Shadyab Aladdin H, LaMonte Michael J, Kooperberg Charles, Reiner Alexander P, Carty Cara L, Manini Todd M, Hou Lifang, Di Chongzhi, LaCroix Andrea Z
Division of Epidemiology, Department of Family Medicine and Public Health, University of California, San Diego School of Medicine, La Jolla.
Department of Epidemiology and Environmental Health, University at Buffalo, New York.
J Gerontol A Biol Sci Med Sci. 2017 Oct 12;72(11):1532-1537. doi: 10.1093/gerona/glx037.
Previous studies on physical activity and telomere length have relied largely upon self-reported physical activity data, and few studies have examined older adults. The association of objectively measured physical activity with leukocyte telomere length (LTL) is currently unknown.
In this study, we examined cross-sectional associations between accelerometer-measured total, light, and moderate-to-vigorous physical activity (MVPA) and LTL, measured using Southern blot. The sample included 1,405 older (64-95 years old) white and African American women from the Women's Health Initiative. Multiple linear regression models adjusting for potential confounders were used to determine the association between accelerometer-measured physical activity and LTL.
Overall, the mean (standard deviation) of total, light, and moderate-to-vigorous activity was 5.5 (1.6), 4.7 (1.3), and 0.8 (0.5) h/d, respectively. Adjusting for accelerometer wear time, age, race/ethnicity, education, marital status, smoking, alcohol, body mass index, a history of chronic diseases, and hormone therapy use, LTL was 80 (95% confidence interval: 9, 150) base pairs longer among women with ≥2.5 compared with <2.5 h/wk of MVPA. Light activity was not significantly associated with LTL. For total activity, the most physically active women had significantly longer LTL than the least active women after adjustment for demographic and lifestyle characteristics; however, findings were not significant after further adjustment for health-related factors.
Older women meeting current recommendations of ≥2.5 h/wk of MVPA, as assessed by accelerometer, had longer LTL. Additional studies using accelerometers in large, diverse cohorts of older women are needed to confirm and extend these findings.
先前关于身体活动与端粒长度的研究很大程度上依赖于自我报告的身体活动数据,且很少有研究涉及老年人。目前尚不清楚客观测量的身体活动与白细胞端粒长度(LTL)之间的关联。
在本研究中,我们研究了通过加速度计测量的总身体活动、轻度身体活动以及中度至剧烈身体活动(MVPA)与通过Southern印迹法测量的LTL之间的横断面关联。样本包括来自妇女健康倡议组织的1405名年龄较大(64 - 95岁)的白人和非裔美国女性。使用调整了潜在混杂因素的多元线性回归模型来确定加速度计测量的身体活动与LTL之间的关联。
总体而言,总身体活动、轻度身体活动以及中度至剧烈身体活动的平均(标准差)时长分别为5.5(1.6)、4.7(1.3)和0.8(0.5)小时/天。在调整了加速度计佩戴时间、年龄、种族/族裔、教育程度、婚姻状况、吸烟、饮酒、体重指数、慢性病病史以及激素治疗使用情况后,与每周MVPA < 2.5小时的女性相比,每周MVPA≥2.5小时的女性的LTL长80(95%置信区间:9,150)个碱基对。轻度身体活动与LTL无显著关联。对于总身体活动,在调整了人口统计学和生活方式特征后,身体活动最多的女性的LTL显著长于最不活跃的女性;然而,在进一步调整了与健康相关的因素后,结果并不显著。
通过加速度计评估达到当前每周MVPA≥2.5小时建议的老年女性具有更长的LTL。需要在更多样化的老年女性大样本队列中使用加速度计进行额外研究,以证实并扩展这些发现。