“…Wide metabolic changes in different organs occur during both aging and heart failure and, some of them can be captured with the assessment of circulating metabolites (Houtkooper et al, (2011); Bunning et al, 2020; McGarrah et al, 2018; Johnson et al, 2018; Lee et al, 2014; Zordoky et al, 2015; Chaleckis et al, 2016; Gonzalez‐Freire et al, 2019). However, in the clinical setting, it may be complicated to study whether some of those metabolic alterations were influenced by additional diseases as several older adults especially with heart dysfunction show multiple comorbidities (Dharmarajan & Dunlay, 2016).…”