Am J Epidemiol. 2016 Feb 1;183(3):191-8. doi: 10.1093/aje/kwv203. Epub 2016 Jan 20.
Higher vitamin D status, lower adiposity, and longer telomere length are each reportedly associated with lower risk of several chronic diseases and all-cause mortality. However, direct relationships between vitamin D status (measured by circulating 25-hydroxyvitamin D (25(OH)D) concentration), adiposity, and telomere length are not well established. We conducted a cross-sectional analysis of associations of 25(OH)D and body mass index (BMI; weight (kg)/height (m)(2)) with mean relative leukocyte telomere length (LTL) using data gathered on 5,096 participants from Northern Finland Birth Cohort 1966 at age 31 years (1997). 25(OH)D was not associated with LTL in either basic or confounder/mediator-adjusted models. BMI was inversely associated with LTL after adjustment for potential confounding by age, sex, socioeconomic position, physical activity, diet, smoking, alcohol intake, and use of oral contraceptives (per 1-unit increase in BMI, mean difference in LTL = -0.4%, 95% confidence interval: -0.6, -0.2). The BMI-LTL association was also independent of 25(OH)D and was attenuated slightly, but remained, after adjustment for C-reactive protein, a marker of low-grade inflammation (mean difference in LTL = -0.3%, 95% confidence interval -0.6, -0.1). These findings suggest that vitamin D status is unlikely to be an important determinant of LTL, at least by young adulthood. Inflammation may partly mediate associations of adiposity with LTL.
较高的维生素 D 状态、较低的肥胖程度和较长的端粒长度据称与多种慢性疾病和全因死亡率降低有关。然而,维生素 D 状态(通过循环 25-羟维生素 D(25(OH)D)浓度测量)、肥胖程度和端粒长度之间的直接关系尚未得到很好的确定。我们使用 1997 年在芬兰北部出生队列 1966 中收集的 5096 名参与者在 31 岁时的数据进行了横断面分析,研究了 25(OH)D 和体重指数(BMI;体重(kg)/身高(m)(2))与平均相对白细胞端粒长度(LTL)的关联。在基本模型或混杂因素/中介物调整模型中,25(OH)D 与 LTL 均无关联。在调整了年龄、性别、社会经济地位、体力活动、饮食、吸烟、饮酒和口服避孕药使用等潜在混杂因素后,BMI 与 LTL 呈负相关(BMI 每增加 1 个单位,LTL 的平均差异为-0.4%,95%置信区间:-0.6,-0.2)。BMI-LTL 关联也独立于 25(OH)D,并且在调整 C 反应蛋白(一种低度炎症的标志物)后,这种关联略有减弱,但仍然存在(LTL 的平均差异为-0.3%,95%置信区间为-0.6,-0.1)。这些发现表明,至少在年轻成年期,维生素 D 状态不太可能是 LTL 的重要决定因素。炎症可能部分介导了肥胖与 LTL 之间的关联。