An intricate dance: life experience, multisystem resiliency, and rate of telomere decline throughout the lifespan
Open accessAbstract
Accumulation of life stressors predicts accelerated development and progression of diseases of aging. Telomere length, the DNA‐based biomarker indicating cellular aging, is a mechanism of disease development, and is shortened in a dose response fashion by duration and severity of life stressor exposures. Telomere length captures the interplay between genetics, life experiences and psychosocial and behavioral factors. Over the past several years, psychological stress resilience, healthy lifestyle factors, and social connections have been associated with longer telomere length and it appears that these factors can protect individuals from stress‐induced telomere shortening. In the current review, we highlight these findings, and illustrate that combining these ‘multisystem resiliency’ factors may strengthen our understanding of aging, as these powerful factors are often neglected in studies of aging. In naturalistic studies, the effects of chronic stress exposure on biological pathways are rarely main effects, but rather a complex interplay between adversity and resiliency factors. We suggest that chronic stress effects can be best understood by directly testing if the deleterious effects of stress on biological aging processes, in this case the cell allostasis measure of telomere shortening, are mitigated in individuals with high levels of multisystem resiliency. Without attending to such interactions, stress effects are often masked and missed. Taking account of the cluster of positive buffering factors that operate across the lifespan will take us a step further in understanding healthy aging. While these ideas are applied to the telomere length literature for illustration, the concept of multisystem resiliency might apply to aging broadly, from cellular to systemic health.
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Healthy behaviors dampen the negative consequences of the repeated acute psychological and physiological stress response.
“Healthy behaviors, on the other hand, dampen the negative consequences of the repeated acute psychological and physiological stress response (Puterman and Epel, 2012).”
From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Puterman and Epel, 2012
Section 2 reports that physical activity buffers associations between stress and several biological outcomes, including telomere length and cortisol reactivity. But the paper says whether other health behaviors mitigate stress effects remains unexplored, so the claim overstates the evidence by presenting healthy behaviors generally as an established buffer. (LLM, conf=0.83)
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- Puterman E Haritatos J Adler NE Sidney S Schwartz J Epel ES The role of affect index in the association between financial strain and daily cortisol output unpublished data PMC3844074 23969421
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More than a feeling: A unified view of stress measurement for population science
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“Healthy behaviors, on the other hand, dampen the negative consequences of the repeated acute psychological and physiological stress response (Puterman and Epel, 2012).”
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Self-citationMitochondrial allostatic load puts the 'gluc' back in glucocorticoids
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Shortened telomere length in patients with depression: A meta-analytic study.
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Knee osteoarthritis: Clinical connections to articular cartilage structure and function
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The Association of Early and Recent Psychosocial Life Stress With Leukocyte Telomere Length
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Self-citationEarly-life stress and reproductive cost: A two-hit developmental model of accelerated aging?
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Self-citationCommon mental disorders and association with telomere length (Review)
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The Role of Employment on Neurocognitive Reserve in Adults With HIV: A Review of the Literature
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Emotions and family interactions in childhood: Associations with leukocyte telomere length
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Self-citationAssociation Between Maternal-Perceived Psychological Stress and Fetal Telomere Length
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Resilience factors may buffer cellular aging in individuals with and without chronic knee pain
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HIV Infection Is Associated with Shortened Telomere Length in Ugandans with Suspected Tuberculosis
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Association of chronic fatigue syndrome with premature telomere attrition
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Positive psychology in health care: defining key stakeholders and their roles
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Molecular and cellular responses to long-term sound exposure in peled (Coregonus peled)
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Posttraumatic Stress Disorder Symptoms, Temperament, and the Pathway to Cellular Senescence
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Elite athletes have longer telomeres than sedentary subjects: A meta-analysis
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Potential Preventive Strategies for Amyotrophic Lateral Sclerosis
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Exercise mitigates cumulative associations between stress and BMI in girls age 10 to 19.
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Telomere length in patients with obesity submitted to bariatric surgery: A systematic review
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REMAP—a Resilience Resources Measure for Prediction and Management of Somatic Symptoms
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Epigenetic Aging Helps Explain Differential Resilience in Older Adults
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Telomeres, Aging, and Nutrition
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The Art and Science of Resilience
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Hair cortisol, perceived stress, and resilience as predictors of coronary arterial disease
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Achieving Optimal Cardiovascular Health: a Social Epidemiological Approach
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Yoga, Meditation, and Acupuncture for Male Reproductive Health
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Biological Pathways Linking Social Determinants to Health
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Highlights From an Expert Meeting on Opportunities for Cancer Prevention Among Older Adults
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Is Depression Associated With Accelerated Aging? Mechanisms and Implications
Lindqvist, D., Simon, N. M., & Wolkowitz, O. M. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813333-0.00019-6 · Cited by 2 · see citing works
Woolf, S. H., Braveman, P., & Evans, F. (2013) · Cited by 1 · see citing works
de Baca, T. C., & Menie, M. A. W. O. (2018) · Journal of Criminal Justice · doi:10.1016/j.jcrimjus.2018.05.009 · Cited by 1 · see citing works
Jackson, Y., Noll, J. G., Shenk, C. E., Connell, C. M., Lunkenheimer, E. S., & Schreier, H. M. C. (2023) · Child maltreatment solutions network · doi:10.1007/978-3-031-33739-0_13 · Cited by 1 · see citing works
Health equity engineering: Optimizing hope for a new generation of healthcare
Enders, F., Golembiewski, E. H., Balls‐Berry, J. E., Brooks, T. R., Carr, A. R., Cullen, J. P., DiazGranados, D., Gaba, A., Johnson, L., Menser, T. L., et al. (2024) · Journal of Clinical and Translational Science · doi:10.1017/cts.2024.549
Goetz, S. M. M., Lucas, T., Finegood, E. D., Lin, J., & Granger, D. A. (2025) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2025.107588 · Cited by 1 · see citing works
The Complex Relationship Between Early-Life Stress and Cellular Aging
Lindqvist, D. (2022) · Biological Psychiatry Global Open Science · doi:10.1016/j.bpsgos.2021.11.007 · Cited by 1 · see citing works
Rising from the Ashes: Exploring Resiliency Factors in Adolescents and Adults
Weatherly, J. (2014) · Dialogues in Social Justice: An Adult Education Journal (The University of North Carolina at Charlotte)
Nature and Nurture: Evolution and Complexities
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- Authors
- Puterman, E., & Epel, E.
- Affiliations
- University of California, San Francisco (US)
- Venue
- Social and Personality Psychology Compass
- Publisher
- Wiley
- Published
- 2012-11
- Volume
- 6
- Issue
- 11
- Pages
- 807-825
- ISSN
- 1751-9004 (ISSN-L)
- PMC
- PMC3496269
- OpenAlex
- W2109862117
- Cited by
- 106
- References
- 187
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 8 · 2020: 9 · 2019: 12 · 2018: 14 · 2017: 6 · 2016: 15 · 2015: 9 · 2014: 11 · 2013: 3 · 2012: 1
- FWCI
- 5.14
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Social and Personality Psychology Compass (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- University of California, San Francisco
- National Institute on Aging (R01AG030424)
- National Heart, Lung, and Blood Institute (K99HL109247, R01HL108821)
- Topics
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- telomere length, telomere shortening, chronic stress, psychological resilience, healthy aging, cellular aging, allostasis, social connectedness, healthy lifestyle factors, life events, lifespan development
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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