title: Determinants of telomere attrition over 1 year in healthy older women: stress and health behaviors matter.
abstract: Telomere length, a reliable predictor of disease pathogenesis, can be affected by genetics, chronic stress and health behaviors. Cross-sectionally, highly stressed postmenopausal women have shorter telomeres, but only if they are inactive. However, no studies have prospectively examined telomere length change over a short period, and if rate of attrition is affected by naturalistic factors such as stress and engagement in healthy behaviors, including diet, exercise, and sleep. Here we followed healthy women over 1 year to test if major stressors that occurred over the year predicted telomere shortening, and whether engaging in healthy behaviors during this period mitigates this effect. In 239 postmenopausal, non-smoking, disease-free women, accumulation of major life stressors across a 1-year period predicted telomere attrition over the same period-for every major life stressor that occurred during the year, there was a significantly greater decline in telomere length over the year of 35 bp (P<0.05). Yet, these effects were moderated by health behaviors (interaction B=0.19, P=0.04). Women who maintained relatively higher levels of health behaviors (1 s.d. above the mean) appeared to be protected when exposed to stress. This finding has implications for understanding malleability of telomere length, as well as expectations for possible intervention effects. This is the first study to identify predictors of telomere length change over the short period of a year.
authors: Department of Psychiatry, School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
authors: E
authors: E
authors: Puterman
authors: Department of Biochemistry and Biophysics, University of California, San Francisco, San Francisco, CA, USA.
authors: J
authors: J
authors: Lin
authors: Division of Physical Medicine and Rehabilitation, Department of Orthopedic Surgery, Stanford University, Stanford, CA, USA.
authors: J
authors: J
authors: Krauss
authors: Department of Biochemistry and Biophysics, University of California, San Francisco, San Francisco, CA, USA.
authors: E H
authors: EH
authors: Blackburn
authors: Department of Psychiatry, School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
authors: E S
authors: ES
authors: Epel
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D008016:Life Change Events; D008875:Middle Aged; D015999:Multivariate Analysis; D011237:Predictive Value of Tests; D013315:Stress, Psychological / Q000473:pathology*; D016615:Telomere / Q000473:pathology*; D059506:Telomere Shortening