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Related Experiment Videos

Height, lung function, and mortality from cardiovascular disease among the elderly

N R Cook1, P R Hebert, S Satterfield

  • 1Department of Medicine, Brigham and Women's Hospital, Boston, MA 02215.

American Journal of Epidemiology
|June 1, 1994
PubMed
Summary

In elderly women, shorter height is linked to increased cardiovascular disease death risk, independent of lung function. This association suggests height is a significant factor in cardiovascular health outcomes for older women.

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Area of Science:

  • Gerontology
  • Cardiovascular Epidemiology
  • Biometrics

Background:

  • Cardiovascular disease remains a leading cause of mortality in older adults.
  • Previous research has explored various risk factors for cardiovascular disease, but the role of body stature is less understood.
  • Understanding modifiable and non-modifiable risk factors is crucial for public health interventions.

Purpose of the Study:

  • To investigate the association between self-reported height and cardiovascular disease mortality in an elderly cohort.
  • To determine if this association is mediated by lung function, such as peak expiratory flow rate (PEFR).
  • To examine potential sex differences in the height-cardiovascular disease mortality relationship.

Main Methods:

  • A cohort study of 3,809 individuals aged 65+ in East Boston, Massachusetts, surveyed in 1982-1983.

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  • Data collected included self-reported height and weight, and measured peak expiratory flow rate (PEFR).
  • Vital status and cause of death were tracked through 1988, with statistical adjustments for age, BMI, and smoking.
  • Main Results:

    • In women, a statistically significant trend showed decreased cardiovascular death risk with increasing height quintiles (p=0.015), with the tallest quintile as reference.
    • In men, the association between height and cardiovascular death was not statistically significant.
    • A curvilinear relationship between height and cardiovascular death was observed in both sexes.
    • Height remained a significant predictor of cardiovascular death in women even after adjusting for PEFR and other risk factors.

    Conclusions:

    • Height is associated with cardiovascular disease mortality in elderly women, independent of lung function.
    • The findings suggest that body stature may be an intrinsic risk factor for cardiovascular events in older women.
    • Further research is warranted to elucidate the biological mechanisms underlying this observed relationship.