Evidence map›Paper›PMID 22675460›Full record

ArticlePloS one2012

Healthy lifestyle and leukocyte telomere length in U.S. women.

Qi Sun, Ling Shi, Jennifer Prescott, Stephanie E Chiuve, Frank B Hu, Immaculata De Vivo, Meir J Stampfer, Paul W Franks, JoAnn E Manson, Kathryn M Rexrode

Abstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Trial
  5. Telomere Length Change in a Multidomain Lifestyle Intervention to Prevent Cognitive Decline: A Randomized Clinical Trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
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  14. Cross-sectional Associations of Neighborhood Social and Environmental Contextual Factors with Telomere Length in Male and Female Health Professionals.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Qi SunDepartment of Nutrition, Harvard School of Public Health, Boston, Massachusetts, United States of America. qisun@hsph.harvard.edu
Ling Shi
Jennifer Prescott
Stephanie E Chiuve
Frank B Hu
Immaculata De Vivo
Meir J Stampfer
Paul W Franks
JoAnn E Manson
Kathryn M Rexrode

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ROSNER, BERNARD A · 2000 to 2019
$77.8M
RISK FACTORS FOR CVD IN WOMENR01HL034594 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI JoAnn Elisabeth Manson, Lu Qi · 1985 to 2026
$13.8M
Risk Factors for Ischemic Stroke in WomenR01HL088521 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REXRODE, KATHRYN M · 2008 to 2025
$9.9M
Molecular Pathoepidemiology of Endometrial Cancer RiskR01CA082838 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI DE VIVO, IMMACULATA · 1999 to 2015
$4.3M
Novel Adipokines and Coronary Heart Disease in U.S. Men and Women with DiabetesK99HL098459 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI SUN, QI · 2010 to 2011
$189k
NCI NIH HHS CA4449NCI NIH HHS CA82838NCI NIH HHS CA87969NCI NIH HHS P01 CA087969NCI NIH HHS R01 CA082838NHLBI NIH HHS HL088521NHLBI NIH HHS HL34594NHLBI NIH HHS K99 HL098459NHLBI NIH HHS K99HL098459NHLBI NIH HHS R01 HL034594NHLBI NIH HHS R01 HL088521
6 · The paper itself

Abstract

contextWhether a healthy lifestyle may be associated with longer telomere length is largely unknown.

objectivesTo examine healthy lifestyle practices, which are primary prevention measures against major age-related chronic diseases, in relation to leukocyte telomere length. DESIGN AND

settingCross-sectional analysis in the Nurses' Health Study (NHS).

participantsThe population consisted of 5,862 women who participated in multiple prospective case-control studies within the NHS cohort. Z scores of leukocyte telomere length were derived within each case-control study. Based on prior work, we defined low-risk or healthy categories for five major modifiable factors assessed in 1988 or 1990: non-current smoking, maintaining a healthy body weight (body mass index in 18.5-24.9 kg/m(2)), engaging in regular moderate or vigorous physical activities (≥150 minutes/week), drinking alcohol in moderation (1 drink/week to <2 drinks/day), and eating a healthy diet (Alternate Healthy Eating Index score in top 50%). We calculated difference (%) of the z scores contrasting low-risk groups with reference groups to evaluate the association of interest.

resultsAlthough none of the individual low-risk factors was significantly associated with larger leukocyte telomere length z scores, we observed a significant, positive relationship between the number of low-risk factors and the z scores. In comparison with women who had zero low-risk factors (1.9% of the total population) and were, therefore, considered the least healthy group, the leukocyte telomere length z scores were 16.4%, 22.1%, 28.7%, 22.6%, and 31.2% (P for trend = 0.015) higher for women who had 1 to 5 low-risk factors, respectively.

conclusionsAdherence to a healthy lifestyle, defined by major modifiable risk factors, was associated with longer telomere length in leukocytes.

Indexed as

Life StyleTelomereAdultCase-Control StudiesFemaleHumansLeukocytesMiddle AgedProspective StudiesRisk FactorsUnited States

Identifiers

PMID22675460
PMCPMC3365002

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.