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Updated: Aug 15, 2025

Telomere Length and Telomerase Activity; A Yin and Yang of Cell Senescence
Published on: May 22, 2013
Telomere and mitochondria mediated the association between dietary inflammatory index and mild cognitive impairment:
Qian Liu1,2, Zhenshu Li1,2, Ling Huang1,2
1Department of Nutrition & Food Science, School of Public Health, Tianjin Medical University, Tianjin, China.
Background:
Diet and chronic inflammation might play a major role in the pathogenesis of mild cognitive impairment (MCI). In addition, peripheral blood leukocyte telomere length (LTL) and mitochondrial DNA copy number (mtDNAcn) might mediate the relationship between inflammation and MCI risk. The purpose of the present study is to evaluate whether inflammatory potential of diet assessed by dietary inflammatory index (DII), chronic inflammation, peripheral blood LTL, and mtDNAcn were associated with the risk of MCI.
Results:
A population-based cohort study was conducted with a total of 2944 participants. During a median follow-up of 2 years, 438 (14.90%) individuals were new-onset MCI. After adjustment, a higher score of DII (hazard ratio [HR]: 1.056, 95% CI: 1.005, 1.109), a higher log systemic immune inflammation index (SII) (HR: 1.333, 95% CI: 1.089, 1.633) and log system inflammation response index (SIRI) (HR: 1.487, 95% CI: 1.024, 2.161) predicted elevated risk of MCI. An increased mtDNAcn (HR: 0.843, 95% CI: 0.712, 0.997), but not LTL, predicted a decreased risk of MCI. Negative associations of log SII with LTL (β:-0.359, 95% CI: -0.445, -0.273) and mtDNAcn (β:-0.048, 95% CI: -0.090, -0.006) were found. Additionally, negative associations of log SIRI with LTL (β: -0.035, 95% CI: -0.052, -0.017) and mtDNAcn (β:-0.136, 95% CI: -0.216, -0.056) were also found. Path analysis suggested that SIRI, LTL, and mtDNAcn, in series, have mediation roles in the association between DII score and MCI risk.
Conclusions:
Higher DII, SII, and SIRI might predict a greater risk of MCI, while a longer LTL and an increased mtDNAcn were linked to a reduced risk of MCI among the older population. LTL and mtDNAcn could play mediation roles in the association between DII and MCI risk.
Insights
A pro-inflammatory diet and chronic inflammation increase mild cognitive impairment (MCI) risk. However, increased mitochondrial DNA copy number (mtDNAcn) is linked to reduced MCI risk, potentially mediated by diet and inflammation.
Area of Science:
- Gerontology
- Neuroscience
- Nutritional Science
Background:
- Diet and chronic inflammation are implicated in mild cognitive impairment (MCI) pathogenesis.
- Leukocyte telomere length (LTL) and mitochondrial DNA copy number (mtDNAcn) may mediate the link between inflammation and MCI.
- Investigating these factors is crucial for understanding MCI development.
Purpose of the Study:
- To assess the association between dietary inflammatory potential (Dietary Inflammatory Index - DII), chronic inflammation markers, LTL, and mtDNAcn with MCI risk.
- To explore the potential mediating roles of LTL and mtDNAcn in the diet-MCI relationship.
Main Methods:
- A population-based cohort study involving 2944 participants.
- Median follow-up of 2 years with monitoring for new-onset MCI.
- Statistical analyses including hazard ratios (HR) and mediation analysis.
Main Results:
- Higher DII, systemic immune inflammation index (SII), and systemic inflammation response index (SIRI) scores predicted increased MCI risk.
- Increased mtDNAcn was associated with a decreased risk of MCI, while LTL showed no significant association.
- Negative associations were observed between inflammation markers (SII, SIRI) and both LTL and mtDNAcn.
Conclusions:
- Elevated DII, SII, and SIRI may predict higher MCI risk in older adults.
- Increased mtDNAcn is linked to a reduced risk of MCI.
- LTL and mtDNAcn may mediate the relationship between dietary inflammatory potential and MCI risk.
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