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Sex-specific differences in the association between birth weight and lung volume in Japanese young adults
Kazuki Anabuki1, Shintaro Miyamoto1, Shin Akita1
1Department of Hematology and Respiratory Medicine, Kochi Medical School, Kochi University, Nankoku City, Kochi 783-8505, Japan.
Insights
Birth weight is linked to adult lung function in young Japanese adults. This association, particularly for forced vital capacity, is stronger in males.
Area of Science:
- Pulmonary Medicine
- Developmental Biology
- Public Health
Background:
- Fetal growth disturbances can impact adult lung function and increase the risk of pulmonary diseases.
- Previous research on the link between low birth weight and adult lung function is inconsistent.
- The sex-specific relationship between birth weight and adult lung volume in Japan remains understudied.
Purpose of the Study:
- To investigate the association between birth weight and adult lung volume.
- To explore potential sex differences in this association within the Japanese population.
Main Methods:
- Spirometry was performed on 193 healthy, never-smoking medical students (aged 20-29) at Kochi University.
- Birth weight and weight at 3 years of age were collected from maternal and child handbooks.
- Statistical analyses examined correlations between spirometric parameters and early-life weights.
Main Results:
- Birth weight showed a significant positive correlation with percent predicted forced vital capacity (%FVC).
- Sex-specific analysis revealed a significant correlation between birth weight and %FVC in males, but not in females.
- Weight at 3 years also correlated with %FVC in males.
Conclusions:
- Birth weight is a significant predictor of pulmonary function in young Japanese adults.
- The association between birth weight and lung function is more pronounced in males.
- Early-life growth, indicated by birth weight, may have lasting effects on respiratory health.
Background:
Fetal growth disturbances may influence adult lung function and can lead to pulmonary diseases in adulthood. Although the results of previous studies are controversial, low birth weight seems to be associated with poor adult lung function. This study aimed to assess previously unknown information about the sex-specific association between birth weight and adult lung volume in the Japanese population.
Methods:
We evaluated pulmonary parameters in 200 consenting young medical students (age, 20-29 years) with a never smoking history at Kochi University. Subjects whose lung function was not sufficiently examined or those with evidence of current or previous respiratory diseases were excluded (n=7). All students underwent spirometry, and their weight records at birth or 3 years of age were obtained from their maternal and child handbooks. Associations between the spirometric parameters and birth/3-year weights were statistically analyzed.
Results:
We evaluated 91 male and 102 female students. Their mean age was 23.3 years. Assessment revealed that birth weight significantly correlated with the percent predicted value of forced vital capacity (%FVC; rs=0.17, p=0.018) but not with the forced expiratory volume in 1 s/FVC ratio. Sex-specific analysis revealed significant correlations between birth weight and %FVC in males (rs=0.22, p=0.041) but not in females. Body weight at the age of 3 years also significantly correlated with %FVC only in males (rs=0.32, p=0.021).
Conclusions:
Birth weight is significantly associated with pulmonary function in Japanese young adults. The associations are especially significant in males.
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