Abstract
Leukocyte telomere length (LTL) is considered as the marker of biological aging and may be related to environmental factors. The current study aimed to examine the relation between Mediterranean-type diet and LTL. We used a cross-sectional study of 1743 multi-ethnic community residents of New York aged 65 years or older. Mediterranean-type diet (MeDi) was calculated from dietary information collected using a food frequency questionnaire. LTL was measured from leukocyte DNA using a real-time PCR method to measure T/S ratio, the ratio of telomere (T) to single-copy gene (S) sequence. Regression analysis showed that the MeDi score was not associated with LTL in the overall study population (β = 12.5; p = 0.32) after adjusting for age, sex, education, ethnicity, caloric intake, smoking, and physical and leisure activities. However, we found a significant association between MeDi and LTL among non-Hispanic whites (β = 48.3; p = 0.05), and the results held after excluding dementia subjects (β = 49.6; p = 0.05). We further found that, in the whole population, vegetable and cereal consumption above the sex-specific population median was associated with longer LTL (β = 89.1, p = 0.04) and shorter LTL (β = −93.5; p = 0.03), respectively. Among non-Hispanic whites, intake of meat or dairy below sex-specific population medians was associated with longer LTL (β = 154.7, p = 0.05; β = 240.5, p < 0.001, respectively). We found that higher adherence to a MeDi was associated with longer LTL among whites but not among African Americans and Hispanics. Additionally, a diet high in vegetables but low in cereal, meat, and dairy might be associated with longer LTL among healthy elderly.
Similar content being viewed by others
Abbreviations
- CRP:
-
C-reactive protein
- BHS:
-
Bogalusa Heart Study
- FHS:
-
Family Heart Study
- LA:
-
Leisure activity
- LTL:
-
Leukocyte telomere length
- MeDi:
-
Mediterranean-type diet
- MESA:
-
Multi-Ethnic Study of Atherosclerosis
- NHS:
-
Nurses’ Health Study
- PA:
-
Physical activity
- PLCO:
-
Prostate, Lung, Colorectal, and Ovarian
- SFFQ:
-
Semiquantitative food frequency questionnaire
- WHICAP:
-
Washington Heights-Inwood Community Aging Project
Reference
Adler N et al (2013) Educational attainment and late life telomere length in the health, aging and body composition study. Brain Behav Immun 27:15–21
Alcalay RN, Gu Y, Mejia-Santana H, Cote L, Marder KS, Scarmeas N (2012) The association between Mediterranean diet adherence and Parkinson’s disease movement disorders. Off J Mov Disord Soc 27:771–774
Andrew T et al (2006) Mapping genetic loci that determine leukocyte telomere length in a large sample of unselected female sibling pairs. Am J Hum Genet 78:480–486
Blackburn EH (2001) Switching and signaling at the telomere. Cell 106:661–673
Blasco MA (2005) Telomeres and human disease: ageing, cancer and beyond. Nat Rev Genet 6:611–622
Blum S, Aviram M, Ben-Amotz A, Levy Y (2006) Effect of a Mediterranean meal on postprandial carotenoids, paraoxonase activity and C-reactive protein levels. Ann Nutr Metab 50:20–24
Boccardi V, Esposito A, Rizzo MR, Marfella R, Barbieri M, Paolisso G (2013) Mediterranean diet, telomere maintenance and health status among elderly. PLoS One 8:e62781
Carroll JE, Diez-Roux AV, Adler NE, Seeman TE (2013) Socioeconomic factors and leukocyte telomere length in a multi-ethnic sample: findings from the multi-ethnic study of atherosclerosis (MESA). Brain Behav Immun 28:108–114
Casas R et al (2014) The effects of the mediterranean diet on biomarkers of vascular wall inflammation and plaque vulnerability in subjects with high risk for cardiovascular disease. A randomized trial. PloS One 9:e100084
Cassidy A, De Vivo I, Liu Y, Han J, Prescott J, Hunter DJ, Rimm EB (2010) Associations between diet, lifestyle factors, and telomere length in women. Am J Clin Nutr 91:1273–1280
Chrysohoou C, Panagiotakos DB, Pitsavos C, Das UN, Stefanadis C (2004) Adherence to the Mediterranean diet attenuates inflammation and coagulation process in healthy adults: the ATTICA study. J Am Coll Cardiol 44:152–158
Crous-Bou M et al (2014) Mediterranean diet and telomere length in Nurses’ Health Study: population based cohort study. BMJ 349:g6674
de Vos-Houben JM, Ottenheim NR, Kafatos A, Buijsse B, Hageman GJ, Kromhout D, Giltay EJ (2012) Telomere length, oxidative stress, and antioxidant status in elderly men in Zutphen and Crete. Mech Ageing Dev 133:373–377
Diez Roux AV, Ranjit N, Jenny NS, Shea S, Cushman M, Fitzpatrick A, Seeman T (2009) Race/ethnicity and telomere length in the Multi-Ethnic Study of Atherosclerosis. Aging Cell 8:251–257
Estruch R et al (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 368:1279–1290
Feairheller DL, Park JY, Sturgeon KM, Williamson ST, Diaz KM, Veerabhadrappa P, Brown MD (2011) Racial differences in oxidative stress and inflammation: in vitro and in vivo. Clin Transl Sci 4:32–37
Ford ES, Schleicher RL, Mokdad AH, Ajani UA, Liu S (2006) Distribution of serum concentrations of alpha-tocopherol and gamma-tocopherol in the US population. Am J Clin Nutr 84:375–383
Fung TT et al (2005) Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr 82:163–173
Garcia-Calzon S et al (2014) The Pro12Ala polymorphism of the PPARgamma2 gene interacts with a Mediterranean diet to prevent telomere shortening in the PREDIMED-NAVARRA randomized trial. Circ Cardiovasc Genet
Gardener H et al (2011) Mediterranean-style diet and risk of ischemic stroke, myocardial infarction, and vascular death: the Northern Manhattan study. Am J Clin Nutr 94:1458–1464
Givens I (2009) Animal nutrition and lipids in animal products and their contribution to human intake and health. Nutrients 1:71–82
Grosso G et al (2013) Mediterranean diet and cancer: epidemiological evidence and mechanism of selected aspects. BMC Surg 13(2):S14
Honig LS, Kang MS, Schupf N, Lee JH, Mayeux R (2012) Association of shorter leukocyte telomere repeat length with dementia and mortality. Arch Neurol 69:1332–1339
Hunt SC et al (2008) Leukocyte telomeres are longer in African Americans than in whites: the National Heart, Lung, and Blood Institute Family Heart Study and the Bogalusa Heart Study. Aging Cell 7:451–458
Kelley-Hedgepeth A et al (2008) Ethnic differences in C-reactive protein concentrations. Clin Chem 54:1027–1037
Kiecolt-Glaser JK et al (2013) Omega-3 fatty acids, oxidative stress, and leukocyte telomere length: a randomized controlled trial. Brain Behav Immun 28:16–24
Kipnis V et al (2003) Structure of dietary measurement error: results of the OPEN biomarker study. Am J Epidemiol 158:14–21, discussion 22-16
Lee JH et al (2014) Genome wide association and linkage analyses identified three loci-4q25, 17q23.2, and 10q11.21-associated with variation in leukocyte telomere length: the Long Life Family Study. Front Genet 4:310
Lopez-Garcia E, Schulze MB, Fung TT, Meigs JB, Rifai N, Manson JE, Hu FB (2004) Major dietary patterns are related to plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr 80:1029–1035
Luchsinger JA, Tang MX, Shea S, Mayeux R (2002) Caloric intake and the risk of Alzheimer disease. Arch Neurol 59:1258–1263
Luchsinger JA, Tang MX, Shea S, Mayeux R (2003) Antioxidant vitamin intake and risk of Alzheimer disease. Arch Neurol 60:203–208
Luchsinger JA, Tang MX, Shea S, Mayeux R (2004a) Hyperinsulinemia and risk of Alzheimer disease. Neurology 63:1187–1192
Luchsinger JA, Tang MX, Siddiqui M, Shea S, Mayeux R (2004b) Alcohol intake and risk of dementia. J Am Geriatr Soc 52:540–546
Luchsinger JA, Reitz C, Honig LS, Tang MX, Shea S, Mayeux R (2005) Aggregation of vascular risk factors and risk of incident Alzheimer disease. Neurology 65:545–551
Mainous AG, Codd V 3rd, Diaz VA, Schoepf UJ, Everett CJ, Player MS, Samani NJ (2010) Leukocyte telomere length and coronary artery calcification. Atherosclerosis 210:262–267
Manly JJ, Bell-McGinty S, Tang MX, Schupf N, Stern Y, Mayeux R (2005) Implementing diagnostic criteria and estimating frequency of mild cognitive impairment in an urban community. Arch Neurol 62:1739–1746
Marin C et al (2012) Mediterranean diet reduces senescence-associated stress in endothelial cells. Age (Dordr) 34:1309–1316
Matsubara Y et al (2006) Telomere length of normal leukocytes is affected by a functional polymorphism of hTERT. Biochem Biophys Res Commun 341:128–131
Mirabello L et al (2009) The association between leukocyte telomere length and cigarette smoking, dietary and physical variables, and risk of prostate cancer. Aging Cell 8:405–413
Morris AA et al (2012) Differences in systemic oxidative stress based on race and the metabolic syndrome: the Morehouse and Emory team up to eliminate health disparities (META-Health) study. Metab Syndr Relat Disord 10:252–259
Nettleton JA, Diez-Roux A, Jenny NS, Fitzpatrick AL, Jacobs DR Jr (2008) Dietary patterns, food groups, and telomere length in the Multi-Ethnic Study of Atherosclerosis (MESA). Am J Clin Nutr 88:1405–1412
O'Donovan A et al (2011) Cumulative inflammatory load is associated with short leukocyte telomere length in the health aging and body composition study. PLoS One 6:e19687
Paalani M, Lee JW, Haddad E, Tonstad S (2011) Determinants of inflammatory markers in a bi-ethnic population. Ethn Dis 21:142–149
Perez-Rivera JA, Pabon-Osuna P, Cieza-Borrella C, Duran-Bobin O, Martin-Herrero F, Gonzalez-Porras JR, Gonzalez-Sarmiento R (2014) Effect of telomere length on prognosis in men with acute coronary syndrome. Am J Cardiol 113:418–421
Pitsavos C, Panagiotakos DB, Tzima N, Chrysohoou C, Economou M, Zampelas A, Stefanadis C (2005) Adherence to the Mediterranean diet is associated with total antioxidant capacity in healthy adults: the ATTICA study. Am J Clin Nutr 82:694–699
Scarmeas N, Levy G, Tang MX, Manly J, Stern Y (2001) Influence of leisure activity on the incidence of Alzheimer’s disease. Neurology 57:2236–2242
Scarmeas N, Stern Y, Mayeux R, Luchsinger JA (2006a) Mediterranean diet, Alzheimer disease, and vascular mediation. Arch Neurol 63:1709–1717
Scarmeas N, Stern Y, Tang MX, Mayeux R, Luchsinger JA (2006b) Mediterranean diet and risk for Alzheimer’s disease. Ann Neurol 59:912–921
Scarmeas N, Stern Y, Mayeux R, Manly JJ, Schupf N, Luchsinger JA (2009) Mediterranean diet and mild cognitive impairment. Arch Neurol 66:216–225
Scarmeas N et al (2011) Physical activity and Alzheimer disease course the american journal of geriatric psychiatry. Am J Geriatr Psychiatr 19:471–481
Schatzkin A et al (2009) Observational epidemiologic studies of nutrition and cancer: the next generation (with better observation). Cancer Epidemiol Biomarkers Prev 18:1026-1032
Siedlecki KL, Honig LS, Stern Y (2008) Exploring the structure of a neuropsychological battery across healthy elders and those with questionable dementia and Alzheimer’s disease. Neuropsychology 22:400–411
Slagboom PE, Droog S, Boomsma DI (1994) Genetic determination of telomere size in humans: a twin study of three age groups. Am J Hum Genet 55:876–882
Stern Y, Andrews H, Pittman J, Sano M, Tatemichi T, Lantigua R, Mayeux R (1992) Diagnosis of dementia in a heterogeneous population. Development of a neuropsychological paradigm-based diagnosis of dementia and quantified correction for the effects of education. Arch Neurol 49:453–460
Tiainen AM et al (2012) Leukocyte telomere length and its relation to food and nutrient intake in an elderly population. Eur J Clin Nutr 66:1290–1294
Trichopoulou A, Costacou T, Bamia C, Trichopoulos D (2003) Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348:2599–2608
von Zglinicki T (2002) Oxidative stress shortens telomeres. Trends Biochem Sci 27:339–344
Willett WC et al (1985) Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol 122:51–65
Wolkowitz OM et al (2011) Leukocyte telomere length in major depression: correlations with chronicity, inflammation and oxidative stress—preliminary findings. PLoS One 6:e17837
Yao LH, Jiang YM, Shi J, Tomás-Barberán FA, Datta N, Singanusong R, Chen SS (2004) Flavonoids in food and their health benefits. Plant Foods Hum Nutr 59:113–122
Zhao J, Miao K, Wang H, Ding H, Wang DW (2013) Association between telomere length and type 2 diabetes mellitus: a meta-analysis. PLoS One 8:e79993
Acknowledgments
This work was supported by the Alzheimer’s Association grant IIRG08-92010 and NIH grants P01AG07232, R01AG037212, R01AG028506, P60MD000206, and K99AG042483.
Conflict of interest
The authors reported no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Gu, Y., Honig, L.S., Schupf, N. et al. Mediterranean diet and leukocyte telomere length in a multi-ethnic elderly population. AGE 37, 24 (2015). https://doi.org/10.1007/s11357-015-9758-0
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s11357-015-9758-0