Cheese intake and the risk of healthspan terminated:association and metabolic mechanisms
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1Department of Epidemiology,Center for Global Health,Nanjing Medical University,Nanjing 211166 ,China ; 2.Department of Medical Affairs,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ; 3.JiangsuKey Lab of Cancer Biomarkers,Prevention and Treatment,Collaborative Innovation Center for Cancer Medicine andChina International Cooperation Center for Environment and Human Health,Nanjing Medical University,Nanjing 211166 ,China ; 4.Genomic Science and Precision Medicine Institute,Gusu School,Nanjing Medical University,Suzhou 215000 ,China

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    Abstract:

    Objective:To clarify the association between cheese intake and healthspan,and further explore the underlying metabolic mechanisms. Methods:This study employed a nested case - control design and defined healthspan terminated(HST)based on eight reported sub-events of HST in UK Biobank(UKB). 93 214 HST participants and 279 642 controls were included. Conditional logistic regression was used to evaluate the association between cheese intake and HST,and Mendelian randomization(MR)was used to assess the causal effect. Furthermore,we explored the mediating role of metabolites in this relationship by Two - step MR and observational analysis. Results:Cheese intake is a protective factor for healthspan(Ptrend < 0.05). Specifically,participants with high cheese intake (≥5 times/week)had a lower risk of HST(OR=0.93,95% CI:0.89-0.98)compared to those who never intake cheese. MR analysis confirmed this protective effect. Mediation analysis suggested that plasma high density lipoprotein cholesterol(HDL -C)and glucose mediated 6.33% and 14.82% of this effect,respectively. Conclusion:These findings suggested that cheese intake might improve the healthspan by decreasing plasma glucose and increasing plasma HDL -C. As an important component of healthy diet,cheese intake might be recommended in our daily diet structure.

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WANG Xiao, WANG Yifan, SUN Longhu, ZHAO Xiaoyu, LIANG Shuang, BU Qingyin, WANG Qian, QIN Na, JIANG Yue, DAI Juncheng. Cheese intake and the risk of healthspan terminated:association and metabolic mechanisms[J].,2025,(7):991-1000.

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  • Received:March 21,2025
  • Revised:
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  • Online: July 10,2025
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