Liao Wen, Li Meng-Ying
Department of Nephrology, Pingxiang People's Hospital, Pingxiang, China.
Department of Haematology, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No. 1 People's Hospital, Jiujiang, China.
Front Med (Lausanne). 2024 Oct 9;11:1463569. doi: 10.3389/fmed.2024.1463569. eCollection 2024.
As aging is a major risk factor for chronic diseases, strategies to promote healthy aging are essential. Dietary diversity has been reported to be beneficial for human health, however, the role in the biological aging process remains underexplored. Our aim was to analyse the potential link between diet diversity and aging.
Twenty-two thousand six hundred participants from the National Health and Nutrition Examination Survey (NHANES) were included in this study. Dietary diversity was assessed by the dietary diversity score (DDS), which aggregated data on participants' self-reported dietary categories for the 5 major food groups (18 subgroups) over 2 rounds. Biological age was determined using the phenotypic age, with the residual between biological age and chronological age, phenotypic age acceleration, representing biological aging advance. Weighted multivariate regressions analysis were used to examine the relationship between DDS and phenotypic age acceleration. Sensitivity, subgroup interaction and mediation analyses were employed for further analysis.
Higher DDS was consistently associated with slower phenotypic age acceleration ( < 0, < 0.001). Subgroup analyses revealed that the inverse relationship persisted across categories, with minimal interaction effects. Sensitivity analyses confirmed the robustness of results. The oxidative stress indicator glutamyltransferase partially mediated the relationship between DDS and aging [4.9% (3.6, 6.0%), < 0.001].
Dietary diversity is associated with a slower rate of biological aging, which may be due in part to reduced oxidative stress. These findings underscore the potential of a rich, broad-spectrum diet to promote healthy aging and reduce the burden of age-related diseases.
由于衰老为慢性病的主要风险因素,促进健康衰老的策略至关重要。据报道,饮食多样性对人类健康有益,然而其在生物衰老过程中的作用仍未得到充分探索。我们的目的是分析饮食多样性与衰老之间的潜在联系。
本研究纳入了来自美国国家健康与营养检查调查(NHANES)的22600名参与者。饮食多样性通过饮食多样性评分(DDS)进行评估,该评分汇总了参与者在两轮调查中自我报告的5个主要食物组(18个亚组)的饮食类别数据。使用表型年龄确定生物年龄,生物年龄与实际年龄之间的差值即表型年龄加速,代表生物衰老进程。采用加权多变量回归分析来检验DDS与表型年龄加速之间的关系。采用敏感性分析、亚组交互分析和中介分析进行进一步分析。
较高的DDS始终与较慢的表型年龄加速相关(<0,<0.001)。亚组分析显示,这种负相关在各分类中均持续存在,交互作用极小。敏感性分析证实了结果的稳健性。氧化应激指标谷氨酰转移酶部分介导了DDS与衰老之间的关系[4.9%(3.6,6.0%),<0.001]。
饮食多样性与生物衰老速度较慢有关,这可能部分归因于氧化应激的减轻。这些发现强调了丰富、广谱饮食在促进健康衰老和减轻与年龄相关疾病负担方面的潜力。