201. Adult height and the risk of cause-specific death and vascular morbidity in 1 million people: individual participant meta-analysis
- Author
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V V Salomaa, Tommy Cederholm, Hidaeki Nakagawa, Jacqueline C.M. Witteman, Angela Chetrit, Koshi Nakamura, Anton J. M. de Craen, Wolfgang Koenig, Erkki Vartiainen, Kennet Harald, Sudhir Kurl, Paul J. Nietert, Shah Ebrahim, Dorly J. H. Deeg, Pim van der Harst, Akihiko Kitamura, Beatriz L. Rodriguez, Vilmundur Gudnason, Bianca De Stavola, Aulikki Nissinen, Jackie A. Cooper, Sarah Watson, Robert B. Wallace, Dominique Arveiler, Robert C. Atkins, Nora Franceschini, Jan Poppelaars, Calle Bengtsson, David Bachman, Hermann Brenner, Tom W. Meade, Pamela L. Lutsey, G. Diem, Rachel Dankner, Ian R. White, Matthew Knuiman, Benoît Lamarche, Uri Goldbourt, Peter Cremer, Gerd Assmann, Elizabeth Barrett-Connor, Johan Sundström, Adam S. Butterworth, Astrid E. Fletcher, Stephen Kaptoge, Shinichi Sato, Diego Vanuzzo, Luigi Palmieri, Katsuyuki Miura, Yechiel Friedlander, James O. Taylor, Nicholas J. Wald, Tomi-Pekka Tuomainen, Christodoulos Stefanadis, Frank J. Kohout, Gunnar Engström, John Gallacher, Robert Clarke, Kazumasa Yamagishi, Ingmar Jungner, Judith Simons, Michael J. Pencina, Joann E. Manson, Anneke Blokstra, Agustín Gómez de la Cámara, Friedrich Oberhollenzer, Hanno Ulmer, Hugh Tunstall-Pedoe, Hans L. Hillege, Robert W. Tipping, Jukka T. Salonen, Eleni Rapsomaniki, Jonathan E. Shaw, Patrik Wennberg, Leon A. Simons, Sarah Lewington, Philip Greenland, Richard B. Devereux, Tauqeer Ali, Valérie Tikhonoff, Bolli Thorsson, Angela Döring, Ellen W. Demerath, Reijo S. Tilvis, S. Goya Wannamethee, Albert Hofman, Siegfried Weger, Naveed Sattar, Emanuele Di Angelantonio, Lars Wilhelmsen, Peter Schnohr, Torben Jørgensen, Takeo Kato, Inger Njølstad, Yuko Morikawa, Børge G. Nordestgaard, P. Jousilahti, Makoto Daimon, Richele R. Bettencourt, Qi Sun, Lorenza Pilotto, Lisa Pennells, Lauren Lissner, Eric B. Rimm, Christina Chrysohoou, Julie E. Buring, Bo Hedblad, Annika Rosengren, Pierre Ducimetière, Michael E. Mussolino, Joan Cornoni-Huntley, Henning Tiemeier, Ron T. Gansevoort, Julian E. Keil, Jacqueline M. Dekker, Ingar Holme, Carlos J. Crespo, Simon G. Thompson, Hiroyasu Iso, John Danesh, Daan Kromhout, Francesco Rodeghiero, Stephan J. L. Bakker, Karina W. Davidson, Jørgen Jespersen, John Yarnell, Maurizio Trevisan, Johann Willeit, Günay Can, Mario R. Garcia-Palmieri, Matthew G. Walker, Takamasa Kayama, Christa Meisinger, Pei Gao, Susan Kirkland, David Wormser, Elizabeth L M Barr, Mark Woodward, Lara M. Simpson, Alexander M. W. Cargill Thompson, Bruce M. Psaty, W. M. Monique Verschuren, Aaron R. Folsom, Anne Tybjærg-Hansen, Chiara Donfrancesco, Dan G. Blazer, Richard F. Gillum, Georgios Lappas, Jorge R. Kizer, Reeta Gobin, George Davey-Smith, Masaru Sakurai, Roger Tavendale, Bernard Cantin, Jan-Håkan Jansson, Steven J Shea, Philippe Amouyel, Lewis H. Kuller, Alejandro Marín Ibañez, Xavier Jouven, Marjolein Visser, Peter H. Whincup, Kenneth J. Mukamal, Sreenivasa Rao Kondapally Seshasai, Jean Ferrières, Jonathan A. Shaffer, Simona Giampaoli, Dietrich Rothenbacher, Yutaka Kiyohara, Gordon D.O. Lowe, Hiroyuki Noda, Jussi Kauhanen, Philip C Haycock, Lennart Welin, Walter C. Willett, H. Bas Bueno-de-Mesquita, Christos Pitsavos, John McCallum, Helmut Schulte, Susan E. Hankinson, Maja-Lisa Løchen, Frank Kee, Oscar H. Franco, Henry Eriksson, J. Michael Gaziano, Hisatomi Arima, Erik Ingelsson, Karl Michaëlsson, Demosthenes B. Panagiotakos, Yoav Ben-Shlomo, Ian H. de Boer, Aage Tverdal, David J. Stott, Toshiharu Ninomiya, Jeun Liang Yeh, Dorothea Nagel, M. Arfan Ikram, Dorothea Nitsch, Caroline L. Phillips, Debbie A Lawlor, Cecilia Björkelund, Gilles R. Dagenais, F. Gerry R. Fowkes, Myriam Alexander, Sylvia Wassertheil-Smoller, Richard W Morris, Kenneth A. Bauer, Angela M. Wood, Johanna M. Geleijnse, Martin Shipley Mika Kivimaki, Thor Aspelund, Edoardo Casiglia, Nadeem Sarwar, Heiko Müller, Giel Nijpels, Jean-Pierre Després, Ellisiv B. Mathiesen, Greg Grandits, Göran Walldius, Jaclyn Bergstrom, Gunnar Sigurdsson, Hans Concin, Kay-Tee Khaw, Tatu A. Miettinen, Ben Schöttker, Edith J. M. Feskens, Eric J. Brunner, Frank B. Hu, Salvatore Panico, Ramachandran S. Vasan, Catherine Buisson, Paul Zimmet, Altan Onat, Susan E. Sutherland, J. Wouter Jukema, Daichi Shimbo, Daniel B. Garside, Yasufumi Doi, Lars Alling Møller, Paul M. Ridker, Barbara Thorand, Tom Wilsgaard, Else-Marie Bladbjerg, Xiaohui Zhao, Toshihide Oizumi, Caroline S. Fox, Michele Robertson, Wenche Nystad, Randi Selmer, Christina M. Shay, Kurt Svärdsudd, Nicholas J. Wareham, Stefan Kiechl, Darren Calhoun, Ralph B. D'Agostino, Flora Lubin, Coen D.A. Stehouwer, Gorm B. Jensen, Peter Nilsson, Alberto Tosetto, Timo Strandberg, Michael Marmot, Ian Ford, Jack M. Guralnik, Faculteit Medische Wetenschappen/UMCG, Cardiovascular Centre (CVC), Groningen Kidney Center (GKC), Epidemiology and Data Science, EMGO - Lifestyle, overweight and diabetes, Nutrition and Health, EMGO+ - Lifestyle, Overweight and Diabetes, Interne Geneeskunde, MUMC+: MA Interne Geneeskunde (3), and RS: CARIM School for Cardiovascular Diseases
- Subjects
Male ,epidemiological study ,Nutrition and Disease ,Epidemiology ,Cancer ,Cardiovascular disease ,Cause-specific mortality ,Epidemiological study ,Height ,Meta-analysis ,Aged ,Aged, 80 and over ,Alcohol Drinking ,Cardiovascular Diseases ,Cause of Death ,Female ,Health Behavior ,Humans ,Lipids ,Middle Aged ,Neoplasms ,Smoking ,Socioeconomic Factors ,Vascular Diseases ,Body Height ,body-mass index ,cardiovascular-disease ,030204 cardiovascular system & hematology ,childhood socioeconomic circumstances ,0302 clinical medicine ,cardiovascular disease ,Voeding en Ziekte ,80 and over ,030212 general & internal medicine ,Stroke ,Cause of death ,ASSOCIATIONS ,Hazard ratio ,WOMEN ,MEN ,General Medicine ,3. Good health ,Pulmonary embolism ,CARDIOVASCULAR-DISEASE ,women ,associations ,diabetes-mellitus ,medicine.medical_specialty ,cancer ,cause-specific mortality ,meta-analysis ,men ,CANCER-RISK ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,Internal medicine ,Diabetes mellitus ,cancer-risk ,medicine ,CORONARY-HEART-DISEASE ,CHILDHOOD SOCIOECONOMIC CIRCUMSTANCES ,VLAG ,business.industry ,DIABETES-MELLITUS ,medicine.disease ,Surgery ,BODY-MASS INDEX ,Blood pressure ,Heart failure ,coronary-heart-disease ,business ,Body mass index - Abstract
Background: The extent to which adult height, a biomarker of the interplay of genetic endowment and early-life experiences, is related to risk of chronic diseases in adulthood is uncertain. Methods: We calculated hazard ratios (HRs) for height, assessed in increments of 6.5 cm, using individual-participant data on 174 374 deaths or major non-fatal vascular outcomes recorded among 1 085 949 people in 121 prospective studies. Results: For people born between 1900 and 1960, mean adult height increased 0.5-1 cm with each successive decade of birth. After adjustment for age, sex, smoking and year of birth, HRs per 6.5 cm greater height were 0.97 (95% confidence interval: 0.96-0.99) for death from any cause, 0.94 (0.93-0.96) for death from vascular causes, 1.04 (1.03-1.06) for death from cancer and 0.92 (0.90-0.94) for death from other causes. Height was negatively associated with death from coronary disease, stroke subtypes, heart failure, stomach and oral cancers, chronic obstructive pulmonary disease, mental disorders, liver disease and external causes. In contrast, height was positively associated with death from ruptured aortic aneurysm, pulmonary embolism, melanoma and cancers of the pancreas, endocrine and nervous systems, ovary, breast, prostate, colorectum, blood and lung. HRs per 6.5 cm greater height ranged from 1.26 (1.12-1.42) for risk of melanoma death to 0.84 (0.80-0.89) for risk of death from chronic obstructive pulmonary disease. HRs were not appreciably altered after further adjustment for adiposity, blood pressure, lipids, inflammation biomarkers, diabetes mellitus, alcohol consumption or socio-economic indicators. Conclusion: Adult height has directionally opposing relationships with risk of death from several different major causes of chronic diseases. Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2012; all rights reserved.
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- 2012