| Background: Shorter telomere length is associated with numerous comorbidities.
Several studies have investigated the role of obesity in telomere shortening. In the
current systematic review and meta-analysis, we summarized the results of studies that
evaluated the association between obesity and telomere length.
Methods: A systematic search from Scopus, PubMed, Embase, and ProQuest
electronic databases up to 19 March 2021 without language restriction was performed
and after data extraction and screening, 19 manuscripts were eligible to be included in
the final meta-synthesis.
Results: The highest category of telomere length was associated with an
approximate 0.75 kg/m2 reduction in body mass index (BMI; WMD = 0.75 kg/m2;
CI = 1.19, 0.31; p < 0.001; I2 = 99.4%). Moreover, overweight/obese individuals
had 0.036 kbp shorter telomere length compared with non-overweight/obese adults
(WMD = 0.036; CI = 0.05, 0.02; p = 0.030; I2 = 100%). According to the
results of subgroupings, continent, age, and sample size could be possible sources
of heterogeneity.
Conclusion: From the results, it was clear that obesity was associated with shorter
telomere length. Because of the observational design of included studies, the causality
inference of results should be done with caution; thus, further longitudinal studies are
warranted for better inference of causal association. |