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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Birthweight and relationship with infant, child and adult mortality in the Jerusalem perinatal study
Y Friedlander1, O Paltiel, L Deutsch
1Department of Social Medicine, The Hebrew University-Hadassah School of Public Health, Jerusalem, Israel. yfried@vms.huji.ac.il
Insights
Lower birthweight is linked to higher mortality risk in young adult males. This study highlights the long-term health impacts of fetal development, emphasizing gender differences in mortality risk.
Area of Science:
- Public Health
- Epidemiology
- Perinatal Medicine
Background:
- Chronic adult diseases may originate from fetal development events.
- Understanding the long-term effects of birthweight on mortality is crucial for public health.
Purpose of the Study:
- To investigate the relationship between birthweight and all-cause mortality in young adults.
- To explore potential gender differences in this association.
Main Methods:
- A population-based cohort study of 80,936 individuals born in Jerusalem between 1964-1976.
- Utilized Cox-proportional hazard models for survival analysis over an average follow-up of 28.8 years.
- Analyzed mortality risk across different birthweight categories and age groups, stratified by gender.
Main Results:
- A significant inverse relationship was observed between birthweight and total mortality, primarily driven by infant deaths.
- In males aged 15 and older, higher birthweight was associated with a reduced risk of all-cause mortality (HR=0.88 per 1 SD increase).
- Mortality risk generally decreased with increasing birthweight categories in males; a non-significant J-shaped association was noted in females aged 15+.
Conclusions:
- Birthweight is a significant predictor of mortality in young adult males, underscoring the long-term health consequences of intrauterine conditions.
- Findings suggest that interventions promoting optimal fetal growth may have lasting benefits for adult health.
- The study highlights the importance of considering gender-specific effects in perinatal health research and adult mortality risk.
Abstract:
There is growing evidence that several chronic adult diseases, such as coronary heart disease and stroke, can result from events occurring in fetal life. The aim of this study was to examine the relation between birthweight and all-cause mortality in young adults. We studied total mortality in a population-based cohort of 80 936 offspring born in Jerusalem in 1964-76. During an average follow-up of 28.8 years 2 324 984 person-years were contributed and 2092 deaths occurred. Overall, in both genders, the univariable and the multivariable Cox-proportional hazard models indicated a strong negative relationship between birthweight and total mortality, mostly because of infant deaths. At ages 1-14 birthweight seemed unrelated to all-cause mortality. In males aged 15+, birthweight was again a significant predictor of death (Hazard ratio (HR) = 0.88, 95% confidence interval (CI) [0.78, 0.99], for 1 standard deviation (SD) increase in birthweight). The analysis by categories suggested a general decreasing of the risk of mortality with increasing birthweight (HRs = 1.0, 1.02, 0.85, 0.77, 0.57 for those belonging to birthweight groups of < 2500 g, 2500-2999 g, 3000-3499 g, 3500-3999 g and > or = 4000 g, respectively). In females aged 15+ there was a J-shaped relation between birthweight and mortality but these associations were not statistically significant. These findings add to a growing body of evidence that events during intrauterine life have remote consequences for adult health and underline the need to consider gender differences.
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