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. 2019 Nov 5;11(3):576–601. doi: 10.1093/advances/nmz107

TABLE 6.

Schematic representation of the influence of diet on telomere length in adults1

Dietary exposure factors Cross-sectional studies Case-control studies RCTs
Macronutrients
 Dietary fiber O O  —  —
 Dietary fats / X / X  —
 PUFA X / // O
 Proteins //  —  —
 Carbohydrates /  —  —
 Alcohol X X  —
Micronutrients
 Vitamin D / / O / O
 Vitamin C O O O /  —  —
 Vitamin E O O // /  —
 Vitamin A O /  —  —
 β-carotene O /  —
 Niacin /  —  —
 Folate /  —  —
 Iron /  —  —
 Zinc /  — /
 Dietary copper intake O  — /
Food groups
 Fruit O O ///////// O O //  —
 Vegetables O O O //////// O O //  —
 Whole and refined grains O O O //////// X  — /
 Meat O O O //// X X X X X /  —
 Fish or seafood O O /////// X /  —
 Fried food / X X
 Seeds or Nuts O O O //// X  — O
 Legumes O O ///  — /
 Sweetened beverages /// X X X  —  —
 Coffee O O ///  — O
 Animal fats // X X X  —  —
 Vegetable oils /  — O
 Milk and dairy products O O ///// X /  —
Dietary patterns a priori
 Mediterranean diet O O O O ///  — /
 Alternate Healthy Eating Index O /  —  —
 Dietary Inflammatory Index X X //  —  —
 Baltic Sea Diet Score /  —  —
 Dietary Approaches to Stop Hypertension O  —  —
1

Circles indicate a protective effect on telomere length, the slash a neutral effect, and the cross a potential risk factor for telomere length. RCT, randomized clinical trial.