A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Birth weight, adult weight, and cardiovascular biomarkers: Evidence from the Cardiovascular Young Finns Study




TekijätPehkonen Jaakko, Viinikainen Jutta, Kari Jaana T, Böckerman Petri, Lehtimäki Terho, Viikari Jorma, Raitakari Olli

KustantajaACADEMIC PRESS INC ELSEVIER SCIENCE

Julkaisuvuosi2022

JournalPreventive Medicine

Tietokannassa oleva lehden nimiPREVENTIVE MEDICINE

Lehden akronyymiPREV MED

Artikkelin numero 106894

Vuosikerta154

Sivujen määrä6

ISSN0091-7435

DOIhttps://doi.org/10.1016/j.ypmed.2021.106894

Verkko-osoitehttps://doi.org/10.1016/j.ypmed.2021.106894

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/174779654


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 (beta = 0.294; 95% CI [-0.591, 0.003]) but not to low-density lipoprotein (LDL) cholesterol levels (beta = 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 (beta = 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.

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