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The infant growth of boys who later develop coronary heart disease
Tom J Forsén1, Johan G Eriksson, Clive Osmond
1National Public Health Institute, Department of Epidemiology and Health Promotion, Diabetes and Genetic Epidemiology Unit, Helsinki, Finland.
Insights
Poor infant growth, not just low birth weight, significantly predicts adult coronary heart disease risk. Faster weight gain in the first year is linked to lower heart disease incidence.
Area of Science:
- Cardiovascular epidemiology
- Pediatric growth studies
- Public health research
Background:
- Established link between low birth weight and coronary heart disease (CHD).
- Limited research on infant weight gain's impact on later CHD.
- Need to understand early life factors influencing adult cardiovascular health.
Purpose of the Study:
- To investigate the association between infant growth patterns and the risk of developing coronary heart disease later in life.
- To determine if infant growth is a stronger predictor of adult CHD than birth weight.
Main Methods:
- Longitudinal cohort study of 2345 men born between 1934-1944.
- Data collected on birth size, infant growth, and childhood development.
- Follow-up to assess incidence of coronary heart disease in adulthood.
Main Results:
- A significant inverse relationship observed between weight at one year and CHD risk (hazard ratio decreased 3-fold for heavier infants).
- Infant growth impact on CHD risk was amplified by lower placental weight at birth.
- Men from lower socio-economic status backgrounds exhibited slower infant weight gain and higher CHD rates.
Conclusions:
- Poor infant growth and smaller size at one year are stronger predictors of adult coronary heart disease than low birth weight.
- Early life growth trajectory is a critical factor in long-term cardiovascular health.
- Socio-economic factors influence infant growth and subsequent CHD risk.
Background:
The association between low birth-weight and coronary heart disease has been repeatedly shown. Only two previous studies have examined the effects of weight gain during infancy and later coronary heart disease.
Aim:
The aim of this study was to assess the association between infant growth and coronary heart disease in adult life.
Methods:
2345 men born at the Helsinki City Maternity Hospital during 1934-44 with information on birth size and growth during infancy and childhood were included in the study cohort.
Results:
There was a 3-fold fall in hazard ratios for coronary heart disease between men who weighed < or = 8 kg at 1 year and those who weighed > 12 kg (P < 0.00001). The fall was steeper among men whose placental weight at birth was below average. Men born into families with low socio-economic status had lower weight gain during infancy and higher rates of coronary heart disease. The increased risk of coronary heart disease in men who grew slowly during infancy was greatest in those who had low placental weight at birth.
Conclusions:
Poor infant growth and small body size at one year predict coronary heart disease more strongly than low birth-weight.
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