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Childhood Body-Mass Index and the Risk of Coronary Heart Disease in Adulthood

Bibliographic Data

ID23346151
AuthorsJennifer L Baker (0000-0002-9649-6615, Copenhagen Institute for Futures Studies), Lina W Olsen (Society for Personality Assessment), Thorkild I A Sørensen, Thorkild IA Sørensen (0000-0003-4821-430X, Society for Personality Assessment)
Year2007
Volume357
Issue23
Pages2329-2337
Publication date2007-12-06
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueNew England Journal of Medicine (JOURNAL)
Journal identifiersISSN: 0028-4793 • E-ISSN: 1533-4406
PublisherMassachusetts Medical Society (PUBLISHER • US)
DOI10.1056/nejmoa072515
PMID18057335
PMCIDPMC3062903
OpenAlexW2111053427
LanguageEN
Citations received103
References cited34

BACKGROUND: The worldwide epidemic of childhood obesity is progressing at an alarming rate. Risk factors for coronary heart disease (CHD) are already identifiable in overweight children. The severity of the long-term effects of excess childhood weight on CHD, however, remains unknown. METHODS: We investigated the association between body-mass index (BMI) in childhood (7 through 13 years of age) and CHD in adulthood (25 years of age or older), with and without adjustment for birth weight. The subjects were a cohort of 276,835 Danish schoolchildren for whom measurements of height and weight were available. CHD events were ascertained by linkage to national registers. Cox regression analyses were performed. RESULTS: In 5,063,622 person-years of follow-up, 10,235 men and 4318 women for whom childhood BMI data were available received a diagnosis of CHD or died of CHD as adults. The risk of any CHD event, a nonfatal event, and a fatal event among adults was positively associated with BMI at 7 to 13 years of age for boys and 10 to 13 years of age for girls. The associations were linear for each age, and the risk increased across the entire BMI distribution. Furthermore, the risk increased as the age of the child increased. Adjustment for birth weight strengthened the results. CONCLUSIONS: Higher BMI during childhood is associated with an increased risk of CHD in adulthood. The associations are stronger in boys than in girls and increase with the age of the child in both sexes. Our findings suggest that as children are becoming heavier worldwide, greater numbers of them are at risk of having CHD in adulthood.

Body mass index · Cardiology · Childhood obesity · Coronary heart disease · Obesity · Overweight · Birth, Development, and Health · Cardiovascular Disease and Adiposity · Internal Medicine · Medicine · Obesity, Physical Activity, Diet · Pediatrics

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Unique citing works103
Citations per year5,72
Citation span2008 - 2026 (19)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 93

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