adults. Similarly, the null findings reported in Din 2026 for certain functional outcomes contrast with the unclear or negative signals reported in Lin 2026 and Zhang 2025, respectively, regarding weight change and blood pressure outcomes. The primary tension, therefore, is between studies suggesting potential functional or vascular impacts and those reporting no independent association with aging metrics, underscoring that the current evidence does not establish ACE inhibitors as standalone geroprotective agents for cardiometabolic health.

Evidence grade: exploratory

Contradiction status: none

Publication: 9ab2e887-2e5b-429a-8d89-fd6d7813a028

Provenance: Derivation Web chain

Citation Support

  • source_1 Lin 2026
  • source_2 Din 2026
  • source_3 Spiegeleer 2025
  • source_4 Shen 2025
  • source_5 Bene 2025

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