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Diet Quality and Epigenetic Aging in the Women’s Health Initiative - 17/10/24

Doi : 10.1016/j.jand.2024.01.002 
Lindsay M. Reynolds, PhD 1, , Denise K. Houston, PhD, RD 2, Meghan B. Skiba, PhD, MS, MPH, RDN 3, Eric A. Whitsel, MD, MPH 4, James D. Stewart, MA 4, 5, Yun Li, PhD 6, 7, Anthony S. Zannas, PhD 8, Themistocles L. Assimes, MD PhD 9, Steve Horvath, PhD, ScD 10, 11, Parveen Bhatti, PhD 12, 13, Andrea A. Baccarelli, MD, PhD 14, Janet A. Tooze, PhD, MPH 1, , Mara Z. Vitolins, DrPH, MPH 1,
1 Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 
2 Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 
3 Division of Biobehavioral Health Science, University of Arizona Cancer Center, University of Arizona, Tucson, Arizona 
4 Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 
5 Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, North Carolina 
6 Department of Genetics, School of Medicine, University of North Carolina, Chapel Hill, North Carolina 
7 Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 
8 Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina 
9 Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Palo Alto, California 
10 Department of Human Genetics, University of California Los Angeles, Los Angeles, California 
11 Altos Labs, San Diego, California 
12 Cancer Control Research, BC Cancer Research Institute, Vancouver, British Columbia, Canada 
13 School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada 
14 Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York 

Address correspondence to: Lindsay M Reynolds, PhD, Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157.Department of Epidemiology and PreventionWake Forest School of MedicineMedical Center BoulevardWinston-SalemNC27157

Abstract

Background

Higher diet quality scores are associated with a lower risk for many chronic diseases and all-cause mortality; however, it is unclear if diet quality is associated with aging biology.

Objective

This study aimed to examine the association between diet quality and a measure of biological aging known as epigenetic aging.

Design

A cross-sectional data analysis was used to examine the association between three diet quality scores based on self-reported food frequency questionnaire data and five measures of epigenetic aging based on DNA methylation (DNAm) data from peripheral blood.

Participants/setting

This study included 4,500 postmenopausal women recruited from multiple sites across the United States (1993-98), aged 50 to 79 years, with food frequency questionnaire and DNAm data available from the Women’s Health Initiative baseline visit.

Main outcome measures

Five established epigenetic aging measures were generated from HumanMethylation450 Beadchip DNAm data, including AgeAccelHannum, AgeAccelHorvath, AgeAccelPheno, AgeAccelGrim, and DunedinPACE.

Statistical analyses performed

Linear mixed models were used to test for associations between three diet quality scores (Healthy Eating Index, Dietary Approaches to Stop Hypertension, and alternate Mediterranean diet scores) and epigenetic aging measures, adjusted for age, race and ethnicity, education, tobacco smoking, physical activity, Women’s Health Initiative substudy from which DNAm data were obtained, and DNAm-based estimates of leukocyte proportions.

Results

Healthy Eating Index, Dietary Approaches to Stop Hypertension, and alternate Mediterranean diet scores were all inversely associated with AgeAccelPheno, AgeAccelGrim, and DunedinPACE (P < 0.05), with the largest effects with DunedinPACE. A one standard deviation increment in diet quality scores was associated with a decrement (β ± SE) in DunedinPACE z score of –0.097 ± 0.014 (P = 9.70 x 10-13) for Healthy Eating Index, –0.107 ± 0.014 (P = 1.53 x 10-14) for Dietary Approaches to Stop Hypertension, and –0.068 ± 0.013 (P = 2.31 x 10-07) for the alternate Mediterranean diet.

Conclusions

In postmenopausal women, diet quality scores were inversely associated with DNAm-based measures of biological aging, particularly DunedinPACE.

Le texte complet de cet article est disponible en PDF.

Keywords : Diet quality, DNA methylation, epigenetic Aging, Women, Aging


Plan


 Supplementary materials: Table 2, Table 3, and Table 4 and Figure 3 are available at www.jandonline.org
 STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
 FUNDING/SUPPORT This work was supported by the Wake Forest University Claude D. Pepper Older Americans Independence Center (P30 AG021332). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
 ACKNOWLEDGEMENTS The Women’s Health Initiative (WHI) program is funded by the National Heart, Lung, and Blood Institute, National Institutes of Health, US Department of Health and Human Services through contracts 75N92021D00001, 75N92021D00002, 75N92021D00003, 75N92021D00004, and 75N92021D00005. The authors thank the WHI investigators and staff for their dedication, and the study participants for their contributions. A full listing of WHI investigators can be found at: WHI-Investigator-Short-List.pdf
 AUTHOR CONTRIBUTIONS Conceived and designed the analysis: L. M. Reynolds, D. K. Houston, E. A. Whitsel, J. A. Tooze, and M. Z. Vitolins; contributed data or analysis tools: E. A. Whitsel, J. D. Stewart, Y. Li, T. L. Assimes, S. Horvath, P. Bhatti, and A. A. Baccarelli; performed the analysis and wrote the manuscript: L. M. Reynolds; contributed to the interpretation of the results: L. M. Reynolds, D. K. Houston, M. Skiba, E. A. Whitsel, Y. Li, A. S. Zannas, T. L. Assimes, P. Bhatti, A. A. Baccarelli, J. A. Tooze, and M. Z. Vitolins. All authors provided feedback and helped shape the research, analysis and manuscript.


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Vol 124 - N° 11

P. 1419 - novembre 2024 Retour au numéro
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