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菲律宾的研究表明,多年来照顾慢性疾病和残疾的家庭成员与端粒长度无关。

Years of caregiving for chronically ill and disabled family members is not associated with telomere length in the Philippines.

机构信息

Department of Anthropology, University of Washington, Seattle, WA, United States.

Department of Anthropology, University of Washington, Seattle, WA, United States; Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, United States.

出版信息

Psychoneuroendocrinology. 2019 May;103:188-194. doi: 10.1016/j.psyneuen.2019.01.019. Epub 2019 Jan 25.

Abstract

BACKGROUND

Caring for chronically disabled family members is a stressful experience. In turn, psychosocial stress is linked to premature aging. Telomere length (TL) is a plastic genetic trait that is a biomarker of aging, and a possible mechanism linking psychosocial stress and accelerated aging.

METHODS

TL was measured using qPCR method from blood samples in 1233 Filipino adults from Cebu, Philippines. Caregiving was measured as chronicity of care, or the sum total number of years an individual was the primary caregiver for any household member with a chronic illness or disability. Linear regression models were used to test for associations between chronicity of care and TL. Interaction terms were used to test whether or not the association between chronicity of care and TL differed by sex, age, and relationship to the caregiver. Specific statistical designs were publicly pre-registered before analysis began.

RESULTS

Chronicity of care was not associated with TL. Neither did we find any evidence for caregiving varying in its effect on TL by caregiver sex, age, or relationship to the chronically ill/disabled.

CONCLUSIONS

We found no evidence of an association between chronicity of care and TL. This result coupled with a recent study of a similarly sized cohort suggests that previous significant results linking caregiving and TL may be due to very particular types of caregiving populations or are possibly artifacts of small sample sizes.

摘要

背景

照顾慢性残疾家庭成员是一种有压力的经历。反过来,心理社会压力与过早衰老有关。端粒长度(TL)是一种可塑的遗传特征,是衰老的生物标志物,也是将心理社会压力与加速衰老联系起来的一种可能机制。

方法

从菲律宾宿务的 1233 名菲律宾成年人的血液样本中使用 qPCR 方法测量 TL。照顾是通过慢性照顾来衡量的,即个人作为任何有慢性疾病或残疾的家庭成员的主要照顾者的总年数。线性回归模型用于测试慢性照顾与 TL 之间的关联。交互项用于测试慢性照顾与 TL 之间的关联是否因性别、年龄和与照顾者的关系而有所不同。在开始分析之前,特定的统计设计已在公开平台上预先注册。

结果

慢性照顾与 TL 无关。我们也没有发现任何证据表明,照顾者的性别、年龄或与慢性病/残疾人的关系会对 TL 的影响有所不同。

结论

我们没有发现慢性照顾与 TL 之间存在关联的证据。这一结果与最近对类似规模队列的研究结果一致,表明之前将照顾与 TL 联系起来的重要结果可能是由于非常特殊类型的照顾人群,或者可能是由于样本量小而产生的假象。

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