Nearly gnawed-off telomeres — the protective caps on the ends of chromosomes — may portend a higher risk of death, a new study suggests.

Telomeres prevent a chromosome’s DNA from being eaten away. Previous studies have shown that telomeres shorten with age and linked short telomeres with several diseases. What no one has yet been able to say is if truncated telomeres cause health problems or are a side effect of aging and poor health.

To find out, researchers at Kaiser Permanente and the University of California, San Francisco measured telomere length in 110,266 people in northern California. The participants are part of an ongoing project that explores links between genetics and health. This study is the largest ever to examine telomeres’ role in health.

The 10 percent of people with the shortest telomeres had a more than 20 percent higher risk of dying than people with longer telomeres, Catherine Schaefer, an epidemiologist who directs the Kaiser Permanente Research Program on Genes, Environment and Health, reported November 8 at the annual meeting of the American Society of Human Genetics. “It seems as though once your telomeres get critically short, your risk of dying goes up,” she said. The increased death risk is about the same as for people who drink 20 to 30 alcoholic beverages per week or smoke for 20 to 30 years. “It’s a modest increase, but it’s not nothing.”

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