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白细胞端粒长度与老年女性的步速独立相关。

Leukocyte telomere length is independently associated with gait speed in elderly women.

机构信息

Department of Family Medicine, Severance Hospital, Yonsei University, College of Medicine, 250 Seongsanno, Seodaemun-gu, 120-752 Seoul, Republic of Korea.

出版信息

Maturitas. 2013 Jun;75(2):165-9. doi: 10.1016/j.maturitas.2013.03.008. Epub 2013 Apr 5.

Abstract

OBJECTIVES

Declining gait speed is common in the elderly population and is associated with age-related conditions. Because telomere length is a reflection of aging and known to affect degenerative changes in organ systems, gait speed may be associated with telomere length. We therefore investigated the relationship between gait speed and leukocyte telomere length in elderly Korean women.

STUDY DESIGN

Cross-sectional study.

MAIN OUTCOME MEASURES

A total of 117 Korean elderly women participated. Metabolic variables were assessed along with gait speed calculated as walking distance (6m) divided by time. Leukocyte telomere length was measured by real-time quantitative polymerase chain reaction.

RESULTS

Gait speed correlated with telomere length (r=0.38, p<0.01), fasting insulin (r=-0.19, p=0.04), homeostasis model assessment of insulin resistance index (HOMA-IR; r=-0.22, p=0.02), triglyceride (r=-0.20, p=0.03), and Korean Mini-Mental State Examination (K-MMSE; r=0.20, p=0.03) after adjusting for age. On step-wise multiple regression analysis, telomere length (β=0.35, p<0.01), K-MMSE (β=0.16, p=0.02), age (β=-0.23, p=0.01), and HOMA-IR (β=-0.19, p=0.03) were identified as independent variables associated with gait speed.

CONCLUSIONS

This study suggested that telomere length may have a role in maintaining overall health status as well as preserving gait speed in the elderly population. Further studies are required to better understand the significance of our findings.

摘要

目的

步速下降在老年人群中很常见,与年龄相关的疾病有关。由于端粒长度反映衰老,已知其会影响器官系统的退行性变化,因此步速可能与端粒长度有关。因此,我们研究了韩国老年女性的步速与白细胞端粒长度之间的关系。

研究设计

横断面研究。

主要观察指标

共有 117 名韩国老年女性参与。评估了代谢变量以及用行走距离(6 米)除以时间计算得出的步速。通过实时定量聚合酶链反应测量白细胞端粒长度。

结果

步速与端粒长度相关(r=0.38,p<0.01),与空腹胰岛素(r=-0.19,p=0.04)、稳态模型评估的胰岛素抵抗指数(HOMA-IR;r=-0.22,p=0.02)、甘油三酯(r=-0.20,p=0.03)和韩国迷你精神状态检查(K-MMSE;r=0.20,p=0.03)相关,调整年龄后。逐步多元回归分析显示,端粒长度(β=0.35,p<0.01)、K-MMSE(β=0.16,p=0.02)、年龄(β=-0.23,p=0.01)和 HOMA-IR(β=-0.19,p=0.03)是与步速相关的独立变量。

结论

本研究表明,端粒长度可能在维持老年人的整体健康状况和保持步速方面发挥作用。需要进一步研究以更好地理解我们研究结果的意义。

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