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Low fitness in youth increases risk of middle age cardiometabolic disease

Low cardiorespiratory fitness in adolescence is associated with higher risk for cardiovascular and metabolic diseases in middle age, new research from Finland has found.
The extended follow-up study from researchers at the University of Jyväskylä provides real-life evidence for the far-reaching consequences of deteriorating fitness in youth.
The 45-year study combined the same participants’ fitness test data from adolescence (12–19 years) with information on diabetes, hypertension and coronary heart disease as well as self-measurements of waist circumference from the ages of 37 to 44 and/or 57 to 64 years.
The associations of cardiorespiratory, muscular and speed-agility fitness with the health conditions were investigated separately by combining the diseases and risk factors into a cardiometabolic risk score to indicate the burden of the conditions.
The study showed that low cardiorespiratory fitness in adolescence was associated with a higher burden of cardiometabolic conditions up to the age of 57 to 64 years.
Meanwhile, in females, low adolescent cardiorespiratory fitness increased the risk of hypertension in middle age, and in males, low speed-agility was associated with increased waist circumference in late middle age.
PhD student, Perttu Laakso, said: “Other common cardiometabolic disease risk factors such as age and body mass index were controlled for in the analyses, so we can conclude that cardiorespiratory fitness is an independent early indicator for cardiometabolic health later in life.”
The findings supplement previous evidence regarding mostly male participants such as a study on the data in the conscription register of the Swedish military.
Laakso said: “There have been publicly discussed concerns over how the deteriorating fitness of young people will affect the future labour force.
“This study gives us some scientific evidence to support that concern.
“Unfortunately, there is little sign of this concern being alleviated, given that the cardiorespiratory fitness level among today’s adolescents has been shown to be significantly lower than that of the adolescents examined in this study.”
The researcher emphasised that it is necessary to tackle all the barriers to young people’s physical activity, whether that means investing in an environment that encourages physical activity or human resources for organised youth sport.
Laakso said: “The economic cost of these investments will be far lower than the related healthcare or disability expenses caused by cardiometabolic diseases.”
Finally, Laakso stressed that even if person’s physical fitness in adolescence would not have been ideal, all is not lost.
“The evidence shows that exercising at all ages lowers the risk for cardiometabolic diseases.”
News
Agetech World research and innovation round-up

We round up the latest news in agetech research and innovation, from a human trial in ‘reverse ageing’ to the launch of a domestic longevity pod.
Approval has been secured in the United States for the first human trial targeting ‘reverse ageing’.
Boston-based company Life Biosciences will shortly commence trials of its ER-100 treatment which aims to treat eye disease through reprogramming cells.
It will initially treat around a dozen patients with glaucomas – a condition where high pressure inside the eye damages the optic nerve.
Each patient will receive injections of three powerful genes into an eye in an attempt to restore host cells to a healthier state by resetting their epigenetic controls.
It is over 20 years since Dr Shinya Yamanaka’s Nobel Prize work was first able to convert adult cells into pluripotent stem cells.
This reverse cell-editing process allows the regenerated cells – just like those found in an early embryo – to develop into the different, specialised cell types.
This trial has been approved by the Food And Drug Administration (FDA) after initial trials on animals proved a success.
Michael Ringel, chief operating officer at Life Biosciences, said: “It’s an incredibly big deal for us as an industry.
“It’ll be the first time in human history, in the millennia of human history, of looking for something that rejuvenates … So watch this space.”
Inherited longevity
New research claims that longevity-inheritability accounts for around 50 per cent of human lifespan.
For many decades, scientists had rated genetics as being a relatively low factor in human lifespan – compared to other inherited traits – at between 10 per cent and 25 per cent.
However, this new study from the Israeli-based Weizmann Institute of Science, presents an entirely different picture.
Led by Ben Shenhar, a PhD student, from the lab of Prof Uri Alon of Weizmann’s Molecular Cell Biology Department, it analysed three large twin databases from Sweden and Denmark – including a dataset of twins who were raised apart.
The researchers showed that earlier heritability estimates were masked by high levels of extrinsic mortality, such as deaths caused by accidents, infections and environmental hazards.
Their findings are consistent with the heritability of other complex human traits and with findings from animal models.
“For many years, human lifespan was thought to be shaped almost entirely by non-genetic factors, which led to considerable skepticism about the role of genetics in ageing and about the feasibility of identifying genetic determinants of longevity,” said Shenhar.
“By contrast, if heritability is high, as we have shown, this creates an incentive to search for gene variants that extend lifespan, in order to understand the biology of aging and, potentially, to address it therapeutically.”
Longevity blood test
In just a few years a simple blood test should be sufficient to gauge one’s anticipated longevity, claims Dr Tan Min-Han, chief executive and medical director of Singapore and Californian-based firm Lucence.
Dr Tan believes people will be able to go to a clinic near them to take a simple blood test that can detect early signs of ageing.
The results could guide lifestyle changes, such as sleep, diet and exercise, to improve key biomarkers and slow physical decline.
Lucence was founded in 2016 as a spin-off from Singapore’s Agency for Science, Technology and Research. While incorporated and headquartered in Singapore, the company also maintains a co-headquarters in Palo Alto, California.
Since then, it has secured more than US$80m in equity funding, including US$20m in a 2019 funding round led by IHH Healthcare.
He said: “Blood tests are more acceptable and accessible as opposed to uncomfortable procedures like mammograms and colonoscopies. I believe that technology could make a lot of this better.
“Five years ago, being able to detect cancers from blood tests was science fiction. But now, we have made that a reality.”
Longevity pod
A domestic longevity pod known as the E-Salt Cabin has been launched by Eleve Health, a California-based wellness technology company
Roughly the size of a compact car – at just over eight and a half feet long – the pod combines four core therapies: halotherapy, red light therapy, oxygen delivery, and aromatherapy.
Halotherapy disperses a fine, mineral-rich mist designed to support respiratory health. Red light therapy stimulates cellular repair and regeneration. Oxygen delivery aims to improve circulation and energy levels. And custom essential oil blends add a sensory layer
The company says it can be used as a tool to ‘support circulation, clarity, and recovery within a residential setting’.
Eleve said: “The pod reflects a broader shift among ultra-high-net-worth homeowners, with wearable technology, circadian lighting, biophilic interiors, and curated soundscapes becoming standard.”
News
Four in ten cancer cases could be prevented globally, report finds

Up to four in ten cancer cases worldwide could be prevented, a new global analysis has found.
The study examines 30 preventable causes, including tobacco, alcohol, high body mass index, physical inactivity, air pollution, ultraviolet radiation and, for the first time, nine infections that can cause the disease.
Released ahead of World Cancer Day on 4 February, the analysis from the World Health Organization (WHO) and its International Agency for Research on Cancer (IARC) estimates that 37 per cent of all new cancer cases in 2022, around 7.1 million cases, were linked to preventable causes.
Drawing on data from 185 countries and 36 cancer types, the study identifies tobacco as the leading preventable cause of cancer, globally responsible for 15 per cent of all new cancer cases, followed by infections (10 per cent) and alcohol consumption (3 per cent).
Three cancer types, lung, stomach and cervical cancer, accounted for nearly half of all preventable cancer cases in both men and women globally.
Lung cancer was primarily linked to smoking and air pollution, stomach cancer was largely attributable to Helicobacter pylori infection (a bacterial infection of the stomach lining), and cervical cancer was overwhelmingly caused by human papillomavirus (HPV).
Dr André Ilbawi, team lead for cancer control at WHO and author of the study, said: “This is the first global analysis to show how much cancer risk comes from causes we can prevent.
“By examining patterns across countries and population groups, we can provide governments and individuals with more specific information to help prevent many cancer cases before they start.”
The burden of preventable cancer was substantially higher in men than in women, with 45 per cent of new cancer cases in men compared with 30 per cent in women.
In men, smoking accounted for an estimated 23 per cent of all new cancer cases, followed by infections at 9 per cent and alcohol at 4 per cent.
Among women globally, infections accounted for 11 per cent of all new cancer cases, followed by smoking at 6 per cent and high body mass index at 3 per cent.
Dr Isabelle Soerjomataram, deputy head of the IARC Cancer Surveillance Unit and senior author of the study, said: “This landmark study is a comprehensive assessment of preventable cancer worldwide, incorporating for the first time infectious causes of cancer alongside behavioural, environmental and occupational risks.
“Addressing these preventable causes represents one of the most powerful opportunities to reduce the global cancer burden.”
Preventable cancer varied widely between regions.
Among women, preventable cancers ranged from 24 per cent in North Africa and West Asia to 38 per cent in sub-Saharan Africa.
Among men, the highest burden was observed in East Asia at 57 per cent, and the lowest in Latin America and the Caribbean at 28 per cent.
These differences reflect varying exposure to behavioural, environmental, occupational and infectious risk factors, as well as differences in socioeconomic development, national prevention policies and health system capacity.
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