延缓衰老和降低全因死亡率的最佳生活方式:英国生物数据库的启示。

IF 3.7 1区 医学 Q2 GERIATRICS & GERONTOLOGY
Ce Liu, Zhaoru Yang, Li He, Ya Xiao, Hao Zhao, Ling Zhang, Tong Liu, Rentong Chen, Kai Zhang, Bin Luo
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引用次数: 0

摘要

背景:随着全球人口迅速老龄化,确定能有效延缓衰老和降低死亡风险的生活方式至关重要。本研究利用英国生物库分析了膳食炎症指数、体力活动和睡眠对生物衰老和全因死亡率的影响:方法:利用 50 多万英国生物库参与者的数据开展了一项前瞻性队列研究。通过对体力活动的主观和客观测量建立了两个数据集:主观体力活动数据集(SPA)和客观体力活动数据集(OPA)。这些数据集还评估了生活方式,包括饮食习惯、运动水平和睡眠质量。生物衰老的量化采用经过验证的方法,包括平衡失调、Klemera-Doubal 法生物年龄、表型年龄和端粒长度。全因死亡率数据来自国民健康服务。统计分析包括加权线性回归和考克斯比例危险模型,并对一系列协变量进行了调整:结果:研究结果表明,在大多数情况下,保持抗炎饮食、至少进行适量的体育锻炼和确保健康的睡眠条件与延缓生理衰老(Cohen's d 范围在 0.274 到 0.633 之间)和显著降低全因死亡风险有关(HR-SPA:0.690,95% CI:0.538,0.884;HR-OPA:0.493,95% CI:0.293,0.828)。这些影响在 60 岁以下人群和女性中尤为明显。不过,据观察,世界卫生组织推荐的体育锻炼水平(600 兆焦耳/分钟/周)并不能达到延缓生物衰老的最佳效果。高水平体育锻炼组(≥ 3000 兆电子热量-分钟/周)在延缓生物衰老方面效果最佳。这项研究还强调了生物年龄加速和端粒长度作为预测死亡风险的生物标志物的潜力:结论:选择健康的生活方式,尤其是抗炎饮食、至少适量的体育锻炼和健康的睡眠模式,对于延缓衰老和降低死亡风险至关重要。这些研究结果支持制定有针对性的干预措施,以改善公共卫生成果。未来的研究应侧重于对生活方式的客观评估,以进一步验证这些关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimal lifestyle patterns for delaying ageing and reducing all-cause mortality: insights from the UK Biobank.

Background: With the rapid aging of the global population, identifying lifestyle patterns that effectively delay aging and reduce mortality risk is of paramount importance. This study utilizes the UK Biobank to analyze the associations of the Dietary Inflammatory Index, physical activity, and sleep on biological aging and all-cause mortality.

Methods: A prospective cohort study was conducted using data from over half a million UK Biobank participants. Two datasets were created by subjective and objective measurements of physical activity: the Subjective Physical Activity (SPA) and Objective Physical Activity (OPA) datasets. Lifestyle patterns, including diet habits, exercise levels, and sleep quality, were assessed within these datasets. Biological aging was quantified using validated methods, including Homeostatic Dysregulation, Klemera-Doubal Method Biological Age, Phenotypic Age, and Telomere Length. All-cause mortality data were obtained from the National Health Service. Statistical analyses included weighted linear regression and Cox proportional hazard models, adjusted for a range of covariates.

Results: The findings indicate that, in most cases, maintaining an anti-inflammatory diet, engaging in at least moderate physical activity, and ensuring healthy sleep conditions are associated with delayed physiological aging (Cohen's d ranging from 0.274 to 0.633) and significantly reduced risk of all-cause mortality (HR-SPA: 0.690, 95% CI: 0.538, 0.884; HR-OPA: 0.493, 95% CI: 0.293, 0.828). These effects are particularly pronounced in individuals under 60 years of age and in women. However, it was observed that the level of physical activity recommended by the World Health Organization (600 MET-minutes/week) does not achieve the optimal effect in delaying biological aging. The best effect in decelerating biological aging was seen in the high-level physical activity group (≥ 3000 MET-minutes/week). The study also highlights the potential of biological age acceleration and telomere length as biomarkers for predicting the risk of mortality.

Conclusions: Choosing healthy lifestyle patterns, especially an anti-inflammatory diet, at least moderate physical activity, and healthy sleep patterns, is crucial for delaying aging and reducing mortality risk. These findings support the development of targeted interventions to improve public health outcomes. Future research should focus on objective assessments of lifestyle to further validate these associations.

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来源期刊
CiteScore
8.60
自引率
1.60%
发文量
29
审稿时长
>12 weeks
期刊介绍: European Review of Aging and Physical Activity (EURAPA) disseminates research on the biomedical and behavioural aspects of physical activity and aging. The main issues addressed by EURAPA are the impact of physical activity or exercise on cognitive, physical, and psycho-social functioning of older people, physical activity patterns in advanced age, and the relationship between physical activity and health.
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