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Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study

Objectives: This research investigates the associations between body mass index (BMI) at 21, 40–59, 60–79 years of age on cardiometabolic risk markers at 60–79 years. Methods: A prospective study of 3464 British men with BMI measured at 40–59 and 60–79 years, when cardiometabolic risk was assessed....

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Autores principales: Kapetanakis, Venediktos V., Rudnicka, Alicja R., Wathern, Andrea K., Lennon, Lucy, Papacosta, Olia, Cook, Derek G., Wannamethee, S. Goya, Whincup, Peter H., Owen, Christopher G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4256406/
https://www.ncbi.nlm.nih.gov/pubmed/25474626
http://dx.doi.org/10.1371/journal.pone.0114289
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author Kapetanakis, Venediktos V.
Rudnicka, Alicja R.
Wathern, Andrea K.
Lennon, Lucy
Papacosta, Olia
Cook, Derek G.
Wannamethee, S. Goya
Whincup, Peter H.
Owen, Christopher G.
author_facet Kapetanakis, Venediktos V.
Rudnicka, Alicja R.
Wathern, Andrea K.
Lennon, Lucy
Papacosta, Olia
Cook, Derek G.
Wannamethee, S. Goya
Whincup, Peter H.
Owen, Christopher G.
author_sort Kapetanakis, Venediktos V.
collection PubMed
description Objectives: This research investigates the associations between body mass index (BMI) at 21, 40–59, 60–79 years of age on cardiometabolic risk markers at 60–79 years. Methods: A prospective study of 3464 British men with BMI measured at 40–59 and 60–79 years, when cardiometabolic risk was assessed. BMI at 21 years was ascertained from military records, or recalled from middle-age (adjusted for reporting bias); associations between BMI at different ages and later cardiometabolic risk markers were examined using linear regression. Sensitive period, accumulation and mobility life course models were devised for high BMI (defined as BMI≥75(th) centile) and compared with a saturated BMI trajectory model. Results: At ages 21, 40–59 and 60–79 years, prevalences of overweight (BMI≥25 kg/m(2)) were 12%, 53%, 70%, and obesity (≥30 kg/m(2)) 1.6%, 6.6%, and 17.6%, respectively. BMI at 21 years was positively associated with serum insulin, blood glucose, and HbA1c at 60–79 years, with increases of 1.5% (95%CI 0.8,2.3%), 0.4% (0.1,0.6%), 0.3% (0.1,0.4%) per 1 kg/m(2), respectively, but showed no associations with blood pressure or blood cholesterol. However, these associations were modest compared to those between BMI at 60–79 years and serum insulin, blood glucose and HbA1c at 60–79 years, with increases of 8.6% (8.0,9.2%), 0.7% (0.5,0.9%), and 0.5% (0.4,0.7%) per 1 kg/m(2), respectively. BMI at 60–79 years was also associated with total cholesterol and blood pressure. Associations for BMI at 40–59 years were mainly consistent with those of BMI at 60–79 years. None of the life course models fitted the data as well as the saturated model for serum insulin. A sensitive period at 50 years for glucose and HbA1c and sensitive period at 70 years for blood pressure were identified. Conclusions: In this cohort of men who were thin compared to more contemporary cohorts, BMI in later life was the dominant influence on cardiovascular and diabetes risk. BMI in early adult life may have a small long-term effect on diabetes risk.
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spelling pubmed-42564062014-12-11 Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study Kapetanakis, Venediktos V. Rudnicka, Alicja R. Wathern, Andrea K. Lennon, Lucy Papacosta, Olia Cook, Derek G. Wannamethee, S. Goya Whincup, Peter H. Owen, Christopher G. PLoS One Research Article Objectives: This research investigates the associations between body mass index (BMI) at 21, 40–59, 60–79 years of age on cardiometabolic risk markers at 60–79 years. Methods: A prospective study of 3464 British men with BMI measured at 40–59 and 60–79 years, when cardiometabolic risk was assessed. BMI at 21 years was ascertained from military records, or recalled from middle-age (adjusted for reporting bias); associations between BMI at different ages and later cardiometabolic risk markers were examined using linear regression. Sensitive period, accumulation and mobility life course models were devised for high BMI (defined as BMI≥75(th) centile) and compared with a saturated BMI trajectory model. Results: At ages 21, 40–59 and 60–79 years, prevalences of overweight (BMI≥25 kg/m(2)) were 12%, 53%, 70%, and obesity (≥30 kg/m(2)) 1.6%, 6.6%, and 17.6%, respectively. BMI at 21 years was positively associated with serum insulin, blood glucose, and HbA1c at 60–79 years, with increases of 1.5% (95%CI 0.8,2.3%), 0.4% (0.1,0.6%), 0.3% (0.1,0.4%) per 1 kg/m(2), respectively, but showed no associations with blood pressure or blood cholesterol. However, these associations were modest compared to those between BMI at 60–79 years and serum insulin, blood glucose and HbA1c at 60–79 years, with increases of 8.6% (8.0,9.2%), 0.7% (0.5,0.9%), and 0.5% (0.4,0.7%) per 1 kg/m(2), respectively. BMI at 60–79 years was also associated with total cholesterol and blood pressure. Associations for BMI at 40–59 years were mainly consistent with those of BMI at 60–79 years. None of the life course models fitted the data as well as the saturated model for serum insulin. A sensitive period at 50 years for glucose and HbA1c and sensitive period at 70 years for blood pressure were identified. Conclusions: In this cohort of men who were thin compared to more contemporary cohorts, BMI in later life was the dominant influence on cardiovascular and diabetes risk. BMI in early adult life may have a small long-term effect on diabetes risk. Public Library of Science 2014-12-04 /pmc/articles/PMC4256406/ /pubmed/25474626 http://dx.doi.org/10.1371/journal.pone.0114289 Text en © 2014 Kapetanakis et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Kapetanakis, Venediktos V.
Rudnicka, Alicja R.
Wathern, Andrea K.
Lennon, Lucy
Papacosta, Olia
Cook, Derek G.
Wannamethee, S. Goya
Whincup, Peter H.
Owen, Christopher G.
Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study
title Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study
title_full Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study
title_fullStr Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study
title_full_unstemmed Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study
title_short Adiposity in Early, Middle and Later Adult Life and Cardiometabolic Risk Markers in Later Life; Findings from the British Regional Heart Study
title_sort adiposity in early, middle and later adult life and cardiometabolic risk markers in later life; findings from the british regional heart study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4256406/
https://www.ncbi.nlm.nih.gov/pubmed/25474626
http://dx.doi.org/10.1371/journal.pone.0114289
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