Article: Adult height and the risks of cardiovascular disease and major causes of death in the Asia-Pacific region: 21 000 deaths in 510 000 men and women

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TitleAdult height and the risks of cardiovascular disease and major causes of death in the Asia-Pacific region: 21 000 deaths in 510 000 men and women
AuthorsLee, CMY3
Barzi, F3
Woodward, M2 3
Batty, GD5
Giles, GG6
Wong, JW13
Jamrozik, K9
Lam, TH4
Ueshima, H12
Kim, HC8
Gu, DF11
Schooling, M4
Huxley, RR3
Maegawa, H
Okayama, A
Ueshima, H
Nakamura, M
Aoki, N
Wu, ZS
Yao, CH
Luszcz, M
Welborn, TA10
Tang, Z
Liu, LS1
Xie, JX1
Norton, R
Ameratunga, S
Macmahon, S
Whitlock, G
Knuiman, MW
Christensen, H
Wu, XG
Zhou, J7
Yu, XH7
Tamakoshi, A
Pan, WH
Wu, ZL
Chen, LQ
Shan, GL
Sritara, P
Duan, XF
Whitlock, G
Jackson, R
Li, YH
Jiang, CQ
Kiyohara, Y
Arima, H
Iida, M
Woo, J
Ho, SC
Hong, Z
Huang, MS
Zhou, B
Fuh, JL
Ueshima, H
Kita, Y
Choudhury, SR
Suh, I
Jee, SH
Kim, IS
Hashimoto, T
Sakata, K
Dobson, A
Imai, Y
Ohkubo, T
Hozawa, A
Jamrozik, K
Hobbs, M
Broadhurst, R
Nakachi, K
Fang, XH
Li, SC
Yang, QD
Chen, ZM
Tanaka, H
Nozaki, A
Matsutani, Y
Horibe, H
Kagaya;, M
Hughes, K
Lee, J
Heng, D
Chew, SK
Zhou, BF
Zhang, HY
Shimamoto, K
Saitoh, S
Li, ZZ
Norman, P
He, Y
Lam, TH
Yao, SX
Issue Date2009
PublisherOxford University Press. The Journal's web site is located at http://ije.oxfordjournals.org/
CitationInternational Journal Of Epidemiology, 2009, v. 38 n. 4, p. 1060-1071 [How to Cite?]
DOI: http://dx.doi.org/10.1093/ije/dyp150
AbstractBackground: In Caucasian populations, adult height is inversely associated with cardiovascular disease (CVD) risk and positively related to some cancers. However, there are few data from Asian populations and from women. We sought to determine the sex- and region-specific associations between height and cardiovascular outcomes, and deaths due to cancer, respiratory and injury in populations from the Asia-Pacific region. Methods: Thirty-nine studies from the Asia Pacific Cohort Studies Collaboration database were included. We used Cox proportional hazard regression models to estimate the associations between height and pre-specified outcomes. Results: A total of 510 800 participants with 21 623 deaths were included. Amongst men, inverse linear associations were observed between height and coronary heart disease (CHD), stroke, CVD, injury and total mortality. The hazard ratios [95% confidence intervals, (CI)] for a 1-SD (= 6 cm) increment in height ranged from 0.85 (0.80-0.91) for injury to 0.97 (0.95-0.98) for total mortality. Similar trends were found between height and CHD, haemorrhagic stroke and CVD in women. A positive linear association was observed between height and cancer mortality. For each standard deviation greater height, the risk of cancer was increased by 5% (2-8%) and 9% (5-14%) in men and women, respectively. No regional difference was observed between Asian and Australasian cohorts. Adjusting for markers of education did not alter the results. Conclusions: The opposing relationships of height with CVD and cancer suggest that care is required in setting national policies on childhood nutrition lest they have unintended consequences on the incidence of major non-communicable diseases. Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2009; all rights reserved.
ISSN0300-5771
2011 Impact Factor: 6.414
2011 SCImago Journal Rankings: 0.527
DOIhttp://dx.doi.org/10.1093/ije/dyp150
ISI Accession Number IDWOS:000268812300026
Funding AgencyGrant Number
National Health and Medical Research Council of Australia402903
358395
UK Wellcome Trust
Funding Information:

National Health and Medical Research Council of Australia (402903 to CMYL, 358395 to APCSC); UK Wellcome Trust (to GDB).

ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorLee, CMY
dc.contributor.authorBarzi, F
dc.contributor.authorWoodward, M
dc.contributor.authorBatty, GD
dc.contributor.authorGiles, GG
dc.contributor.authorWong, JW
dc.contributor.authorJamrozik, K
dc.contributor.authorLam, TH
dc.contributor.authorUeshima, H
dc.contributor.authorKim, HC
dc.contributor.authorGu, DF
dc.contributor.authorSchooling, M
dc.contributor.authorHuxley, RR
dc.contributor.authorMaegawa, H
dc.contributor.authorOkayama, A
dc.contributor.authorUeshima, H
dc.contributor.authorNakamura, M
dc.contributor.authorAoki, N
dc.contributor.authorWu, ZS
dc.contributor.authorYao, CH
dc.contributor.authorLuszcz, M
dc.contributor.authorWelborn, TA
dc.contributor.authorTang, Z
dc.contributor.authorLiu, LS
dc.contributor.authorXie, JX
dc.contributor.authorNorton, R
dc.contributor.authorAmeratunga, S
dc.contributor.authorMacmahon, S
dc.contributor.authorWhitlock, G
dc.contributor.authorKnuiman, MW
dc.contributor.authorChristensen, H
dc.contributor.authorWu, XG
dc.contributor.authorZhou, J
dc.contributor.authorYu, XH
dc.contributor.authorTamakoshi, A
dc.contributor.authorPan, WH
dc.contributor.authorWu, ZL
dc.contributor.authorChen, LQ
dc.contributor.authorShan, GL
dc.contributor.authorSritara, P
dc.contributor.authorDuan, XF
dc.contributor.authorWhitlock, G
dc.contributor.authorJackson, R
dc.contributor.authorLi, YH
dc.contributor.authorJiang, CQ
dc.contributor.authorKiyohara, Y
dc.contributor.authorArima, H
dc.contributor.authorIida, M
dc.contributor.authorWoo, J
dc.contributor.authorHo, SC
dc.contributor.authorHong, Z
dc.contributor.authorHuang, MS
dc.contributor.authorZhou, B
dc.contributor.authorFuh, JL
dc.contributor.authorUeshima, H
dc.contributor.authorKita, Y
dc.contributor.authorChoudhury, SR
dc.contributor.authorSuh, I
dc.contributor.authorJee, SH
dc.contributor.authorKim, IS
dc.contributor.authorHashimoto, T
dc.contributor.authorSakata, K
dc.contributor.authorDobson, A
dc.contributor.authorImai, Y
dc.contributor.authorOhkubo, T
dc.contributor.authorHozawa, A
dc.contributor.authorJamrozik, K
dc.contributor.authorHobbs, M
dc.contributor.authorBroadhurst, R
dc.contributor.authorNakachi, K
dc.contributor.authorFang, XH
dc.contributor.authorLi, SC
dc.contributor.authorYang, QD
dc.contributor.authorChen, ZM
dc.contributor.authorTanaka, H
dc.contributor.authorNozaki, A
dc.contributor.authorMatsutani, Y
dc.contributor.authorHoribe, H
dc.contributor.authorKagaya;, M
dc.contributor.authorHughes, K
dc.contributor.authorLee, J
dc.contributor.authorHeng, D
dc.contributor.authorChew, SK
dc.contributor.authorZhou, BF
dc.contributor.authorZhang, HY
dc.contributor.authorShimamoto, K
dc.contributor.authorSaitoh, S
dc.contributor.authorLi, ZZ
dc.contributor.authorNorman, P
dc.contributor.authorHe, Y
dc.contributor.authorLam, TH
dc.contributor.authorYao, SX
dc.date.accessioned2012-06-26T06:26:31Z
dc.date.available2012-06-26T06:26:31Z
dc.date.issued2009
dc.description.abstractBackground: In Caucasian populations, adult height is inversely associated with cardiovascular disease (CVD) risk and positively related to some cancers. However, there are few data from Asian populations and from women. We sought to determine the sex- and region-specific associations between height and cardiovascular outcomes, and deaths due to cancer, respiratory and injury in populations from the Asia-Pacific region. Methods: Thirty-nine studies from the Asia Pacific Cohort Studies Collaboration database were included. We used Cox proportional hazard regression models to estimate the associations between height and pre-specified outcomes. Results: A total of 510 800 participants with 21 623 deaths were included. Amongst men, inverse linear associations were observed between height and coronary heart disease (CHD), stroke, CVD, injury and total mortality. The hazard ratios [95% confidence intervals, (CI)] for a 1-SD (= 6 cm) increment in height ranged from 0.85 (0.80-0.91) for injury to 0.97 (0.95-0.98) for total mortality. Similar trends were found between height and CHD, haemorrhagic stroke and CVD in women. A positive linear association was observed between height and cancer mortality. For each standard deviation greater height, the risk of cancer was increased by 5% (2-8%) and 9% (5-14%) in men and women, respectively. No regional difference was observed between Asian and Australasian cohorts. Adjusting for markers of education did not alter the results. Conclusions: The opposing relationships of height with CVD and cancer suggest that care is required in setting national policies on childhood nutrition lest they have unintended consequences on the incidence of major non-communicable diseases. Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2009; all rights reserved.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationInternational Journal Of Epidemiology, 2009, v. 38 n. 4, p. 1060-1071 [How to Cite?]
DOI: http://dx.doi.org/10.1093/ije/dyp150
dc.identifier.citeulike5491113
dc.identifier.doihttp://dx.doi.org/10.1093/ije/dyp150
dc.identifier.epage1071
dc.identifier.hkuros164030
dc.identifier.isiWOS:000268812300026
Funding AgencyGrant Number
National Health and Medical Research Council of Australia402903
358395
UK Wellcome Trust
Funding Information:

National Health and Medical Research Council of Australia (402903 to CMYL, 358395 to APCSC); UK Wellcome Trust (to GDB).

dc.identifier.issn0300-5771
2011 Impact Factor: 6.414
2011 SCImago Journal Rankings: 0.527
dc.identifier.issue4
dc.identifier.pmid19270305
dc.identifier.scopuseid_2-s2.0-67651237092
dc.identifier.spage1060
dc.identifier.urihttp://hdl.handle.net/10722/151678
dc.identifier.volume38
dc.languageeng
dc.publisherOxford University Press. The Journal's web site is located at http://ije.oxfordjournals.org/
dc.publisher.placeUnited Kingdom
dc.relation.ispartofInternational Journal of Epidemiology
dc.relation.referencesReferences in Scopus
dc.subject.meshAdult
dc.subject.meshAge Factors
dc.subject.meshAged
dc.subject.meshAsia - Epidemiology
dc.subject.meshAustralia - Epidemiology
dc.subject.meshBody Height - Physiology
dc.subject.meshCardiovascular Diseases - Epidemiology
dc.subject.meshEpidemiologic Methods
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshNeoplasms - Mortality
dc.subject.meshRespiration Disorders - Mortality
dc.subject.meshWounds And Injuries - Mortality
dc.titleAdult height and the risks of cardiovascular disease and major causes of death in the Asia-Pacific region: 21 000 deaths in 510 000 men and women
dc.typeArticle
Author Affiliations
  1. Civil Service Workers
  2. The Mount Sinai Medical Center
  3. University of Sydney
  4. The University of Hong Kong
  5. University of Glasgow
  6. Cancer Council
  7. KMIC
  8. Yonsei University College of Medicine
  9. University of Adelaide
  10. Capital Iron and Steel Company
  11. Fuwai Hospital
  12. Shiga University of Medical Science
  13. Chinese University of Hong Kong