Using Britain’s postwar sugar rationing as a natural experiment, the study examined long-term outcomes in 64,809 UK Biobank participants. The analysis focused on exposure during early life (the first 1,000 days) and how it related to later incidence of “hallmark-related” diseases, mortality, and several measures of biological aging.

The researchers also used mediation analysis and proteomic profiling. They report that the mortality association appears to be statistically mediated (about 60%) through differences in incident hallmark-related disease, and that proteomic signals were consistent with certain aging-related pathways.