
Creatinine is a waste product from muscles. Healthy kidneys filter it into the urine. When creatinine rises in the blood, it often signals reduced kidney function. In the Swedish analysis, people in the top two creatinine quintiles had lower odds of reaching 100. That fits the broader link between kidney health and survival. Mild reductions in kidney filtration can appear with age, dehydration, or medications. Persistent elevations deserve evaluation, since they may reflect chronic kidney disease. On the liver side, higher quintiles of enzymes like gamma-glutamyl transferase, alkaline phosphatase, and lactate dehydrogenase were tied to lower odds of exceptional longevity. These enzymes can rise with liver or bile duct problems, alcohol use, certain medications, or other conditions.
Doctors read these markers together, not in isolation. The study also noted a U-shaped link for aspartate aminotransferase. Both very high and very low values are related to lower odds. That pattern tells us extremes can be risky for different reasons. Very low values can track with frailty or poor nutrition in some settings. Very high values can reflect injury. The paper did not claim exact cutoffs for clinical decisions. It compared relative positions within the cohort. Yet it makes common sense. Kidneys and liver support many systems. Therefore, sustained signs of strain in those organs would not help a person reach advanced ages. If a recent panel shows changes, ask your clinician about repeat testing, medication review, alcohol intake, and imaging when appropriate. Small improvements in habits can move enzymes toward calmer ranges over time.
Uric Acid and Inflammation

Therefore, your doctor will look at symptoms, kidney function, and medications before suggesting changes. If you have gout or stones, lowering uric acid is standard care. If you do not, the best steps are usually broad. Manage weight, limit alcohol, reduce sugar-sweetened drinks, and stay hydrated. These choices help uric acid and glucose together. The study also examined C-reactive protein in a subset. Low CRP linked with higher odds of reaching 100 in sensitivity analyses. That fits a large literature where lower chronic inflammation aligns with better outcomes in aging. However, CRP was not available for everyone, so we cannot lean too hard on that result here. Basically, markers tied to inflammatory processes seem calmer in those who eventually reach 100.