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      Childhood Obesity Is Associated with Shorter Leukocyte Telomere Length

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          Abstract

          The average leukocyte telomere length of obese children is 23.9% shorter than that of normal weight children of a similar age.

          Abstract

          Context:

          Obesity in adults is associated with shorter mean leukocyte telomere length (LTL), a marker of biological age that is also associated with age-related conditions including cardiovascular disease and type 2 diabetes. However, studies of childhood obesity and LTL have proved inconclusive.

          Objective:

          The objective of the study was to clarify the relationship between telomere length and childhood obesity by measuring the average LTL in a large case-control cohort.

          Participants and Methods:

          LTL was measured in 793 French children aged 2–17 yr (471 with early onset obesity and 322 nonobese controls) using multiplex quantitative real-time PCR. The average LTL in the two groups was compared, and the relationships between telomere length and selected anthropometric and biochemical measurements were examined.

          Results:

          Obese children had a mean LTL that was 23.9% shorter than that of nonobese children ( P < 0.0001). Telomere length was inversely associated with age (R = −0.17, P = 0.002 in controls; R = −0.15, P = 0.001 in cases), log weight (R= −0.13, P = 0.017 in controls; R = −0.16, P = 0.0004 in cases), and height (R = −0.15, P = 0.008 in controls; R = −0.17, P = 0.0002 in cases). The mean LTL of girls and boys was not significantly different in either the cases or controls or in the group overall.

          Conclusion:

          Obese girls and boys have significantly shorter leukocyte telomeres than their nonobese counterparts, a finding that highlights a potentially deleterious impact of early onset obesity on future health.

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          Most cited references29

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          Oxidative stress shortens telomeres.

          Telomeres in most human cells shorten with each round of DNA replication, because they lack the enzyme telomerase. This is not, however, the only determinant of the rate of loss of telomeric DNA. Oxidative damage is repaired less well in telomeric DNA than elsewhere in the chromosome, and oxidative stress accelerates telomere loss, whereas antioxidants decelerate it. I suggest here that oxidative stress is an important modulator of telomere loss and that telomere-driven replicative senescence is primarily a stress response. This might have evolved to block the growth of cells that have been exposed to a high risk of mutation.
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            Obesity, cigarette smoking, and telomere length in women.

            Obesity and smoking are important risk factors for many age-related diseases. Both are states of heightened oxidative stress, which increases the rate of telomere erosion per replication, and inflammation, which enhances white blood cell turnover. Together, these processes might accelerate telomere erosion with age. We therefore tested the hypothesis that increased body mass and smoking are associated with shortened telomere length in white blood cells. We investigated 1122 white women aged 18-76 years and found that telomere length decreased steadily with age at a mean rate of 27 bp per year. Telomeres of obese women were 240 bp shorter than those of lean women (p=0.026). A dose-dependent relation with smoking was recorded (p=0.017), and each pack-year smoked was equivalent to an additional 5 bp of telomere length lost (18%) compared with the rate in the overall cohort. Our results emphasise the pro-ageing effects of obesity and cigarette smoking.
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              Genome-wide association study for early-onset and morbid adult obesity identifies three new risk loci in European populations.

              We analyzed genome-wide association data from 1,380 Europeans with early-onset and morbid adult obesity and 1,416 age-matched normal-weight controls. Thirty-eight markers showing strong association were further evaluated in 14,186 European subjects. In addition to FTO and MC4R, we detected significant association of obesity with three new risk loci in NPC1 (endosomal/lysosomal Niemann-Pick C1 gene, P = 2.9 x 10(-7)), near MAF (encoding the transcription factor c-MAF, P = 3.8 x 10(-13)) and near PTER (phosphotriesterase-related gene, P = 2.1 x 10(-7)).
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                Author and article information

                Journal
                J Clin Endocrinol Metab
                jcem
                jceme
                jcem
                The Journal of Clinical Endocrinology and Metabolism
                Endocrine Society (Chevy Chase, MD )
                0021-972X
                1945-7197
                May 2011
                24 February 2011
                24 February 2011
                : 96
                : 5
                : 1500-1505
                Affiliations
                Department of Genomics of Common Disease (J.L.B., R.G.W., P.F., A.I.F.B.), Imperial College London, London W12 0NN, United Kingdom; “Cardiovascular Genetics” Research Unit EA4373 (S.V.-S.), Université Henri Poincaré, F-54000 Nancy, France; and Centre National de la Recherche Scientifique 8199 (D.M., P.F.), Institute of Biology, Pasteur Institute, 59000 Lille, France
                Author notes
                Address all correspondence and requests for reprints to: Jessica Buxton, Alexandra Blakemore, and Philippe Froguel, Department of Genomics of Common Disease, School of Public Health, Imperial College London, Burlington-Danes Building, Hammersmith Hospital, Du Cane Road, London W12 0NN, United Kingdom. E-mail: j.buxton@ 123456imperial.ac.uk (Jessica Buxton); or a.blakemore@ 123456imperial.ac.uk (Alexandra Blakemore); or p.froguel@ 123456imperial.ac.uk (Philippe Froguel).
                Article
                10-2924
                10.1210/jc.2010-2924
                3137462
                21349907
                fc8f2019-f0fe-4d5b-b468-7c6a349d6fe3
                Copyright © 2011 by The Endocrine Society

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/us/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 December 2010
                : 4 February 2011
                Categories
                9
                11
                Endocrine Research

                Endocrinology & Diabetes
                Endocrinology & Diabetes

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