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This study aimed to assess the association between fish consumption, dietary \u03c9\u20103 polyunsaturated fatty acids (PUFAs), and Phenotypic Age Acceleration (PhenoAgeAccel) in the presence of cadmium exposure. The study used data from National Health and Nutrition Examination Survey (NHANES) 2011\u20102018. Multiple linear regression, restricted cubic splines (RCS), and subgroup analysis were used to assess potential associations. Mediation analysis further examined whether blood cadmium levels mediated the association between fish consumption and PhenoAgeAccel. Results showed that higher fish consumption and \u03c9\u20103 PUFAs intake were significantly associated with lower PhenoAgeAccel. This association persisted even in the presence of cadmium exposure. Furthermore, the association between fish consumption or \u03c9\u20103 PUFAs and PhenoAgeAccel was more pronounced in people with low cadmium exposure levels. RCS analysis revealed a non\u2010linear relationship between fish consumption and dietary \u03c9\u20103 PUFAs and PhenoAgeAccel. Blood cadmium levels partially mediated the association between fish consumption and PhenoAgeAccel. Our results support dietary recommendations to consume fish to slow biological aging. Even in the presence of cadmium exposure, fish consumption was negatively associated with PhenoAgeAccel.<\/jats:p>","DOI":"10.1002\/mnfr.70364","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T15:07:53Z","timestamp":1768576073000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Fish Consumption, Dietary Omega\u20103 Polyunsaturated Fatty Acids With Phenotypic Age Acceleration in Adults After Considering Blood Cadmium Levels"],"prefix":"10.1002","volume":"70","author":[{"given":"Xiaoya","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Nutrition and Food Hygiene School of Public Health Hebei Key Laboratory of Environment and Human Health Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyi","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Nutrition and 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