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Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals
BACKGROUND: Patients with metabolic syndrome (MS) have a higher incidence of cardiovascular disease (CVD), but the possible mechanisms are not fully understood and further exploration of the possible factors influencing the high incidence of CVD in patients with MS is still needed. OBJECTIVES: This...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670395/ https://www.ncbi.nlm.nih.gov/pubmed/36397161 http://dx.doi.org/10.1186/s13098-022-00948-0 |
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author | Shu, Zhe Ding, Xiong Yue, Qing Ma, XiaoXu Liu, MinHong Wu, YunTao Yang, Peng Wu, Ying Li, Yun Wu, Shouling |
author_facet | Shu, Zhe Ding, Xiong Yue, Qing Ma, XiaoXu Liu, MinHong Wu, YunTao Yang, Peng Wu, Ying Li, Yun Wu, Shouling |
author_sort | Shu, Zhe |
collection | PubMed |
description | BACKGROUND: Patients with metabolic syndrome (MS) have a higher incidence of cardiovascular disease (CVD), but the possible mechanisms are not fully understood and further exploration of the possible factors influencing the high incidence of CVD in patients with MS is still needed. OBJECTIVES: This study aims to examine the association between fetal famine exposure and the risk of CVD in adulthood with MS. METHODS: Of 13,744 MS patients free of CVD selected from the Kailuan Study in 2006 (referred as the baseline survey) were included in the study. China suffered a severe famine from 1959 to 1962, so the participants born during this period were classified as the uterine famine exposed group. All patients were born between January 1, 1949, and December 31, 1974. Based on the date of birth, all patients were divided into the no-exposed group (born between January 1, 1963, and December 31, 1974), uterine famine exposed group (born between January 1, 1959 and December 31, 1962), and childhood famine exposed group (born between January 1, 1949 and December 31, 1958). After following up to December 31, 2019, the weighted Cox regression analysis model was used to calculate the effect of early life famine exposure in MS individuals on the risk of CVD in adulthood. RESULTS: During the 12.12 years of follow-up, the incidence of CVD was 5.87%, 10.13%, and 10.90% in the no-exposed group, uterine famine exposed group, and childhood famine exposed group, respectively. Compared with participants in the no-exposed group, the CVD risk and stroke risk increased in participants in the uterine famine exposed group (for CVD, HR: 1.32, 95% CI 1.04–1.67; for stroke, HR:1.37, 95% CI 1.05–1.79), but not in childhood famine exposed group. However, the increased CVD risks were only observed in females or smokers. No increased MI risks were observed for participants in the uterine famine exposed group or childhood famine exposed group. CONCLUSIONS: Our findings suggested that exposure to famine during uterine life might increase the risk of CVD in adulthood in participants with MS. |
format | Online Article Text |
id | pubmed-9670395 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-96703952022-11-18 Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals Shu, Zhe Ding, Xiong Yue, Qing Ma, XiaoXu Liu, MinHong Wu, YunTao Yang, Peng Wu, Ying Li, Yun Wu, Shouling Diabetol Metab Syndr Research BACKGROUND: Patients with metabolic syndrome (MS) have a higher incidence of cardiovascular disease (CVD), but the possible mechanisms are not fully understood and further exploration of the possible factors influencing the high incidence of CVD in patients with MS is still needed. OBJECTIVES: This study aims to examine the association between fetal famine exposure and the risk of CVD in adulthood with MS. METHODS: Of 13,744 MS patients free of CVD selected from the Kailuan Study in 2006 (referred as the baseline survey) were included in the study. China suffered a severe famine from 1959 to 1962, so the participants born during this period were classified as the uterine famine exposed group. All patients were born between January 1, 1949, and December 31, 1974. Based on the date of birth, all patients were divided into the no-exposed group (born between January 1, 1963, and December 31, 1974), uterine famine exposed group (born between January 1, 1959 and December 31, 1962), and childhood famine exposed group (born between January 1, 1949 and December 31, 1958). After following up to December 31, 2019, the weighted Cox regression analysis model was used to calculate the effect of early life famine exposure in MS individuals on the risk of CVD in adulthood. RESULTS: During the 12.12 years of follow-up, the incidence of CVD was 5.87%, 10.13%, and 10.90% in the no-exposed group, uterine famine exposed group, and childhood famine exposed group, respectively. Compared with participants in the no-exposed group, the CVD risk and stroke risk increased in participants in the uterine famine exposed group (for CVD, HR: 1.32, 95% CI 1.04–1.67; for stroke, HR:1.37, 95% CI 1.05–1.79), but not in childhood famine exposed group. However, the increased CVD risks were only observed in females or smokers. No increased MI risks were observed for participants in the uterine famine exposed group or childhood famine exposed group. CONCLUSIONS: Our findings suggested that exposure to famine during uterine life might increase the risk of CVD in adulthood in participants with MS. BioMed Central 2022-11-17 /pmc/articles/PMC9670395/ /pubmed/36397161 http://dx.doi.org/10.1186/s13098-022-00948-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Shu, Zhe Ding, Xiong Yue, Qing Ma, XiaoXu Liu, MinHong Wu, YunTao Yang, Peng Wu, Ying Li, Yun Wu, Shouling Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals |
title | Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals |
title_full | Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals |
title_fullStr | Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals |
title_full_unstemmed | Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals |
title_short | Effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals |
title_sort | effects of fetal famine exposure on the cardiovascular disease risk in the metabolic syndrome individuals |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670395/ https://www.ncbi.nlm.nih.gov/pubmed/36397161 http://dx.doi.org/10.1186/s13098-022-00948-0 |
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