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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

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
Authors
Issue Date2009
PublisherOxford University Press. The Journal's web site is located at http://ije.oxfordjournals.org/
Citation
International Journal Of Epidemiology, 2009, v. 38 n. 4, p. 1060-1071 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/151678
ISSN
2015 Impact Factor: 7.522
2015 SCImago Journal Rankings: 4.381
ISI Accession Number ID
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).

References

 

DC FieldValueLanguage
dc.contributor.authorLee, CMYen_US
dc.contributor.authorBarzi, Fen_US
dc.contributor.authorWoodward, Men_US
dc.contributor.authorBatty, GDen_US
dc.contributor.authorGiles, GGen_US
dc.contributor.authorWong, JWen_US
dc.contributor.authorJamrozik, Ken_US
dc.contributor.authorLam, THen_US
dc.contributor.authorUeshima, Hen_US
dc.contributor.authorKim, HCen_US
dc.contributor.authorGu, DFen_US
dc.contributor.authorSchooling, Men_US
dc.contributor.authorHuxley, RRen_US
dc.contributor.authorMaegawa, Hen_US
dc.contributor.authorOkayama, Aen_US
dc.contributor.authorUeshima, Hen_US
dc.contributor.authorNakamura, Men_US
dc.contributor.authorAoki, Nen_US
dc.contributor.authorWu, ZSen_US
dc.contributor.authorYao, CHen_US
dc.contributor.authorLuszcz, Men_US
dc.contributor.authorWelborn, TAen_US
dc.contributor.authorTang, Zen_US
dc.contributor.authorLiu, LSen_US
dc.contributor.authorXie, JXen_US
dc.contributor.authorNorton, Ren_US
dc.contributor.authorAmeratunga, Sen_US
dc.contributor.authorMacmahon, Sen_US
dc.contributor.authorWhitlock, Gen_US
dc.contributor.authorKnuiman, MWen_US
dc.contributor.authorChristensen, Hen_US
dc.contributor.authorWu, XGen_US
dc.contributor.authorZhou, Jen_US
dc.contributor.authorYu, XHen_US
dc.contributor.authorTamakoshi, Aen_US
dc.contributor.authorPan, WHen_US
dc.contributor.authorWu, ZLen_US
dc.contributor.authorChen, LQen_US
dc.contributor.authorShan, GLen_US
dc.contributor.authorSritara, Pen_US
dc.contributor.authorDuan, XFen_US
dc.contributor.authorWhitlock, Gen_US
dc.contributor.authorJackson, Ren_US
dc.contributor.authorLi, YHen_US
dc.contributor.authorJiang, CQen_US
dc.contributor.authorKiyohara, Yen_US
dc.contributor.authorArima, Hen_US
dc.contributor.authorIida, Men_US
dc.contributor.authorWoo, Jen_US
dc.contributor.authorHo, SCen_US
dc.contributor.authorHong, Zen_US
dc.contributor.authorHuang, MSen_US
dc.contributor.authorZhou, Ben_US
dc.contributor.authorFuh, JLen_US
dc.contributor.authorUeshima, Hen_US
dc.contributor.authorKita, Yen_US
dc.contributor.authorChoudhury, SRen_US
dc.contributor.authorSuh, Ien_US
dc.contributor.authorJee, SHen_US
dc.contributor.authorKim, ISen_US
dc.contributor.authorHashimoto, Ten_US
dc.contributor.authorSakata, Ken_US
dc.contributor.authorDobson, Aen_US
dc.contributor.authorImai, Yen_US
dc.contributor.authorOhkubo, Ten_US
dc.contributor.authorHozawa, Aen_US
dc.contributor.authorJamrozik, Ken_US
dc.contributor.authorHobbs, Men_US
dc.contributor.authorBroadhurst, Ren_US
dc.contributor.authorNakachi, Ken_US
dc.contributor.authorFang, XHen_US
dc.contributor.authorLi, SCen_US
dc.contributor.authorYang, QDen_US
dc.contributor.authorChen, ZMen_US
dc.contributor.authorTanaka, Hen_US
dc.contributor.authorNozaki, Aen_US
dc.contributor.authorMatsutani, Yen_US
dc.contributor.authorHoribe, Hen_US
dc.contributor.authorKagaya;, Men_US
dc.contributor.authorHughes, Ken_US
dc.contributor.authorLee, Jen_US
dc.contributor.authorHeng, Den_US
dc.contributor.authorChew, SKen_US
dc.contributor.authorZhou, BFen_US
dc.contributor.authorZhang, HYen_US
dc.contributor.authorShimamoto, Ken_US
dc.contributor.authorSaitoh, Sen_US
dc.contributor.authorLi, ZZen_US
dc.contributor.authorNorman, Pen_US
dc.contributor.authorHe, Yen_US
dc.contributor.authorLam, THen_US
dc.contributor.authorYao, SXen_US
dc.date.accessioned2012-06-26T06:26:31Z-
dc.date.available2012-06-26T06:26:31Z-
dc.date.issued2009en_US
dc.identifier.citationInternational Journal Of Epidemiology, 2009, v. 38 n. 4, p. 1060-1071en_US
dc.identifier.issn0300-5771en_US
dc.identifier.urihttp://hdl.handle.net/10722/151678-
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.en_US
dc.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://ije.oxfordjournals.org/en_US
dc.relation.ispartofInternational Journal of Epidemiologyen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAgeden_US
dc.subject.meshAsia - Epidemiologyen_US
dc.subject.meshAustralia - Epidemiologyen_US
dc.subject.meshBody Height - Physiologyen_US
dc.subject.meshCardiovascular Diseases - Epidemiologyen_US
dc.subject.meshEpidemiologic Methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasms - Mortalityen_US
dc.subject.meshRespiration Disorders - Mortalityen_US
dc.subject.meshWounds And Injuries - Mortalityen_US
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 womenen_US
dc.typeArticleen_US
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_US
dc.identifier.emailSchooling, M:cms1@hkucc.hku.hken_US
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_US
dc.identifier.authorityLam, TH=rp00326en_US
dc.identifier.authoritySchooling, M=rp00504en_US
dc.identifier.authorityLam, TH=rp00326en_US
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.doi10.1093/ije/dyp150en_US
dc.identifier.pmid19270305-
dc.identifier.scopuseid_2-s2.0-67651237092en_US
dc.identifier.hkuros164030-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-67651237092&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume38en_US
dc.identifier.issue4en_US
dc.identifier.spage1060en_US
dc.identifier.epage1071en_US
dc.identifier.isiWOS:000268812300026-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridLee, CMY=15923348700en_US
dc.identifier.scopusauthoridBarzi, F=7003545543en_US
dc.identifier.scopusauthoridWoodward, M=7102510958en_US
dc.identifier.scopusauthoridBatty, GD=7003988354en_US
dc.identifier.scopusauthoridGiles, GG=7103091133en_US
dc.identifier.scopusauthoridWong, JW=35184353900en_US
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dc.identifier.scopusauthoridLam, TH=7202522876en_US
dc.identifier.scopusauthoridUeshima, H=7005129002en_US
dc.identifier.scopusauthoridKim, HC=8540942600en_US
dc.identifier.scopusauthoridGu, DF=7202151958en_US
dc.identifier.scopusauthoridSchooling, M=12808565000en_US
dc.identifier.scopusauthoridHuxley, RR=6701828350en_US
dc.identifier.scopusauthoridMaegawa, H=7005198303en_US
dc.identifier.scopusauthoridOkayama, A=35300529100en_US
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dc.identifier.scopusauthoridNakamura, M=7405345581en_US
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dc.identifier.scopusauthoridWhitlock, G=7004159442en_US
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dc.identifier.scopusauthoridLam, TH=7202522876en_US
dc.identifier.scopusauthoridYao, SX=35231647800en_US
dc.identifier.citeulike5491113-

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