TY - JOUR AU - Mons, Ute AU - Müezzinler, Aysel AU - Schöttker, Ben AU - Dieffenbach, Aida Karina AU - Butterbach, Katja AU - Schick, Matthias AU - Peasey, Anne AU - De Vivo, Immaculata AU - Trichopoulou, Antonia AU - Boffetta, Paolo AU - Brenner, Hermann TI - Leukocyte Telomere Length and All-Cause, Cardiovascular Disease, and Cancer Mortality: Results From Individual-Participant-Data Meta-Analysis of 2 Large Prospective Cohort Studies. JO - American journal of epidemiology VL - 185 IS - 12 SN - 1476-6256 CY - Oxford PB - Oxford Univ. Press M1 - DKFZ-2017-01373 SP - 1317 - 1326 PY - 2017 AB - We studied the associations of leukocyte telomere length (LTL) with all-cause, cardiovascular disease, and cancer mortality in 12,199 adults participating in 2 population-based prospective cohort studies from Europe (ESTHER) and the United States (Nurses' Health Study). Blood samples were collected in 1989-1990 (Nurses' Health Study) and 2000-2002 (ESTHER). LTL was measured by quantitative polymerase chain reaction. We calculated z scores for LTL to standardize LTL measurements across the cohorts. Cox proportional hazards regression models were used to calculate relative mortality according to continuous levels and quintiles of LTL z scores. The hazard ratios obtained from each cohort were subsequently pooled by meta-analysis. Overall, 2,882 deaths were recorded during follow-up (Nurses' Health Study, 1989-2010; ESTHER, 2000-2015). LTL was inversely associated with age in both cohorts. After adjustment for age, a significant inverse trend of LTL with all-cause mortality was observed in both cohorts. In random-effects meta-analysis, age-adjusted hazard ratios for the shortest LTL quintile compared with the longest were 1.23 (95 LB - PUB:(DE-HGF)16 C6 - pmid:28459963 DO - DOI:10.1093/aje/kww210 UR - https://inrepo02.dkfz.de/record/125218 ER -