| Abstract
Background Diet and dietary habits are major determinants of human telomere length. Telomerase activity is affected mostly
by oxidative stress and inflammation. However, the association of telomerase activity with dietary quality indices has not
been evaluated before. In the current work, we aimed to test the association of telomerase activity with dietary antioxidant
quality score (DAQ), dietary inflammatory index and dietary patterns in patients who were candidate for coronary artery
bypass grafting surgery (CABG).
Methods and materials In the current cross-sectional study, 454 candidates for the CABG were enrolled from Tehran Heart
Center-Coronary Outcome Measurement (THC-COM) cohort. Laboratory measurements included Hb-A1C, serum lipid
profile, creatinine, blood urea nitrogen, hematocrit, lipoprotein (LP)-a, telomerase activity, serum vitamin D and C-reactive
protein. Dietary status was measured by semiquantitative food frequency questionnaire, and dietary indices were calculated.
Dietary patterns were extracted by factor analysis method.
Results High telomerase activity was associated with lower prevalence of myocardial infarction (MI) (P = 0.04), high
dietary vitamin E and high total dietary antioxidant quality scores. Telomerase activity in top quartile of neo-traditional
dietary pattern was higher than other quartiles (P = 0.021). No significant association between telomerase activity and other
dietary patterns was obtained. Higher telomerase activity was also associated with higher serum creatinine and lower LP-(a)
concentrations (P < 0.05).
Conclusion To our findings, higher telomerase activity was associated with higher DAQ and lower MI prevalence. It seems
that adherence to healthy diet increases serum telomerase activity and reduced telomerase concentration is associated with
increased cardio-metabolic risk factors. Moreover, adherence to neo-traditional pattern with higher intake of low-fat dairy
products was associated with higher telomerase activity.
Level of evidence Level V: A well-designed observational cross-sectional study. |