Conclusions: Our study does not provide direct evidence for leukocyte telomere shortening in famine survivors. However, the comparative analysis of LTL in the survivors and their descendants suggests that such an effect did take place. The study also implies that mass famine may be associated with telomere shortening in male descendants of famine survivors. This observation is in agreement with the “thrifty telomere hypothesis” predicting that longer telomeres are disadvantageous in nutritionally marginal environments.