貧困が子供に早期老化の痕跡を残す(Poor backgrounds can leave a lifelong accelerated ageing marker in children)

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2025-06-05 インペリアル・カレッジ・ロンドン(ICL)

インペリアル・カレッジ・ロンドンの研究チームは、欧州6カ国の6~11歳児1,160人を対象に、家族の経済的豊かさと細胞レベルの老化マーカーの関係を調査した。低所得層の子どもは、白血球のテロメア(染色体末端構造)が高所得層に比べ平均5%短く、尿中コルチゾール(ストレスホルモン)も15–22.8%高かった。性別やBMIの影響も調整済みで、経済的背景が幼少期の生物学的老化に強く関与する証拠とされる。研究では、テロメア短縮が生涯にわたる健康リスクにつながる可能性を指摘し、子ども期の社会的格差が早期老化の原因となり得ることを示唆している。また、これらの影響は遺伝的要因ではなく環境要因によるもので、公衆衛生政策による格差是正の必要性が強調された。

<関連情報>

ヨーロッパの子どもたちにおけるコルチゾール産生およびテロメア長と家庭の豊かさとの関連性 Associations of family affluence with cortisol production and telomere length in European children

Kendal Marston ∙ Chung-Ho E. Lau ∙ Sandra Andrusaityte ∙ Sunil Bhopal ∙ Regina Grazuleviciene ∙ Kristine Bjerve Gutzkow ∙ et al.
eBioMedicine  Published:June 5, 2025
DOI:https://doi.org/10.1016/j.ebiom.2025.105793

貧困が子供に早期老化の痕跡を残す(Poor backgrounds can leave a lifelong accelerated ageing marker in children)

Summary

Background

Shorter telomere length is associated with environmental stressors and has been proposed to underlie health inequalities in ageing trajectories. However, the relationship between socioeconomic position, psychosocial stress and telomere length is understudied in childhood, when ageing trajectories may be first defined. We aimed to examine the associations between family affluence, cortisol production and telomere length in a large cross-sectional study of European children.

Methods

1160 children, aged 5–12 years, participating in the Human Early Life Exposome (HELIX) project, were recruited from cohorts in the UK, France, Spain, Norway, Lithuania, and Greece. Family material wealth was assessed using the international family affluence scale (FAS), psychosocial stress was defined by total urinary cortisol production, and leucocyte telomere length was measured through qPCR. Associations of FAS with cortisol production and telomere length were analysed using sequentially adjusted multivariable linear regression. The mediating role of cortisol production in the association between FAS and telomere length was examined using natural effects models.

Findings

Compared to children of low FAS, children with high FAS had 4.94% (95% CI: 1.2%, 8.8%) longer telomeres after adjustment for sex, age, ethnicity and cohort. Estimates were similar upon further adjustment for perinatal, child health, and other socioeconomic factors. Additionally, children of medium and high FAS had significantly lower levels of cortisol production than children of low FAS (medium FAS: -20.8%, 95% CI: -31%, -8.5%; high FAS: -16.6% SD, 95% CI: -28%, -3.4%). However, cortisol production was not associated with telomere length, and no significant mediation of cortisol production and other tested mediators was found for the relationship between FAS and telomere length.

Interpretation

The impacts of economic disadvantage are biologically observable in children and have implications for understanding health inequalities, both in child development and the onset of later age-related disease. Given the lack of mediation by cortisol production levels, as assessed via spot urine samples, further research should investigate alternative mechanisms underlying the association between affluence and telomere length.

Funding

UK Research and Innovation (Grants: MR/S03532X/1, MR/Y02012X/1), European Community (Grants: 874583, 308333).

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