Associations of components of adult height with coronary heart disease in postmenopausal women: the British women's heart and health study
Open Access
- 1 July 2004
- Vol. 90 (7) , 745-749
- https://doi.org/10.1136/hrt.2003.019950
Abstract
Objective: To assess the associations between components of adult height and coronary heart disease (CHD) in postmenopausal women. Methods: Cross sectional analysis of 4286 women randomly selected from 23 British towns. The association of components of adult height with prevalent CHD (n = 694) were assessed. Results: Shorter stature, shorter leg length, and trunk length were all associated with CHD in age adjusted analyses. The association between trunk length and CHD was attenuated to the null with adjustment for smoking. The leg length–CHD association was independent of smoking, socioeconomic position in childhood and adulthood, birth weight, and other potential confounders. Insulin resistance did not appear to be an important mediating factor in the association between leg length and CHD. After full adjustment for all potential confounding factors the odds ratio (95% confidence interval) of CHD for a 1 SD (4.3 cm) increase in leg length was 0.84 (0.77 to 0.93) and the odds ratio for a 1 SD (0.05) increase in the leg to trunk ratio was 0.85 (0.79 to 0.95). Conclusions: The specific association between leg length and CHD suggests that early life environmental exposures that influence skeletal growth also influence CHD risk in later life.Keywords
This publication has 33 references indexed in Scilit:
- Geographical variation in cardiovascular disease, risk factors, and their control in older women: British Women's Heart and Health StudyJournal of Epidemiology and Community Health, 2003
- Leg and trunk length at 43 years in relation to childhood health, diet and family circumstances; evidence from the 1946 national birth cohortInternational Journal of Epidemiology, 2002
- A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectivesInternational Journal of Epidemiology, 2002
- Height, body mass index, and survival in men with coronary disease: follow up of the diet and reinfarction trial (DART)Journal of Epidemiology and Community Health, 2002
- Birth weight, childhood lower respiratory tract infection, and adult lung functionThorax, 1998
- Childhood leg length and adult mortality: follow up of the Carnegie (Boyd Orr) Survey of Diet and Health in Pre-war BritainJournal of Epidemiology and Community Health, 1998
- Adult height and mortality in London: early life, socioeconomic confounding, or shrinkage?Journal of Epidemiology and Community Health, 1995
- Growth of children from 0–5 years: with special reference to mother's smoking in pregnancyAnnals of Human Biology, 1987
- Increase in length of leg relative to trunk in Japanese children and adults from 1957 to 1977: comparison with British and with Japanese AmericansAnnals of Human Biology, 1982
- Nomenclature and criteria for diagnosis of ischemic heart disease. Report of the Joint International Society and Federation of Cardiology/World Health Organization task force on standardization of clinical nomenclature.Circulation, 1979