{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T03:52:59Z","timestamp":1777261979329,"version":"3.51.4"},"reference-count":37,"publisher":"The Endocrine Society","issue":"11","license":[{"start":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T00:00:00Z","timestamp":1624233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Harbin Outstanding Science and Technology Innovation Talent Fund","award":["2016RAQXJ038"],"award-info":[{"award-number":["2016RAQXJ038"]}]},{"name":"Harbin Outstanding Science and Technology Innovation Talent Fund","award":["2017RAQXJ026"],"award-info":[{"award-number":["2017RAQXJ026"]}]},{"name":"National Health Commission Capacity Building and Continuing Education Project","award":["GWJJ2020100102"],"award-info":[{"award-number":["GWJJ2020100102"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81973147"],"award-info":[{"award-number":["81973147"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81673271"],"award-info":[{"award-number":["81673271"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Both obesity and inflammation are related to accelerated aging. It is not yet known whether inflammation mediates the effects of obesity on aging.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This work aims to dissect the direct effect of body mass index (BMI) and its indirect effect through C-reactive protein (CRP) on leukocyte telomere length (LTL) to determine the mediation effect of CRP on the BMI-LTL association.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study cohort included 5451 adults (1404 Mexican American, 3114 White, and 933 Black individuals; 53.5% male; mean age\u2005=\u200549.2 years) from the 1999 to 2002 National Health and Nutrition Examination Survey. General mediation models were used to examine the mediation effect of CRP on the BMI-LTL association.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>After adjusting for age, race, sex, physical activity, alcohol use, and serum cotinine, the total effect of BMI on LTL was significant (standardized regression coefficient, \u03b2\u2005=\u2005\u2013.054, P\u2005&amp;lt;\u2005.001) without CRP included in the model. With inclusion of CRP in the model, the indirect effect of BMI on LTL through CRP was estimated at \u03b2 equal to \u2013.023 (P\u2005&amp;lt;\u2005.001), and the direct effect of BMI on LTL in its absolute value decreased to \u03b2 equal to \u2013.031 (P\u2005=\u2005.025). The mediation effect of CRP was estimated at 42.6%. The mediation model parameters did not differ significantly between race and sex groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These results suggest that the inverse BMI-LTL association is partly mediated by obesity-induced inflammation. The significant direct effect of BMI on LTL with removal of the mediation effect through CRP indicates that obesity is associated with LTL attrition also through other noninflammatory mechanisms.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1210\/clinem\/dgab455","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T17:59:19Z","timestamp":1624298359000},"page":"e4634-e4640","source":"Crossref","is-referenced-by-count":16,"title":["Association Between Body Weight and Telomere Length Is Predominantly Mediated Through C-Reactive Protein"],"prefix":"10.1210","volume":"106","author":[{"given":"Xiao","family":"Gao","sequence":"first","affiliation":[{"name":"The Second Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150001, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shengxu","family":"Li","sequence":"additional","affiliation":[{"name":"Children\u2019s Minnesota Research Institute, 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