Svensson Johan, Karlsson Magnus K, Ljunggren Östen, Tivesten Åsa, Mellström Dan, Movérare-Skrtic Sofia
Center for Bone and Arthritis Research at the Sahlgrenska Academy (CBAR), Institute of Medicine, University of Gothenburg, SE-413 45 Gothenburg, Sweden.
Clinical and Molecular Osteoporosis Research Unit, Department of Orthopaedics and Clinical Sciences, Lund University, Skåne University Hospital, SE-20502 Malmö, Sweden.
Exp Gerontol. 2014 Sep;57:6-12. doi: 10.1016/j.exger.2014.04.013. Epub 2014 Apr 30.
Leukocyte telomere length (LTL) is related to the aging of somatic cells. We hypothesized that LTL is inversely associated with mortality in elderly men. LTL was measured in 2744 elderly men (mean age 75.5, range 69-81years) included in the prospective population-based MrOS-Sweden study. Mortality data were obtained from national health registers with no loss of follow-up. During the follow-up (mean 6.0years), 556 (20%) of the participants died. Using Cox proportional hazards regression, tertile of LTL did not associate with all-cause mortality [tertile 1 (shortest) or 2 (middle) vs. tertile 3 (longest); hazard ratio (HR)=1.05, 95% confidence interval (CI) 0.85-1.28 and HR=0.97, 95% CI 0.79-1.19, respectively]. Furthermore, LTL did not associate with cancer (197 events) or cardiovascular disease (CVD, 206 events) mortality (tertile 1 vs. tertile 3; HR=0.94, 95% CI 0.67-1.34 and HR=0.94, 95% CI 0.68-1.30, respectively). The lack of association between LTL and mortality remained also after adjustment for multiple covariates. Our results demonstrate that LTL is not associated with all-cause mortality or mortality due to cancer or CVD in elderly men. Further studies are needed to determine whether LTL can predict the risk of mortality in elderly women.
白细胞端粒长度(LTL)与体细胞衰老相关。我们假设LTL与老年男性的死亡率呈负相关。在基于前瞻性人群的瑞典MrOS研究纳入的2744名老年男性(平均年龄75.5岁,范围69 - 81岁)中测量了LTL。死亡率数据来自国家健康登记处,无失访情况。在随访期间(平均6.0年),556名(20%)参与者死亡。使用Cox比例风险回归分析,LTL三分位数与全因死亡率无关[三分位数1(最短)或2(中间)与三分位数3(最长)相比;风险比(HR)=1.05,95%置信区间(CI)0.85 - 1.28和HR = 0.97,95% CI 0.79 - 1.19]。此外,LTL与癌症(197例事件)或心血管疾病(CVD,206例事件)死亡率无关(三分位数1与三分位数3相比;HR = 0.94,95% CI 0.67 - 1.34和HR = 0.94,95% CI 0.68 - 1.30)。在对多个协变量进行调整后,LTL与死亡率之间缺乏关联的情况仍然存在。我们的结果表明,LTL与老年男性的全因死亡率、癌症或CVD导致的死亡率无关。需要进一步研究以确定LTL是否能预测老年女性的死亡风险。