Abstract
Purpose of Review
Studies have revealed a relation between birth weight (BW) and later risk of cardiovascular diseases (CVDs). This meta-analysis aimed to report the dose-response relationship between BW and risk of CVDs.
Recent Findings
The relation of BW to CVD subtypes was found to be U-shaped as BW below ~ 2500 g and above ~ 4000 g affected positively CVD risk (OR = 1.14 = 95%CI 1.03–1.27 and OR = 1.08; 95%CI 0.99–1.18, respectively). Regarding CVD subtypes, low BW was directly linked to greater risk of CHD (OR = 1.15; 95%CI 1.02–1.29) and stroke (OR = 1.28; 95% CI 1.05–1.55), while high BW was related to increased risk of arterial fibrillation in adulthood. A U-shaped nonlinear relationship was specifically demonstrated between BW and overall CVD and its subtypes.
Summary
There is a U-shaped association between BW and all CVD subtypes.
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References
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Dover GJ. The Barker hypothesis: how pediatricians will diagnose and prevent common adult- onset diseases. Trans Am Clin Climatol Assoc. 2009;120:199.
De Boo HA, Harding JE. The developmental origins of adult disease (Barker) hypothesis. Aust N Z J Obstet Gynaecol. 2006;46(1):4–14.
Paneth N, Susser M. Early origin of coronary heart disease (the “Barker hypothesis”): British Medical Journal Publishing Group; 1995.
Barker DJ, Winter PD, Osmond C, Margetts B, Simmonds SJ. Weight in infancy and death from ischaemic heart disease. Lancet. 1989;2(8663):577–80.
Barker DJ, Osmond C, Forsen TJ, Kajantie E, Eriksson JG. Trajectories of growth among children who have coronary events as adults. N Engl J Med. 2005;353(17):1802–9.
Boney CM, Verma A, Tucker R, Vohr BR. Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics. 2005;115(3):e290–6.
Tanis BC, Kapiteijn K, Hage RM, Rosendaal FR, Helmerhorst FM. Dutch women with a low birth weight have an increased risk of myocardial infarction later in life: a case control study. Reprod Health. 2005;2:1.
Huxley R, Owen CG, Whincup PH, Cook DG, Rich-Edwards J, Smith GD, et al. Is birth weight a risk factor for ischemic heart disease in later life? Am J Clin Nutr. 2007;85(5):1244–50.
Gluckman PD, Hanson MA, Cooper C, Thornburg KL. Effect of in utero and early-life conditions on adult health and disease. N Engl J Med. 2008;359(1):61–73.
Lawlor DA, Ronalds G, Clark H, Smith GD, Leon DA. Birth weight is inversely associated with incident coronary heart disease and stroke among individuals born in the 1950s: findings from the Aberdeen Children of the 1950s prospective cohort study. Circulation. 2005;112(10):1414–8.
Gunnarsdottir I, Birgisdottir BE, Thorsdottir I, Gudnason V, Benediktsson R. Size at birth and coronary artery disease in a population with high birth weight. Am J Clin Nutr. 2002;76(6):1290–4.
Banci M, Saccucci P, Dofcaci A, Sansoni I, Magrini A, Bottini E, et al. Birth weight and coronary artery disease. The effect of gender and diabetes. Int J Biol Sci. 2009;5(3):244–8.
Eriksson M, Wallander MA, Krakau I, Wedel H, Svardsudd K. The impact of birth weight on coronary heart disease morbidity and mortality in a birth cohort followed up for 85 years: a population-based study of men born in 1913. J Intern Med. 2004;256(6):472–81.
Fan Z, Zhang Z-X, Li Y, et al. Relationship between birth size and coronary heart disease in China. Ann Med. 2010;42(8):596–602.
Osler M, Lund R, Kriegbaum M, Andersen AM. The influence of birth weight and body mass in early adulthood on early coronary heart disease risk among Danish men born in 1953. Eur J Epidemiol. 2009;24(1):57–61.
•• Wang SF, Shu L, Sheng J, et al. Birth weight and risk of coronary heart disease in adults: a meta-analysis of prospective cohort studies. J Dev Orig Health Dis. 2014;5(6):408–19 This meta-analysis is among the first scomprehensive studies reporting a higher risk of coronary heart disease in individuals born with birth weight of <2500gm, compared with individuals with birth weight > 2500 gm.
Nuyen J, Spreeuwenberg PM, Beekman AT, Groenewegen PP, van den Bos GA, Schellevis FG. Cerebrovascular risk factors and subsequent depression in older general practice patients. J Affect Disord. 2007;99(1–3):73–81.
Wells G, Shea B, O’connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses. 2009. Epub Available from: URL: http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm [cited 2009 Oct 19] 2013.
Jackson D, White IR, Thompson SG. Extending DerSimonian and Laird’s methodology to perform multivariate random effects meta-analyses. Stat Med. 2010;29(12):1282–97.
Orsini N, Li R, Wolk A, Khudyakov P, Spiegelman D. Meta-analysis for linear and nonlinear dose-response relations: examples, an evaluation of approximations, and software. Am J Epidemiol. 2011;175(1):66–73.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. British Med J. 2003;327(7414):557–60.
DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7(3):177–88.
Andersen LG, Ängquist L, Eriksson JG, et al. Birth weight, childhood body mass index and risk of coronary heart disease in adults: combined historical cohort studies. PLoS One. 2010;5(11):e14126.
Banci M, Saccucci P, Dofcaci A, et al. Birth weight and coronary artery disease. The effect of gender and diabetes. Int J Biol Sci. 2009;5(3):244.
Conen D, Tedrow UB, Cook NR, Buring JE, Albert CM. Birth weight is a significant risk factor for incident atrial fibrillation. Circulation. 2010;122(8):764–70.
Eriksson J, Forsen T, Tuomilehto J, Osmond C, Barker D. Early growth, adult income, and risk of stroke. Stroke. 2000;31(4):869–74.
Fall C, Vijayakumar M, Barker D, Osmond C, Duggleby S. Weight in infancy and prevalence of coronary heart disease in adult life. Bmj. 1995;310(6971):17–20.
Kaijser M, Bonamy A-KE, Akre O, et al. Perinatal risk factors for ischemic heart disease: disentangling the roles of birth weight and preterm birth. Circulation. 2008;117(3):405–10.
•• Larsson SC, Drca N, Jensen-Urstad M, Wolk A. Incidence of atrial fibrillation in relation to birth weight and preterm birth. Int J Cardiol. 2015;178:149–52 In this cohort study, both high birth weight and low birth weight (in men), in particular in men born full-term, were associated with an increased risk of atrial fibrillation.
•• Lawani SO, Demerath EW, Lopez FL, et al. Birth weight and the risk of atrial fibrillation in whites and African Americans: the Atherosclerosis Risk In Communities (ARIC) study. BMC Cardiovasc Disord. 2014;14(1):69 This high quality cohort study revealed that low birth weight was associated with a higher risk of AF. This association was independent of known predictors of AF and is consistent with that observed for other cardiovascular diseases.
Osler M, Lund R, Kriegbaum M, Andersen A-MN. The influence of birth weight and body mass in early adulthood on early coronary heart disease risk among Danish men born in 1953. Eur J Epidemiol. 2009;24(1):57–61.
•• Rajaleid K, Janszky I, Hallqvist J. Small birth size, adult overweight, and risk of acute myocardial infraction. Epidemiology. 2011;22(2):138–47 This study revealed that low birth weight is associated with a 2-fold increased risk of myocardial infraction.
Rich-Edwards JW, Stampfer MJ, Manson JE, Rosner B, Hankinson SE, Colditz GA, et al. Birth weight and risk of cardiovascular disease in a cohort of women followed up since 1976. Bmj. 1997;315(7105):396–400.
•• Smith C, Ryckman K, Barnabei VM, et al. The impact of birth weight on cardiovascular disease risk in the Women’s Health Initiative. Nutr Metab Cardiovasc Dis. 2016;26(3):239–45 This high quality investigation found that low birth weight was significantly associated with all CVD outcomes.
Stein C, Fall C, Kumaran K, Osmond C, Barker D, Cox V. Fetal growth and coronary heart disease in South India. Lancet. 1996;348(9037):1269–73.
•• Tian J, Qiu M, Li Y, et al. Contribution of birth weight and adult waist circumference to cardiovascular disease risk in a longitudinal study. Sci Rep. 2017;7(1):9768 In this cohort, birth size and adiposity in adulthood interact to predict events of cardiovascular disease.
Yang L, Kuper H, Weiderpass E. Anthropometric characteristics as predictors of coronary heart disease in women. J Intern Med. 2008;264(1):39–49.
Eriksson M, Wallander MA, Krakau I, Wedel H, Svärdsudd K. The impact of birth weight on coronary heart disease morbidity and mortality in a birth cohort followed up for 85 years: a population-based study of men born in 1913. J Intern Med. 2004;256(6):472–81.
•• Heshmati A, Koupil I. Placental weight and foetal growth rate as predictors of ischaemic heart disease in a Swedish cohort. J Dev Orig Health Dis. 2014;5(3):164–70 This cohort study reported that placental weight and birth weight were negatively associated with ischaemic heart disease.
Hyppönen E, Leon D, Kenward M, Lithell H. Prenatal growth and risk of occlusive and haemorrhagic stroke in Swedish men and women born 1915-29: historical cohort study. Bmj. 2001;323(7320):1033–4.
Lawlor D, Smith GD, Ebrahim S. Birth weight is inversely associated with coronary heart disease in post-menopausal women: findings from the British women’s heart and health study. J Epidemiol Community Health. 2004;58(2):120–5.
Lawlor DA, Ronalds G, Clark H, Smith GD, Leon DA. Birth weight is inversely associated with incident coronary heart disease and stroke among individuals born in the 1950s: findings from the Aberdeen Children of the 1950s prospective cohort study. Circulation. 2005;112(10):1414–8.
Rich-Edwards JW, Kleinman K, Michels KB, Stampfer MJ, Manson JE, Rexrode KM, et al. Longitudinal study of birth weight and adult body mass index in predicting risk of coronary heart disease and stroke in women. Bmj. 2005;330(7500):1115.
•• Zöller B, Sundquist J, Sundquist K, Crump C. Perinatal risk factors for premature ischaemic heart disease in a Swedish national cohort. BMJ Open. 2015;5(6):e007308 In this large national cohort, low fetal growth was strongly associated with ischaemic heart disease (IHD) and myocardial infarction in young adulthood, independently of gestational age at birth, sociodemographic factors, comorbidities and family history of IHD.
OSler. The influence of birth weight and body mass in early adulthood on early coronary heart disease risk among Danish men born in 1953.
Jensen RB, Chellakooty M, Vielwerth S, et al. Intrauterine growth retardation and consequences for endocrine and cardiovascular diseases in adult life: does insulin-like growth factor-I play a role? Horm Res. 2003;60(Suppl 3):136–48.
Barker DJ. The origins of the developmental origins theory. J Intern Med. 2007;261(5):412–7.
• de Boo HA, Harding JE. The developmental origins of adult disease (Barker) hypothesis. Aust N Z J Obstet Gynaecol. 2006;46(1):4–14 This study reported the ‘developmental origins of adult disease’ hypothesis, as the main mechanism justifing the relation of birth wieght to cardiovascular disease, which states adverse influences during early stages of life could result in irreversible metabolic, physiologic and structural changes, some of which become disadvantageous increasing the risk of negative health outcomes late in life.
Godfrey KM, Barker DJ. Fetal programming and adult health. Public Health Nutr. 2001;4(2b):611–24.
Barker DJ. Fetal programming of coronary heart disease. Trends Endocrinol Metab. 2002;13(9):364–8.
Barker DJ. The developmental origins of adult disease. J Am Coll Nutr. 2004;23(6 Suppl):588s–95s.
Barker DJ. The developmental origins of insulin resistance. Horm Res. 2005;64(Suppl 3):2–7.
Barker DJ. Adult consequences of fetal growth restriction. Clin Obstet Gynecol. 2006;49(2):270–83.
Khan OA, Chau R, Bertram C, Hanson MA, Ohri SK. Fetal origins of coronary heart disease-implications for cardiothoracic surgery? Eur J Cardiothorac Surg. 2005;27(6):1036–42.
Amann K, Plank C, Dotsch J. Low nephron number—a new cardiovascular risk factor in children? Pediatric nephrol. 2004;19(12):1319–23.
de Onis M, Dewey KG, Borghi E, et al. The World Health Organization’s global target for reducing childhood stunting by 2025: rationale and proposed actions. Matern Child Nutr. 2013;9(Suppl 2):6–26.
Black RE, Allen LH, Bhutta ZA, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243–60.
Roth GA, Johnson C, Abajobir A, Abd-Allah F, Abera SF, Abyu G, et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. J Am Coll Cardiol. 2017;70(1):1–25.
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Reza Mohseni, Shimels Hussien Mohammed, Maryam Safabakhsh, Fatemeh Mohseni, Zahra Sajedi Monfared, Javad Seyyedi, Zahra Noorani Mejareh, and Shahab Alizadeh each declare that they have no conflict of interest.
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Mohseni, R., Mohammed, S.H., Safabakhsh, M. et al. Birth Weight and Risk of Cardiovascular Disease Incidence in Adulthood: a Dose-Response Meta-analysis. Curr Atheroscler Rep 22, 12 (2020). https://doi.org/10.1007/s11883-020-0829-z
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DOI: https://doi.org/10.1007/s11883-020-0829-z