Document Detail

Low birth weight is associated with higher adult total cholesterol concentration in men: findings from an occupational cohort of 25,843 employees.
MedLine Citation:
PMID:  15326068     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The majority of studies investigating the association between birth weight and adult total cholesterol (TC) concentration have been small and underpowered: not surprisingly, the findings have been inconsistent. We aimed to determine whether birth weight predicted adult TC in a large sample population. METHODS AND RESULTS: Between 1994 and 1996, 132,000 British Telecom employees undertook voluntary occupational health screening. Birth weight and lifestyle factors were self-reported; TC concentration and body size were measured by occupational health nurses. Complete measurements were available for 18,286 men and 7557 women (age range, 17 to 64 years). We found that sex and birth weight significantly interacted to predict adult TC (birth weight/sex interaction term, P=0.002). In men, lower birth weight was associated with higher adult TC levels (a -0.07 reduction in TC for each 1-kg increase in birth weight; 95% CI, -0.09 to -0.04 mmol/L; P<0.001), whereas no association was observed in women. Adjustment for potential confounding factors, including current body size and menopausal status, did not alter the findings. Analysis by SD score showed that in men, a 1-SD decrease in body mass index lowered TC concentration approximately 5-fold more than a 1-SD increase in birth weight. CONCLUSIONS: This is the largest study to investigate the association between birth weight and TC and suggests that the association may be dependent on sex. The absence of an association in women was not explained by menopausal status. The influence of fetal environment on adult TC is small compared with the influence of adult adiposity.
Anna A Davies; George Davey Smith; Yoav Ben-Shlomo; Paul Litchfield
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2004-08-23
Journal Detail:
Title:  Circulation     Volume:  110     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-08     Completed Date:  2006-04-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1258-62     Citation Subset:  AIM; IM    
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Rd, Bristol BS8 2PR, UK.
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MeSH Terms
Body Size
Body Weight
Cholesterol / blood*
Cohort Studies
England / epidemiology
Hypercholesterolemia / epidemiology
Infant, Low Birth Weight*
Infant, Newborn
Life Style
Middle Aged
Sex Factors
Reg. No./Substance:

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