Is the association between short stature and myocardial infarction explained by childhood exposures--a population-based case referent study (SHEEP)

Michael Lundberg; Finn Diderichsen; Johan Hallqvist; SHEEP Study Group

doi:10.1080/14034940210133988

Is the association between short stature and myocardial infarction explained by childhood exposures--a population-based case referent study (SHEEP)

Michael Lundberg, Finn Diderichsen, Johan Hallqvist, SHEEP Study Group

Department of Public Health

6 Citations (Scopus)

Abstract

AIMS: This study was undertaken to examine the association between short stature and acute non-fatal myocardial infarction and to analyse causal mechanisms related to height with a focus on childhood risk factors. METHOD: The SHEEP (Stockholm Heart Epidemiology Program) is a population-based case-referent study. The outcome was incident first events of myocardial infarction. The study base included all Swedish citizens aged 45 to 70, who lived in Stockholm County during 1992-94. This analysis is based on 967 male cases, 412 female cases and 1696 referents. Exposure information was obtained through questionnaires, interviews, health examinations, and obstetric records. RESULTS: Adult height was inversely related to myocardial infarction. The odds ratio for men in the shortest quartile (< 173 cm) compared with the tallest was 1.78 (95% CI: 1.39, 2.28). For women the corresponding odds ratio in the shortest quartile (<159 cm) was 1.86 (95% CI: 1.28, 2.71). Height was also inversely associated with fetal growth and indicators of material resources during childhood. Within each social class of origin short stature was associated with number of siblings, lack of higher education, and absence of upward social mobility. Adjustment for childhood risk factors decreased the excess relative risk of short stature with around 25%. Adult social, behavioural, and biological risk factors could not explain the association. The findings were similar for men and women. CONCLUSION: Height is associated with many risk factors of myocardial infarction, which increase the risk of disease through many different causal pathways. Childhood exposures have no dominant role in explaining the association between short stature and myocardial infarction.

Original language	English
Journal	Scandinavian Journal of Public Health
Volume	30
Issue number	4
Pages (from-to)	249-58
Number of pages	9
ISSN	1403-4948
DOIs	https://doi.org/10.1080/14034940210133988
Publication status	Published - 2002

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10.1080/14034940210133988

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Is the association between short stature and myocardial infarction explained by childhood exposures--a population-based case referent study (SHEEP). / Lundberg, Michael; Diderichsen, Finn; Hallqvist, Johan et al.

In: Scandinavian Journal of Public Health, Vol. 30, No. 4, 2002, p. 249-58.

Research output: Contribution to journal › Journal article › Research › peer-review

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title = "Is the association between short stature and myocardial infarction explained by childhood exposures--a population-based case referent study (SHEEP)",

abstract = "AIMS: This study was undertaken to examine the association between short stature and acute non-fatal myocardial infarction and to analyse causal mechanisms related to height with a focus on childhood risk factors. METHOD: The SHEEP (Stockholm Heart Epidemiology Program) is a population-based case-referent study. The outcome was incident first events of myocardial infarction. The study base included all Swedish citizens aged 45 to 70, who lived in Stockholm County during 1992-94. This analysis is based on 967 male cases, 412 female cases and 1696 referents. Exposure information was obtained through questionnaires, interviews, health examinations, and obstetric records. RESULTS: Adult height was inversely related to myocardial infarction. The odds ratio for men in the shortest quartile (< 173 cm) compared with the tallest was 1.78 (95% CI: 1.39, 2.28). For women the corresponding odds ratio in the shortest quartile (<159 cm) was 1.86 (95% CI: 1.28, 2.71). Height was also inversely associated with fetal growth and indicators of material resources during childhood. Within each social class of origin short stature was associated with number of siblings, lack of higher education, and absence of upward social mobility. Adjustment for childhood risk factors decreased the excess relative risk of short stature with around 25%. Adult social, behavioural, and biological risk factors could not explain the association. The findings were similar for men and women. CONCLUSION: Height is associated with many risk factors of myocardial infarction, which increase the risk of disease through many different causal pathways. Childhood exposures have no dominant role in explaining the association between short stature and myocardial infarction.",

author = "Michael Lundberg and Finn Diderichsen and Johan Hallqvist and {SHEEP Study Group}",

note = "Keywords: Aged; Body Height; Case-Control Studies; Child; Environmental Exposure; Family Characteristics; Female; Gestational Age; Humans; Male; Middle Aged; Myocardial Infarction; Odds Ratio; Pregnancy; Prenatal Exposure Delayed Effects; Reference Values; Risk Factors; Social Environment; Socioeconomic Factors; Sweden",

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doi = "10.1080/14034940210133988",

language = "English",

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T1 - Is the association between short stature and myocardial infarction explained by childhood exposures--a population-based case referent study (SHEEP)

AU - Lundberg, Michael

AU - Diderichsen, Finn

AU - Hallqvist, Johan

AU - SHEEP Study Group

N1 - Keywords: Aged; Body Height; Case-Control Studies; Child; Environmental Exposure; Family Characteristics; Female; Gestational Age; Humans; Male; Middle Aged; Myocardial Infarction; Odds Ratio; Pregnancy; Prenatal Exposure Delayed Effects; Reference Values; Risk Factors; Social Environment; Socioeconomic Factors; Sweden

PY - 2002

Y1 - 2002

N2 - AIMS: This study was undertaken to examine the association between short stature and acute non-fatal myocardial infarction and to analyse causal mechanisms related to height with a focus on childhood risk factors. METHOD: The SHEEP (Stockholm Heart Epidemiology Program) is a population-based case-referent study. The outcome was incident first events of myocardial infarction. The study base included all Swedish citizens aged 45 to 70, who lived in Stockholm County during 1992-94. This analysis is based on 967 male cases, 412 female cases and 1696 referents. Exposure information was obtained through questionnaires, interviews, health examinations, and obstetric records. RESULTS: Adult height was inversely related to myocardial infarction. The odds ratio for men in the shortest quartile (< 173 cm) compared with the tallest was 1.78 (95% CI: 1.39, 2.28). For women the corresponding odds ratio in the shortest quartile (<159 cm) was 1.86 (95% CI: 1.28, 2.71). Height was also inversely associated with fetal growth and indicators of material resources during childhood. Within each social class of origin short stature was associated with number of siblings, lack of higher education, and absence of upward social mobility. Adjustment for childhood risk factors decreased the excess relative risk of short stature with around 25%. Adult social, behavioural, and biological risk factors could not explain the association. The findings were similar for men and women. CONCLUSION: Height is associated with many risk factors of myocardial infarction, which increase the risk of disease through many different causal pathways. Childhood exposures have no dominant role in explaining the association between short stature and myocardial infarction.

AB - AIMS: This study was undertaken to examine the association between short stature and acute non-fatal myocardial infarction and to analyse causal mechanisms related to height with a focus on childhood risk factors. METHOD: The SHEEP (Stockholm Heart Epidemiology Program) is a population-based case-referent study. The outcome was incident first events of myocardial infarction. The study base included all Swedish citizens aged 45 to 70, who lived in Stockholm County during 1992-94. This analysis is based on 967 male cases, 412 female cases and 1696 referents. Exposure information was obtained through questionnaires, interviews, health examinations, and obstetric records. RESULTS: Adult height was inversely related to myocardial infarction. The odds ratio for men in the shortest quartile (< 173 cm) compared with the tallest was 1.78 (95% CI: 1.39, 2.28). For women the corresponding odds ratio in the shortest quartile (<159 cm) was 1.86 (95% CI: 1.28, 2.71). Height was also inversely associated with fetal growth and indicators of material resources during childhood. Within each social class of origin short stature was associated with number of siblings, lack of higher education, and absence of upward social mobility. Adjustment for childhood risk factors decreased the excess relative risk of short stature with around 25%. Adult social, behavioural, and biological risk factors could not explain the association. The findings were similar for men and women. CONCLUSION: Height is associated with many risk factors of myocardial infarction, which increase the risk of disease through many different causal pathways. Childhood exposures have no dominant role in explaining the association between short stature and myocardial infarction.

U2 - 10.1080/14034940210133988

DO - 10.1080/14034940210133988

M3 - Journal article

C2 - 12680500

SN - 1403-4948

VL - 30

SP - 249

EP - 258

JO - Acta socio-medica Scandinavica

JF - Acta socio-medica Scandinavica

IS - 4

ER -

Is the association between short stature and myocardial infarction explained by childhood exposures--a population-based case referent study (SHEEP)

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