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.

Annals of Medicine
|October 14, 2004
PubMed

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.
Abstract

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