
《内科医学档案》:久坐使人“老”上10年
此研究将在衰老研究领域激起更多争论,引发更多研究
图片说明:经常不运动会加速老化。
研究小组目前对于活动水平能否直接影响端粒长度并不确定。不过,研究人员认为这是最可能的一种解释,同时他们还考虑了吸烟、肥胖、社会地位及其它可能的混淆因素的影响,修正了统计结果。
在同一期的《内科医学档案》中,美国国立衰老研究所流行病学和人口统计学部主任Jack Guralnick就此次研究发表的社论认为,还需要更多的工作以确定运动和端粒长度之间是否存在因果联系。
他说:“这是一个引人关注的发现,统计学显示的结果相当清楚。但是其它一些疾病因素并没有考虑进修正结果,它们有可能导致了这种联系。而在这类研究中要证明因果联系几乎是不可能的。”
Lynn F. Cherkas, PhD; Janice L. Hunkin, BSc; Bernet S. Kato, PhD; J. Brent Richards, MD; Jeffrey P. Gardner, PhD; Gabriela L. Surdulescu, MSc; Masayuki Kimura, MD, PhD; Xiaobin Lu, MD; Tim D. Spector, MD, FRCP; Abraham Aviv, MD
Arch Intern Med. 2008;168(2):154-158.
Background Physical inactivity is an important risk factor for many aging-related diseases. Leukocyte telomere dynamics (telomere length and age-dependent attrition rate) are ostensibly a biological indicator of human aging. We therefore tested the hypothesis that physical activity level in leisure time (over the past 12 months) is associated with leukocyte telomere length (LTL) in normal healthy volunteers.
Methods We studied 2401 white twin volunteers, comprising 2152 women and 249 men, with questionnaires on physical activity level, smoking status, and socioeconomic status. Leukocyte telomere length was derived from the mean terminal restriction fragment length and adjusted for age and other potential confounders.
Results Leukocyte telomere length was positively associated with increasing physical activity level in leisure time (P < .001); this association remained significant after adjustment for age, sex, body mass index, smoking, socioeconomic status, and physical activity at work. The LTLs of the most active subjects were 200 nucleotides longer than those of the least active subjects (7.1 and 6.9 kilobases, respectively; P = .006). This finding was confirmed in a small group of twin pairs discordant for physical activity level (on average, the LTL of more active twins was 88 nucleotides longer than that of less active twins; P = .03).
Conclusions A sedentary lifestyle (in addition to smoking, high body mass index, and low socioeconomic status) has an effect on LTL and may accelerate the aging process. This provides a powerful message that could be used by clinicians to promote the potentially antiaging effect of regular exercise.
Author Affiliations: Twin Research and Genetic Epidemiology Unit, King's College London, St Thomas' Hospital Campus, London, England (Drs Cherkas, Kato, Richards, and Spector and Mss Hunkin and Surdulescu); and The Center of Human Development and Aging, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark (Drs Gardner, Kimura, Lu, and Aviv).
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