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Distinct child-to-adult body mass index trajectories are associated with different levels of adult cardiometabolic risk
- Source :
- European Heart Journal. 39(24):2263
- Publication Year :
- 2018
-
Abstract
- Aims: The relationship between life-course body mass index (BMI) trajectories and adult risk for cardiovascular disease (CVD) is poorly described. In a longitudinal cohort, we describe BMI trajectories from early childhood to adulthood and investigate their association with CVD risk factors [Type 2 diabetes mellitus (T2DM), high-risk lipid levels, hypertension, and high carotid intima-media thickness (cIMT)] in adulthood (34-49 years). Methods and results: Six discrete long-term BMI trajectories were identified using latent class growth mixture modelling among 2631 Cardiovascular Risk in Young Finns Study participants (6-49 years): stable normal (55.2%), resolving (1.6%), progressively overweight (33.4%), progressively obese (4.2%), rapidly overweight/obese (4.3%), and persistent increasing overweight/obese (1.2%). Trajectories of worsening or persisting obesity were generally associated with increased risk of CVD outcomes in adulthood (24-49 years) [all risk ratios (RRs) >15, P < 0.05 compared with the stable normal group]. Although residual risk for adult T2DM could not be confirmed [RR = 2.6, 95% confidence interval (CI) = 0.14-8.23], participants who resolved their elevated child BMI had similar risk for dyslipidaemia and hypertension as those never obese or overweight (all RRs close to 1). However, they had significantly higher risk for increased cIMT (RR = 3.37, 95% CI = 1.80-6.39). Conclusion: The long-term BMI trajectories that reach or persist at high levels associate with CVD risk factors in adulthood. Stabilizing BMI in obese adults and resolving elevated child BMI by adulthood might limit and reduce adverse cardiometabolic profiles. However, efforts to prevent child obesity might be most effective to reduce the risk for adult atherosclerosis.
- Subjects :
- Adult
Carotid Artery Diseases
Male
Pediatric Obesity
Pediatrics
medicine.medical_specialty
Adolescent
030204 cardiovascular system & hematology
Overweight
Carotid Intima-Media Thickness
Body Mass Index
Cohort Studies
Young Adult
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Longitudinal Studies
Obesity
030212 general & internal medicine
Young adult
Child
Finland
Dyslipidemias
2. Zero hunger
business.industry
nutritional and metabolic diseases
Middle Aged
ta3121
medicine.disease
3. Good health
Residual risk
Diabetes Mellitus, Type 2
Cardiovascular Diseases
Relative risk
Hypertension
Body-Weight Trajectory
Female
Metabolic syndrome
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Body mass index
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 0195668X
- Volume :
- 39
- Issue :
- 24
- Database :
- OpenAIRE
- Journal :
- European Heart Journal
- Accession number :
- edsair.doi.dedup.....17e39dce2dcb393a28d7902193d92a8b