Birth weight, adult weight, and cardiovascular biomarkers : Evidence from the Cardiovascular Young Finns Study
Pehkonen, Jaakko; Viinikainen, Jutta; Kari, Jaana T.; Böckerman, Petri; Lehtimäki, Terho; Viikari, Jorma; Raitakari, Olli (2022-01)
Pehkonen, Jaakko
Viinikainen, Jutta
Kari, Jaana T.
Böckerman, Petri
Lehtimäki, Terho
Viikari, Jorma
Raitakari, Olli
01 / 2022
106894
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:tuni-202112129136
https://urn.fi/URN:NBN:fi:tuni-202112129136
Kuvaus
Peer reviewed
Tiivistelmä
This study quantifies the causal effect of birth weight on cardiovascular biomarkers in adulthood using the Cardiovascular Risk in Young Finns Study (YFS). We apply a multivariable Mendelian randomization (MVMR) method that provides a novel approach to improve inference in causal analysis based on a mediation framework. The results show that birth weight is linked to triglyceride levels (β = −0.294; 95% CI [−0.591, 0.003]) but not to low-density lipoprotein (LDL) cholesterol levels (β = 0.007; 95% CI [−0.168, 0.183]). The total effect of birth weight on triglyceride levels is partly offset by a mediation pathway linking birth weight to adult BMI (β = 0.111; 95% CI [−0.013, 0.234]). The negative total effect is consistent with the fetal programming hypothesis. The positive indirect effect via adult BMI highlights the persistence of body weight throughout a person's life and the adverse effects of high BMI on health. The results are consistent with previous findings that both low birth weight and weight gain increase health risks in adulthood.
Kokoelmat
- TUNICRIS-julkaisut [16983]