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  1. Mother's weight in pregnancy and coronary heart disease in a cohort of Finnish men : follow up study.

    Article - En anglais

    Objective 

    To determine whether restricted growth in utero is associated with an increased risk of coronary heart disease among men in Finland, where rates of the disease are among the highest in the world.

    Design 

    Follow up study.

    Setting 

    Helsinki, Finland.

    Subjects 

    3302 men born in Helsinki University Central Hospital during 1924-33 who went to school in the city of Helsinki and were resident in Finland in 1971.

    Main outcome measures 

    Standardised mortality ratios for coronary heart disease.

    Results 

    Men who were thin at birth, with low placental weight, had high death rates from coronary heart disease.

    Men whose mothers had a high body mass index in pregnancy also had high death rates.

    In a multivariate analysis the hazard ratio for coronary heart disease was 1.37 (95% confidence interval 1.20 to 1.57) (P<0.0001) for every standard deviation decrease in ponderal index at birth and 1.24 (1.10 to 1.39) (P=0.0004) for every standard deviation increase in mother's body mass index.

    The effect of mother's body mass index was restricted to mothers of below average stature.

    Conclusion 

    These findings suggest a new explanation for the epidemics of coronary heart disease that accompany Westernisation.

    Chronically malnourished women are short and light and their babies tend to be thin.

    The immediate effect of improved nutrition is that women become fat, which seems to increase the risk of coronary heart disease in the next generation. (...)

    Mots-clés Pascal : Cardiopathie coronaire, Gestation, Etude cohorte, Indice masse corporelle, Facteur risque, Etude longitudinale, Nutrition, Finlande, Europe, Homme, Femelle, Appareil circulatoire pathologie, Métabolisme pathologie

    Mots-clés Pascal anglais : Coronary heart disease, Pregnancy, Cohort study, Body mass index, Risk factor, Follow up study, Nutrition, Finland, Europe, Human, Female, Cardiovascular disease, Metabolic diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0515667

    Code Inist : 002B20F02. Création : 13/02/1998.



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