Evidence map›Paper›PMID 35685390›Full record

ArticleThe lancet. Healthy longevity2022

Modifiable traits, healthy behaviours, and leukocyte telomere length: a population-based study in UK Biobank.

Vasiliki Bountziouka, Crispin Musicha, Elias Allara, Stephen Kaptoge, Qingning Wang, Emanuele Di Angelantonio, Adam S Butterworth, John R Thompson, John N Danesh, Angela M Wood and 3 more

Open access · goldAbstract read
In one paragraph

Article in The lancet. Healthy longevity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 1% of its field
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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. A Systematic Review and Meta-analysis Highlights a Link Between Aerobic Fitness and Telomere Maintenance.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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  17. Telomeres in Space.Aging cell · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Vasiliki BountzioukaDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Crispin MusichaDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Elias AllaraBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, National Institute for Health Research Blood Transplant Research Unit in Donor Health and Genomics, and British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, UK.
Stephen KaptogeBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, National Institute for Health Research Blood Transplant Research Unit in Donor Health and Genomics, and British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, UK.
Qingning WangDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Emanuele Di AngelantonioBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, National Institute for Health Research Blood Transplant Research Unit in Donor Health and Genomics, and British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, UK.
Adam S ButterworthBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, National Institute for Health Research Blood Transplant Research Unit in Donor Health and Genomics, and British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, UK.
John R ThompsonDepartment of Health Sciences, University of Leicester, Leicester, UK.
John N DaneshBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, National Institute for Health Research Blood Transplant Research Unit in Donor Health and Genomics, and British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, UK.
Angela M WoodBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, National Institute for Health Research Blood Transplant Research Unit in Donor Health and Genomics, and British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, UK.
Christopher P NelsonDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Veryan CoddDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Nilesh J SamaniDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
British Heart Foundation · GBNIHR Leicester Biomedical Research Centre · GBUniversity of Leicester · GBGlenfield Hospital · GBNational Institute for Health Research · GBUniversity of Cambridge · GB

Funding

Biotechnology and Biological Sciences Research CouncilBritish Heart Foundation CH/12/2/29428British Heart Foundation RG/13/13/30194British Heart Foundation RG/18/13/33946British Heart Foundation SP/16/4/32697Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MR/L003120/1Medical Research Council MR/M012816/1
6 · The paper itself

Abstract

Background: Telomere length is associated with risk of several age-related diseases and cancers. We aimed to investigate the extent to which telomere length might be modifiable through lifestyle and behaviour, and whether such modification has any clinical consequences. Methods: In this population-based study, we included participants from UK Biobank who had leukocyte telomere length (LTL) measurement, ethnicity, and white blood cell count data. We investigated associations of LTL with 117 potentially modifiable traits, as well as two indices of healthy behaviours incorporating between them smoking, physical activity, diet, maintenance of a healthy bodyweight, and alcohol intake, using both available and imputed data. To help interpretation, associations were summarised as the number of equivalent years of age-related change in LTL by dividing the trait β coefficients with the age β coefficient. We used mendelian randomisation to test causality of selected associations. We investigated whether the associations of LTL with 22 diseases were modified by the number of healthy behaviours and the extent to which the associations of more healthy behaviours with greater life expectancy and lower risk of coronary artery disease might be mediated through LTL. Findings: 422 797 participants were available for the analysis (227 620 [53·8%] were women and 400 036 [94·6%] were White). 71 traits showed significant (p<4·27 × 10 Interpretation: Although several potentially modifiable traits and healthy behaviours have a quantifiable association with LTL, at least some of which are likely to be causal, these effects are not of a sufficient magnitude to substantially alter the association between LTL and various diseases or life expectancy. Attempts to change telomere length through lifestyle or behavioural changes might not confer substantial clinical benefit. Funding: UK Medical Research Council, UK Biotechnology and Biological Sciences Research Council, and British Heart Foundation.

Indexed as

Coronary Artery DiseaseTelomereBiological Specimen BanksFemaleHealth BehaviorHealth StatusHumansLeukocytesMaleMendelian Randomization AnalysisUnited Kingdom

Identifiers

PMID35685390
PMCPMC9068584
OpenAlexW4229069425

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.