Plasma metabolites of a healthy lifestyle in relation to mortality and longevity: Four prospective US cohort studies
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Plasma metabolites of a healthy lifestyle in relation to mortality and longevity : Four prospective US cohort studies. / Tessier, Anne Julie; Wang, Fenglei; Liang, Liming; Wittenbecher, Clemens; Haslam, Danielle E.; Eliassen, A. Heather; Tobias, Deirdre K.; Li, Jun; Zeleznik, Oana A.; Ascherio, Alberto; Sun, Qi; Stampfer, Meir J.; Grodstein, Francine; Rexrode, Kathryn M.; Manson, Jo Ann E.; Balasubramanian, Raji; Clish, Clary B.; Martínez-González, Miguel A.; Chavarro, Jorge E.; Hu, Frank B.; Guasch-Ferré, Marta.
In: Med, Vol. 5, No. 3, 2024, p. 224-238.e5.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Plasma metabolites of a healthy lifestyle in relation to mortality and longevity
T2 - Four prospective US cohort studies
AU - Tessier, Anne Julie
AU - Wang, Fenglei
AU - Liang, Liming
AU - Wittenbecher, Clemens
AU - Haslam, Danielle E.
AU - Eliassen, A. Heather
AU - Tobias, Deirdre K.
AU - Li, Jun
AU - Zeleznik, Oana A.
AU - Ascherio, Alberto
AU - Sun, Qi
AU - Stampfer, Meir J.
AU - Grodstein, Francine
AU - Rexrode, Kathryn M.
AU - Manson, Jo Ann E.
AU - Balasubramanian, Raji
AU - Clish, Clary B.
AU - Martínez-González, Miguel A.
AU - Chavarro, Jorge E.
AU - Hu, Frank B.
AU - Guasch-Ferré, Marta
N1 - Publisher Copyright: © 2024 The Author(s)
PY - 2024
Y1 - 2024
N2 - Background: A healthy lifestyle is associated with a lower premature mortality risk and with longer life expectancy. However, the metabolic pathways of a healthy lifestyle and how they relate to mortality and longevity are unclear. We aimed to identify and replicate a healthy lifestyle metabolomic signature and examine how it is related to total and cause-specific mortality risk and longevity. Methods: In four large cohorts with 13,056 individuals and 28-year follow-up, we assessed five healthy lifestyle factors, used liquid chromatography mass spectrometry to profile plasma metabolites, and ascertained deaths with death certificates. The unique healthy lifestyle metabolomic signature was identified using an elastic regression. Multivariable Cox regressions were used to assess associations of the signature with mortality and longevity. Findings: The identified healthy lifestyle metabolomic signature was reflective of lipid metabolism pathways. Shorter and more saturated triacylglycerol and diacylglycerol metabolite sets were inversely associated with the healthy lifestyle score, whereas cholesteryl ester and phosphatidylcholine plasmalogen sets were positively associated. Participants with a higher healthy lifestyle metabolomic signature had a 17% lower risk of all-cause mortality, 19% for cardiovascular disease mortality, and 17% for cancer mortality and were 25% more likely to reach longevity. The healthy lifestyle metabolomic signature explained 38% of the association between the self-reported healthy lifestyle score and total mortality risk and 49% of the association with longevity. Conclusions: This study identifies a metabolomic signature that measures adherence to a healthy lifestyle and shows prediction of total and cause-specific mortality and longevity. Funding: This work was funded by the NIH, CIHR, AHA, Novo Nordisk Foundation, and SciLifeLab.
AB - Background: A healthy lifestyle is associated with a lower premature mortality risk and with longer life expectancy. However, the metabolic pathways of a healthy lifestyle and how they relate to mortality and longevity are unclear. We aimed to identify and replicate a healthy lifestyle metabolomic signature and examine how it is related to total and cause-specific mortality risk and longevity. Methods: In four large cohorts with 13,056 individuals and 28-year follow-up, we assessed five healthy lifestyle factors, used liquid chromatography mass spectrometry to profile plasma metabolites, and ascertained deaths with death certificates. The unique healthy lifestyle metabolomic signature was identified using an elastic regression. Multivariable Cox regressions were used to assess associations of the signature with mortality and longevity. Findings: The identified healthy lifestyle metabolomic signature was reflective of lipid metabolism pathways. Shorter and more saturated triacylglycerol and diacylglycerol metabolite sets were inversely associated with the healthy lifestyle score, whereas cholesteryl ester and phosphatidylcholine plasmalogen sets were positively associated. Participants with a higher healthy lifestyle metabolomic signature had a 17% lower risk of all-cause mortality, 19% for cardiovascular disease mortality, and 17% for cancer mortality and were 25% more likely to reach longevity. The healthy lifestyle metabolomic signature explained 38% of the association between the self-reported healthy lifestyle score and total mortality risk and 49% of the association with longevity. Conclusions: This study identifies a metabolomic signature that measures adherence to a healthy lifestyle and shows prediction of total and cause-specific mortality and longevity. Funding: This work was funded by the NIH, CIHR, AHA, Novo Nordisk Foundation, and SciLifeLab.
KW - alcohol
KW - BMI
KW - diet
KW - lifestyle
KW - longevity
KW - metabolome
KW - metabolomics
KW - mortality
KW - physical activity
KW - smoking
KW - Translation to population health
U2 - 10.1016/j.medj.2024.01.010
DO - 10.1016/j.medj.2024.01.010
M3 - Journal article
C2 - 38366602
AN - SCOPUS:85186352652
VL - 5
SP - 224-238.e5
JO - Med
JF - Med
SN - 2666-6359
IS - 3
ER -
ID: 386383060